Statement of Indebtedness, Payments and Balances (SIPB).xlsx

	A	B	D	E	F
1	Simplified Statement of Indebtedness, Payments and Balances (SIPB)
2	FDPP Form 2 - Annual Statement of Indebtedness, Payments and Balances
3	(DOF-BLGF Memorandum Circular No. 023-2019 dated September 19, 2019, Annex A)
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5	Statement of Indebtedness, Payments and Balances (SIPB)
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7	REGION:	REGION IV-A - CALABARZON	CALENDAR YEAR:	2024
8	PROVINCE:	RIZAL	QUARTER:	1
9	CITY/MUNICIPALITY:	CITY OF ANTIPOLO (Capital)
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11	Instruction: Please prepare a Statement for each kind of loan.
12	ITEM NO.	PARTICULARS			DETAILS
13	1	LGU Income Classification			First
14	2	Date of Report			31-Mar-24
15	3	Lending Institution (Bank or Creditor)			N/A
16	4	Certificate Number - NDSC/BC			N/A
17	5	Date of Certification - NDSC/BC			N/A
18	6	Monetary Board (MB) Resolution Number			N/A
19	7	Date of MB Opinion			N/A
20	8	Date of Approval Loan			N/A
21	9	Amount Approved*			N/A
22	10	Maturity Date			N/A
23	11	Type of Indebtedness Instrument (Loan, Bond or other form of indebtedness)			N/A
24	12	Purpose of Indebtedness			N/A
25	13	Terms and Conditions: Fixed or Variable			N/A
26	14	Terms and Conditions: No. of Years of Indebtedness			N/A
27	15	Terms and Conditions: Interest Rate			N/A
28	16	Terms and Conditions: Grace Period (Number of Months or Years)			N/A
29	17	Frequency of Payment			N/A
30	18	Annual Amortization: Principal			0
31	19	Annual Amortization: Interest			0
32	20	Annual Amortization: Gross Receipt Tax (GRT)			N/A
33	21	Starting Date of Payment			N/A
34	22	Cumulative Payment from Starting Date: Principal			0
35	23	Cumulative Payment from Starting Date: Interest			0
36	24	Cumulative Payment from Starting Date: GRT			0
37	25	Total Amount Released (Availment as of date)			0
38	26	Remaining Balance to Date / Undrawn Amount (Line 9-25=26)			0
39	27	Outstanding Loan Balance After Principal Payment (Line 9-22=27)			0
40	28	Arrears: Principal (if any)			N/A
41	29	Arrears: Interest (if any)			N/A
42	30	Collateral Security			N/A
43	31	Deposit to Bond Sinking Fund for the Year			N/A
44	32	Sinking Fund Balance to Date, if any			N/A
45	33	Breakdown of Fees and Other Related Costs (of loan)			N/A
46	34	Other Relevant Terms and Conditions (of loan)			N/A
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48	Certified Correct by:			Date Issued:
49
50	EMILIA M. ABELLA (SGD.)			April 18, 2024
51	Local Treasurer
52
53	Note:
54	*Please indicate if on a staggered basis.
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