ABCDEFGHIJKLMNOPQRSTUVWXYZ
1
FDPP Form 2 - Statement of Indebtedness, Payments and Balances
2
(DOF-BLGF Memorandum Circular No. 005-2018 dated January 22, 2018, Annex E)
3
4
5
Statement of Indebtedness, Payments and Balances (SIPB)
6
7
REGION:
CORDILLERA ADMINISTRATIVE REGION
CALENDAR YEAR:
2024
8
PROVINCE:APAYAOQUARTER:3
9
CITY/MUNICIPALITY:
LUNA
10
11
12
13
Instruction: Please prepare a Statement for each kind of loan.
14
ITEM NO.PARTICULARSDETAILS
15
1LGU Income Classification2nd
16
2Date of ReportOctober 7, 2024
17
3Lending Institution (Bank or Creditor)NONE
18
4Certificate Number - NDSC/BCNONE
19
5Date of Certification - NDSC/BCNONE
20
6Monetary Board (MB) Resolution NumberNONE
21
7Date of MB OpinionNONE
22
8Date of Approval LoanNONE
23
9Amount Approved*NONE
24
10Maturity DateNONE
25
11Type of Indebtedness Instrument (Loan, Bond or other form of indebtedness)NONE
26
12Purpose of IndebtednessNONE
27
13Terms and Conditions: Fixed or VariableNONE
28
14Terms and Conditions: No. of Years of IndebtednessNONE
29
15Terms and Conditions: Interest RateNONE
30
16Terms and Conditions: Grace Period (Number of Months or Years)NONE
31
17Frequency of PaymentNONE
32
18Annual Amortization: PrincipalNONE
33
19Annual Amortization: InterestNONE
34
20Annual Amortization: Gross Receipt Tax (GRT)NONE
35
21Starting Date of PaymentNONE
36
22Cumulative Payment from Starting Date: PrincipalNONE
37
23Cumulative Payment from Starting Date: InterestNONE
38
24Cumulative Payment from Starting Date: GRTNONE
39
25Total Amount Released (Availment as of date)NONE
40
26Remaining Balance to Date / Undrawn Amount (Line 9-25=26)NONE
41
27Outstanding Loan Balance After Principal Payment (Line 9-22=27)NONE
42
28Arrears: Principal (if any)NONE
43
29Arrears: Interest (if any)NONE
44
30Collateral SecurityNONE
45
31Deposit to Bond Sinking Fund for the YearNONE
46
32Sinking Fund Balance to Date, if anyNONE
47
33Breakdown of Fees and Other Related Costs (of loan)NONE
48
34Other Relevant Terms and Conditions (of loan)NONE
49
50
Certified Correct by:
Date Issued:
51
52
MERCEDITA D. ANAPENJuly 8, 2024
53
Local Treasurer
54
55
Note:
56
*Please indicate if on a staggered basis.
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100