ASIALINK FINANCE CORPORATION

DISCLOSURE STATEMENT ON LOAN / CREDIT TRANSACTIOION

(As Required under R.A.3765, Truth in Lending Act)
NAME:
ADDRESS:

1. LOAN GRANTED (Amount Financed) ------------------------------------------------- PHP

2. FINANCE CHARGES NOT DEDUCTED FROM DEDUCTED FROM
LOAN PROCEEDS LOAN PROCEEDS
a. Interest /per month
from 08/26/16 to PHP PHP
( ) simple ( ) monthly ( ) semi annual
( ) compo ( ) quarterly ( ) annual
b. Non - Interest Charges
c. Commtment Fee
d. Guarantee Fee
e. Other Charges incidental to the extension of credit
(specify)
TOTAL FINANCE CHARGES
3. NON - FINANCE CHARGES -
a. Insurance
b. Taxes
c. Documentary Stamp
d. Notarial Fee
e. Others
Processing Fee
Chattel Mortgage Fee
Real Estate Mortgage
Registration Fee
CHM Doc Stamp
Service Fee
Outstanding Balance
Rebate
TOTAL NON - FINANCE CHARGES
4. TOTAL DEDUCTIONS FROM PROCEEDS OF LOAN (B plus C and 3)
5. NET PROCEEDS OF LOAN (A less 4) PH
6. PERCENTAGE OF FINANCE CHARGES TO TOTAL AMOUNT FINANCED
(Computed in accordance with________________________________) %
fixed for days/mos.
7. EFFECTIVE INTEREST RATE (Method of Computation attached) /per mon
8. SCHEDULE OF PAYMENT
( ) Interest shall be payable in equal semi-monthly/monthly/ quarterly amortization at
PHP , which shall be revised to comform to the adjusted interest rate.
Full payment of the remaining principal balance at maturity.
( )

9. COLLATERAL
This is wholly/ partly secured by:

10. ADDITIONAL CHARGES IN CASE CERTAIN STIPULATION ARE NOT MET BY THE BORROWER
NATURE AMOUNT
Attorney's Fee 25% of the entire claim
Liquidated Damages
Late Payment Penalty 1,500 or 15% of monthly amortization (whichever is higher)
PLATE #
Prepayment Service Fee 10% of Principal Amount TITLE #

CERTIFIED CORRECT
 POSITION (Signature of Creditor/ Authorized Representative over Printed Name)
I ACKNOWLEDGE RECEIPT OF A COPY OF THIS STATEMENT PRIOR TO THE CONSUMMATION OF THE CREDIT
TRANSACTION AND THAT I UNDERSTAND AND FULLY AGREE TO THE TERMS AND CONDITIONS HEREOF:

BY:

DATE (Signature of Borrower over Printed Name)

(Signature of Co - Maker over Printed Name) (Signature of Co - Borrower over Printed Name)

Notice to Borrower: You are entitled to a copy of this paper which you shall sign.
days/mos.
/per month

s higher)
LATE #
TLE #
ed Name)

me)

ame)