Escolar Documentos
Profissional Documentos
Cultura Documentos
DATE: ___________________
__________________________
__________________________
__________________________
AGENCY & ADDRESS
This serves as authority for you to effect the amount of exactly P ___________________ for _____ quarter/s from
my salary/ honorarium effective _________________________ until my loan from the RURAL BANK OF RIZAL
(K-A), INC. is fully paid.
This authority shall be enforced and effect until I revoke the same in writing duly acknowledged by the
lending institution.
CONFORME
_________________________________ _________________________________
Disbursing Officer Borrower’s Name and Signature
AUTHORITY TO DEDUCT
DATE: ___________________
__________________________
__________________________
__________________________
AGENCY & ADDRESS
This serves as authority for you to effect the amount of exactly P ___________________ for _____ quarter/s from
my salary/ honorarium effective _________________________ until my loan from the RURAL BANK OF RIZAL
(K-A), INC. is fully paid.
This authority shall be enforced and effect until I revoke the same in writing duly acknowledged by the
lending institution.
CONFORME
_________________________________ __________________________________
Disbursing Officer Borrower’s Name and Signature