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1/
New Accounts/Record Nos.
Page 1 of 27
RB Form 2A Deadline: 15 banking days after end
(Revised 2004) of reference month
Submission: SRSO/DRB/DER
1/
New Accounts/Record Nos.
Page 2 of 27
RB Form 2A Deadline: 15 banking days after end
(Revised 2004) of reference month
Submission: SRSO/DRB/DER
ADDITIONAL INFORMATION: -
1. TOTAL LOANS PORTFOLIO - GROSS (Schedule 2) 900 7,810,291.50 7,810,291.50
a) Current 901 6,076,723.57 6,076,723.57
b) Past Due 902 1,733,567.93 1,733,567.93
c) Items in Litigation 903 - -
2. Less: Specific Loan Loss Provision 904 164,088.78 164,088.78
3. Loan Portfolio (Net of Specific Loan Loss Provision) 906 7,646,202.72 7,646,202.72
4. Less: GENERAL LOAN LOSS PROVISION 910 42,356.56 42,356.56
5. LOAN PORTFOLIO - NET 920 7,603,846.16 7,603,846.16
6. Total Allowance for Probable Losses 460 206,445.34 206,445.34
a) 2% General Provision for Probable Loan Losses 461 42,356.56 42,356.56
b) Allowance for Probable Losses on Loan Accounts and Other Risk Assets 462 164,088.78 164,088.78
b.1 Loans 463 164,088.78 164,088.78
b.2 Other Risk Assets 464 - -
7. Total Non-Performing Loans (Cir. No. 202 dated May 27, 1999) 930 1,733,567.93 1,733,567.93
a) Non-performing Regular Loans (Other than Restructured Loans) 931 1,733,567.93 1,733,567.93
b) Non-performing Restructured Loans 932 -
7a. Loans Classified as "Loss" which are fully covered by Allowance for Probable
Losses 933 -
7b. Outstandng Credit Receivables Classified as Loss 934 -
in the latest BSP examination, net of write offs, recoveries and collections
7bc Credit Card Receivables classified as loss by the bank as of this month 935 -
8. Restructured Loans 0 082 - -
a. Current 079 - -
1. Agrarian Reform/Other Agricultural Credit 962 - -
a. Agrarian Reform Loans 963 -
b. Other Agricultural Credit Loans 964 -
2. Development Incentive Loans 965 -
3. Others 966 -
2/
Include other asset accounts not separately identified such as petty cash (P5,000.00), stationery and supplies on hand (P 6,857.00 ), documentary stamps
(P___________), postage stamps (P_________), shortages (P____________), dividends receivable (P___________), other investments (P_________) etc. (P 24,000.00 ).
Page 3 of 27
RB Form 2A Deadline: 15 banking days after end
(Revised 2004) of reference month
Submission: SRSO/DRB/DER
Page 4 of 27
RB Form 2A Deadline: 15 banking days after end
(Revised 2004) of reference month
Submission: SRSO/DRB/DER
1/
New Accounts/Record Nos.
Page 5 of 27
RB Form 2A Deadline: 15 banking days after end
(Revised 2004) of reference month
Submission: SRSO/DRB/DER
Page 6 of 27
RB Form 2A Deadline: 15 banking days after end
(Revised 2004) of reference month
Submission: SRSO/DRB/DER
Page 7 of 27
RB Form 2A Deadline: 15 banking days after end
(Revised 2004) of reference month
Submission: SRSO/DRB/DER
________________________)
I, JEFFERSON D. SAMBRANO of this Bank do hereby swear that the foregoing, including the attached schedules,
SUBSCRIBED AND SWORN TO BEFOR ME this ____________ day of ___________________________, ______ affiant
exhibiting his/her Community Tax Certificate No. 34947486 issued at Maddela, Quirino on January 13, 2014.
NOTARY PUBLIC
PRT No.________________________________
Page 8 of 27
RB Form 3A Deadline: 15 banking days after end
(Revised 2004) of reference period
Submissio
Page 9 o 27
RB Form 3A Deadline: 15 banking days after end
(Revised 2004) of reference period
Submissio
Page 10 o 27
RB Form 3A Deadline: 15 banking days after end
(Revised 2004) of reference period
Submissio
I, JEFFERSON D. SAMBRANO of this Bank do hereby swear that the foregoing, is true and correct
affiant exhibiting his/her Community Tax Certificate No. 06793934 issued at Jones, Isabela
on January 06, 2015.
NOTARY PUBLIC
Until _____________________, _______
Doc. No. __________ PRT No. __________________________
Page No. __________
Book No. __________
Series of __________
1/
Report shall cover the following period:
Page 11 o 27
RB Form 2A Schedule 2
(Revised 2000)
*
Total 150 7,810,291.50
*
Total 150 3,544,008.51
B. CLASSIFIED AS TO TERMS
1. Short Term (One Year or Less) 151 5,641,852.72
2. Medium Term (Over 1 Year to 5 Years) 152 2,168,438.78
3. Long Term (Over 5 Years) 153
*
Total 155 7,810,291.50
C. CLASSIFIED AS TO ECONOMIC ACTIVITY
1. Agriculture, Hunting & Forestry 310 3,293,445.04
2. Fishing 315
3. Mining and Quarrying 320 -
4. Manufacturing 325 -
5. Electricity, Gas and Water 330 -
6. Construction 335 -
7. Wholesale and Retail Trade, Repair of Motor Vehicles,
Motorcycles and Personal and Household Goods 340 1,960,623.68
8. Transportation, Storage & Communication 345
9. Financial Intermediation 350 497,877.46
10. Real Estate, Renting and Business Activities 355 -
11. Public Administration and Defense:
Compulsory Social Security 360 -
12. Education 365
13. Health and Social Work 370 -
14. Other Community, Social and Personal 2,058,345.32
Service Activities 375 -
15. Private Households with Employed Persons 380 -
16. Extra-Territorial Organizations and Bodies 385 -
17. Hotels and Restaurants 390 -
*
Total 400 7,810,291.50
D. Classified as to Interest Rate
1. Non-Interest Bearing 410
2. 5% and below 420 -
3. Over 5% to 10% 430 -
4. Over 10% to 15% 440 1,496,306.79
5. Over 15% to 20% 450 5,822,855.04
6. Over 20% to 25% 460 491,129.67
7. Over 25% 470
*
Total 480 7,810,291.50
E. Classified as to Size of Firm
1. Micro Enterprise (total assets of P0.15M & below) 200 5,849,667.82
2. Cottage Enterprise (total assets of >P0.15M to P1.5M) 201 -
3. Small Enterprise (total assets of >P1.5M to P15M) 202 1,960,623.68
4. Medium Enterprise (total assets of >P15M but not more than P60M) 203 -
5. Large Scale Enterprise (total assets of more than P60M) 204 -
-
* Should Tally with Record No. 900 of the Main Report
Page 2 of 3 pages
RB/COB Form 2A Schedule 2
(Revised 2004)
As of FEBRUARY 2017
Booked
Particulars Rec. OUTSTANDING Current Past Due Items in Valuation
No. BALANCE Litigation Reserves
F. CLASSIFIED AS TO SECURITY
1. DOSRI 090 - - - - -
a. Secured 091 - - - -
b. Unsecured 092 - - - - -
No. of Beneficiaries
Rec. No. of
Total Male Female Amount
Particulars No. Accounts
Page 16 of 2
RB Form 2A Schedule 3
(Revised 2000)
B. By Issuing Entity
1. Government Issue
a. National Government 061
b. Local Government 062 -
1. Provincial 063 -
a. LGU Bond Flotation 064
b. Others 065
2. City 066 -
a. LGU Bond Flotation 067
b. Others 068
3. Municipal 069 -
a. LGU Bond Flotation 070
b. Others 071
c. Government Instrumentalities & Agencies 072 -
1. Bangko Sentral Ng Pililipnas 073
2. Others (Pls. Specify) 074 -
a. Land Bank of the Philippines 075 -
b. 076
c. 077
d. Total Investments - Government 1/ 078 -
2. Private
a. Securities other than Money Market Instruments
1. 030
2. 031
Sub-total 038 -
Less: Allowance for Probable Losses 039
Net Invest. in Securities Other Than MM Instruments 040 -
* Includes LBP Bonds (P 1,390,232.24), LGU Bonds (P______________), ERAP Bonds (P______________), PAG-
IBIG Bonds (P______________), etc. (P___________).
Page 1 of 2 pages
1/
Should Tally with Record No. 108 of the Main Report
Record No. 025 should equal to record no. 078
RB Form 2A Schedule 3
(Revised 2000)
Record
Underlying Instruments/ Maturity
Name of Financial Intermediaries Address Numbe
Nature
Placement Date
Date
Amount
r
B. Private Parties
2. Money Market Placements
a. address 045 for nature of for for -
b. 046 instruments date date -
c. 047 -
Sub-total 050 -
Less: Allowance for Probable Losses 051 -
Net Money Market Placements 052 -
2/
Total Investments - Private 055 -
3/
Total IBODI 090 -
COMMON WEALTH RURAL BANK, INC.
2/
Ma. Annabelle S. Cuaresma
Shoud Tally With Record No. 112 of the Main Report Nilo M. Abrogena/Renee C. Manong Edgar R. Pascual
Accountant Auditor/Compliance Officer General Manager
3/
Shoud Tally With Record No. 113 of the Main Report
RB Form 2A
Revised April 2002 Schedule 3.1
A. Provincial /1 610 -
1. LGU Bond Flotation (Specify Name of Issuing LGUs) /2 100 -
01
NONE 02
03
04
05
06
07
08
09
10
2. Others (Specify Name of Issuing LGUs) /3 200 -
101
102
103
104
105
106
107
108
109
110
B. City /4 300 -
1. LGU Bond Flotation (Specify Name of Issuing LGUs) /5 201 -
202
203
204
205
206
207
208
209
210
2. Others (Specify Name of Issuing LGUs) /6 400 -
301
302
303
304
305
306
307
308
309
310
C. Municipal /7 500 -
1. LGU Bond Flotation (Specify Name of Issuing LGUs) /8 401 -
402
403
404
405
406
407
408
409
410
2. Others (Specify Name of Issuing LGUs) /9 600 -
501
502
503
504
505
506
507
508
509
510
Total (Sum of Items A to C) /10 620 -
/1
Should Tally with Record No. 063 of Schedule 3
/2
Should Tally with Record No. 064 of Schedule 3
/3
Should Tally with Record No. 065 of Schedule 3
/4
Should Tally with Record No. 066 of Schedule 3
/5
Should Tally with Record No. 067 of Schedule 3
/6
Should Tally with Record No. 068 of Schedule 3
/7
Should Tally with Record No. 069 of Schedule 3
/8
Should Tally with Record No. 070 of Schedule 3
/9
Should Tally with Record No. 071 of Schedule 3
/10
Should Tally with Record No. 062 of Schedule 3
RB Form 2A Schedule 3A
(Revised 2000)
Authorized By 1/
Rec.
Name of Enterprise 1/ TIN of Enterprise 1/ Address of Enterprise 1/
No. MB Res.
MB Date
No.
A. Financial Allied
Name of Enterprise 1/ TIN of Enterprise 1/ Address of Enterprise 1/ 010
011
012
013
NONE 014
015
B. Non-Financial Allied
025
026
027
028
029
030
031
032
1/
Information on TIN, Address and Authority (MB Res. No. and Date), where applicable should be supplied for all accounts in the initial report. Thereafter, the columns
need not filled up for the same accounts. As new investments are made, the information on the TIN, address, MB Approval therefore should be indicated in the first report
after which these details need not be reported.
2/
Must Tally with Record No. 120 of the Main Report
.
RB/COB Form 2A Schedule 4
(Revised 2004)
COMMON WEALTH RURAL BANK, INC. 041264
Name of Bank Code
Acquisition Accumulated
Type Rec. No Cost Depreciation / Amortization Net Book Value Insurance Coverage
Bank Premises - Land 95 - - -
Bank Premises - Building 100 - - -
Bank Premises - Under Construction 105 - - -
Bank Premises - Appraisal Increment 110 - - -
Leasehold Improvements 115 391,087.86 - 391,087.86
Furnitures, Fixtures, and Equipment 120 546,311.00 247,203.90 299,107.10
Transportation Equipment 125 -
Total 130 937,398.86 247,203.90 690,194.96 a/ - -
(610,831.24)
0.00 0.00
B. ROPA
REM 131 - - -
Chattel 132 - - - - - - -
Pledge 133 - - - - - - -
Others 134 - - - - - - -
Total 138 - - - - - - -
Less: Allowance for Probable Losses - ROPOA 136 - - -
ROPOA - Net 137 - - - - - - -
Sales Contract Receivable 1/ 141 -
Less: Allowance for Probable Losses - Sales Contract Rec.1/ 145 -
Sales Contract Receivable - Net 1/ 146 - - - - - - -
ROPOA & SALES CONTRACT RECEIVABLE - Gross 135 - - - - - - -
1/
Must Tally with Sum of Record Nos. 181 and 186 of the Main Report
2/
Must Tally with Record No. 182 of the Main Report
3/
Must Tally with Record No. 185 of the Main Report
Page 1 of 3 pages
RB Form 2A Schedule 5
(Revised 2000)
COMMON WEALTH RURAL BANK INC. 041264
Name of Bank Code
1. Short Term
30 days to 60 days 081 - - - - - - -
61 to 90 days 082 - - - - - - -
91 to 180 days 083 - - - - - - - -
181 days to 1 year 084 100,000.00 100,000.00 - - - - -
Sub-total 089 100,000.00 100,000.00 - - - - - -
2. Medium Term
Over 1 year to 2 years 090 - - - - - - - -
> 2 years to 3 years 091 - - - - - - - -
> 3 years to 4 years 092 - - - - - - - -
> 4 years to 5 years 093 - - - - - - - -
Sub-total 094 - - - - - - - -
3. Long Term
> 5 years 095 - - - - - - - -
Sub-total 096 - - - - - - - -
Total 100 100,000.00 2/
100,000.00 - - - - - -
100,000.00
1/
Maturity date must be reckoned within terms of original maturity
2/
Must Tally with Record No. 185 of the Main Report
Page 2 of 3 pages
Annex 3
RB Form 2A Schedule 5
(Revised May 2004)
PE S O D E PO S ITS
Totals Demand Now Savings Time
Rec. No. of No. of No. of No. of No. of
Deposit Size No. Accts. Amount Accts. Amount Accts. Amount Accts. Amount 4/ Accts. Amount
1/
Must Tally with Record No. 180 of the Main Report Page 3 of 3 pages
2/
Must Tally with Record No. 181 of the Main Report Arian L. Bagangan Jelibeth A. Militar Jefferson D. Sambrano
3/
Must Tally with Record No. 186 of the Main Report Savings Bookkeeper Branch Bookkeeper Auditor/Compliance Officer Branch Manager
4/
Must Tally with Record No. 182 of the Main Report
5/
Must Tally with Record No. 185 of the Main Report
6/
A depositor (and/or in trust for) who has several types of accounts (i.e., currents, savings, time, etc.) should be counted as one.
RB Form 2A Schedule 6
(Revised 2000)
A. CLASSIFIED AS TO SOURCE
1. Bangko Sentral 010 -
a. Rediscounting 011 -
b. Emergency Advances 012 -
c. Overdrafts 013 -
d. Special Time Deposits 015 -
e. CB : IBRD 016 -
f. Others 017 -
2. Others 040 -
a. Commercial Banks 051 -
b. Other Banks 052 -
c. Other Financial Intermediaries 053 -
d. Private Firm/Individuals 054 -
e. Others 059 -
Total 060 - 1/
B. CLASSFIED AS TO TERM
1. Short Term 100 -
a. 1 - 90 days 101 -
b. 91 - 180 days 105 -
c. 181 days - 1 year 106 -
Total 125 - 1/
Total 150 - 1/
1/
Must Tally With Record No. 225 of Main Report
Certified Correct:
JELIBETH A. MILITAR
Branch Bookkeeper
Audited: Approved: