Pag-IBIG FUND - URDANETA BRANCH

Billing and Collection Division

NAME: DEL CARMEN MEDICAL CLINIC AND HOSPITAL INC. Date: 9/5/2021
Address: URDANETA CITY Tel. No.

EE SHARE + ER NO. OF PENALT PENALTY

PERCOV BASE DATE DUE DATE DAYS TOTAL AMT DUE
SHARE DELAY Y RATE AMOUNT

201909 9/5/2021 10/24/19 682 0.001 0.00 0.00

201907 9/5/2021 11/24/19 651 0.001 0.00
201908 9/5/2021 200.00 08/14/19 753 0.001 150.60
201909 9/5/2021 200.00 09/14/19 722 0.001 144.40
201910 9/5/2021 200.00 10/14/19 692 0.001 138.40
201911 9/5/2021 200.00 11/14/19 661 0.001 132.20
201912 9/5/2021 200.00 12/14/19 631 0.001 126.20
202001 9/5/2021 200.00 01/14/20 600 0.001 120.00
202002 9/5/2021 200.00 2/14/2020 8 0.001 1.60
202003 9/5/2021 200.00 3/14/2020 8 0.001 1.60 201.60
202004 9/5/2021 200.00 3/14/2020 8 0.001 1.60 201.60
202005 12/30/1899 200.00 8 0.001 1.60
Total 1,800.00 818.20 201.60
NOTE: Computation of penalty is 1/10 of 1% for every day of delay
* Deprived dividends not included
 Pag-IBIG FUND - URDANETA BRANCH
Billing and Collection Division

NAME: DEL CARMEN MEDICAL CLINIC AND HOSPITAL INC. Date: 9/5/2021
Address: URDANETA CITY Tel. No.

EE SHARE + ER NO. OF PENALT PENALTY

PERCOV BASE DATE DUE DATE DAYS TOTAL AMT DUE
SHARE DELAY Y RATE AMOUNT

201909 9/5/2021 10/24/19 682 0.001 0.00 0.00

201910 9/5/2021 11/24/19 651 0.001 0.00
201907 9/5/2021 08/14/19 753 0.001 0.00
201908 9/5/2021 09/14/19 722 0.001 0.00
201909 9/5/2021 10/14/19 692 0.001 0.00
201910 9/5/2021 11/14/19 661 0.001 0.00
201911 9/5/2021 12/14/19 631 0.001 0.00
201912 9/5/2021 01/14/20 600 0.001 0.00
202002 9/5/20211,400.00 2/14/2020 8 0.001 11.20
202003 9/5/20211,400.00 3/14/2020 8 0.001 11.20 1,411.20
202004 9/5/2021 1,400.00 3/14/2020 8 0.001 11.20 1,411.20
202005 12/30/1899 1,400.00 8 0.001 11.20
Total 5,600.00 44.80 1,411.20
NOTE: Computation of penalty is 1/10 of 1% for every day of delay
* Deprived dividends not included
 Pag-IBIG FUND - URDANETA BRANCH
Billing and Collection Division

NAME: JOSENSEI CORP Date: 9/5/2021

Address: URDANETA CITY Tel. No.

EE SHARE + ER NO. OF PENALT PENALTY

PERCOV BASE DATE DUE DATE DAYS TOTAL AMT DUE
SHARE DELAY Y RATE AMOUNT
201711 9/5/2021 2,600.00 12/19/17 1,356 0.001 3,525.60 6,125.60
201712 9/5/2021 2,600.00 01/19/18 1,325 0.001 3,445.00 6,045.00
201801 9/5/2021 2,600.00 02/19/18 1,294 0.001 3,364.40 5,964.40
201802 9/5/2021 2,600.00 03/19/18 1,266 0.001 3,291.60 5,891.60
201803 9/5/2021 2,600.00 04/19/18 1,235 0.001 3,211.00 5,811.00
201804 9/5/2021 2,600.00 05/19/18 1,205 0.001 3,133.00 5,733.00
201805 9/5/2021 2,600.00 06/19/18 1,174 0.001 3,052.40 5,652.40
201806 9/5/2021 2,600.00 07/19/18 1,144 0.001 2,974.40 5,574.40
201807 9/5/2021 2,600.00 08/19/18 1,113 0.001 2,893.80 5,493.80
201808 9/5/2021 2,600.00 09/19/18 1,082 0.001 2,813.20 5,413.20
201809 9/5/2021 2,600.00 10/19/18 1,052 0.001 2,735.20 5,335.20
201810 9/5/2021 2,600.00 11/19/18 1,021 0.001 2,654.60 5,254.60
201811 3/5/2020 2,600.00 12/19/18 442 0.001 1,149.20 3,749.20
201812 3/5/2020 2,600.00 01/19/19 411 0.001 1,068.60 3,668.60
201901 3/5/2020 2,400.00 02/19/19 380 0.001 912.00 3,312.00
201902 3/5/2020 2,400.00 03/19/19 352 0.001 844.80 3,244.80
201903 3/5/2020 2,400.00 04/19/19 321 0.001 770.40 3,170.40
201904 3/5/2020 2,400.00 05/19/19 291 0.001 698.40 3,098.40
201905 3/5/2020 2,400.00 06/19/19 260 0.001 624.00 3,024.00
201906 3/5/2020 2,400.00 07/19/19 230 0.001 552.00 2,952.00
201907 3/5/2020 2,400.00 08/19/19 199 0.001 477.60 2,877.60
201908 3/5/2020 2,400.00 09/19/19 168 0.001 403.20 2,803.20
201909 3/5/2020 2,400.00 10/19/19 138 0.001 331.20 2,731.20
201910 3/5/2020 2,400.00 11/19/19 107 0.001 256.80 2,656.80
201911 3/5/2020 2,200.00 12/19/19 77 0.001 169.40 2,369.40
201912 3/5/2020 2,200.00 01/19/20 46 0.001 101.20 2,301.20
202001 3/5/2020 2,200.00 02/19/20 15 0.001 33.00 2,233.00
202002

Total 62,600.00 45,486.00 112,486.00

 Pag-IBIG FUND - URDANETA BRANCH
Billing and Collection Division

NAME: MD S CRADLE BIRTHING HOME Date: 3/20/2020

Address: URDANETA CITY Tel. No.

EE SHARE + ER NO. OF PENALT PENALTY

PERCOV BASE DATE DUE DATE DAYS TOTAL AMT DUE
SHARE DELAY Y RATE AMOUNT
201901 3/20/2020 400.00 02/24/19 390 0.001 156.00 556.00
201902 3/20/2020 400.00 03/24/19 362 0.001 144.80 544.80
201903 3/20/2020 400.00 04/24/19 331 0.001 132.40 532.40
201904 3/20/2020 400.00 05/24/19 301 0.001 120.40 520.40
201905 3/20/2020 400.00 06/24/19 270 0.001 108.00 508.00
201906 3/20/2020 400.00 07/24/19 240 0.001 96.00 496.00
201907 3/20/2020 400.00 08/24/19 209 0.001 83.60 483.60
201908 3/20/2020 400.00 09/24/19 178 0.001 71.20 471.20
201909 3/20/2020 400.00 10/24/19 148 0.001 59.20 459.20
201910 3/20/2020 400.00 11/24/19 117 0.001 46.80 446.80
201911 3/20/2020 400.00 12/24/19 87 0.001 34.80 434.80
201912 3/20/2020 400.00 01/24/20 56 0.001 22.40 422.40
202001 3/20/2020 400.00 02/24/20 25 0.001 10.00 410.00
202002

Total 5,200.00 1,085.60 6,285.60

 Pag-IBIG FUND - URDANETA BRANCH
Billing and Collection Division

NAME: QUEZON MEMORIAL ACADEMY Date: 9/5/2021

Address: URDANETA CITY Tel. No.

EE SHARE + ER NO. OF PENALT PENALTY

PERCOV BASE DATE DUE DATE DAYS TOTAL AMT DUE
SHARE DELAY Y RATE AMOUNT
201906 9/5/2021 07/19/19 779 0.001 0.00 0.00
201907 9/5/2021 08/19/19 748 0.001 0.00 0.00
201711 9/5/2021 12/19/17 1,356 0.001 0.00 0.00
201712 9/5/2021 01/19/18 1,325 0.001 0.00 0.00
201801 9/5/2021 02/19/18 1,294 0.001 0.00 0.00
201802 9/5/2021 03/19/18 1,266 0.001 0.00 0.00
201803 9/5/2021 04/19/18 1,235 0.001 0.00 0.00
201804 9/5/2021 05/19/18 1,205 0.001 0.00 0.00
201805 9/5/2021 06/19/18 1,174 0.001 0.00 0.00
201806 9/5/2021 07/19/18 1,144 0.001 0.00 0.00
201807 9/5/2021 08/19/18 1,113 0.001 0.00 0.00
201808 9/5/2021 09/19/18 1,082 0.001 0.00 0.00
201809 9/5/2021 10/19/18 1,052 0.001 0.00 0.00
201810 9/5/2021 11/19/18 1,021 0.001 0.00 0.00
201811 9/5/2021 12/19/18 991 0.001 0.00 0.00
201812 9/5/2021 01/19/19 960 0.001 0.00 0.00
201901 9/5/2021 02/19/19 929 0.001 0.00 0.00
201902 9/5/2021 03/19/19 901 0.001 0.00 0.00
201903 9/5/2021 04/19/19 870 0.001 0.00 0.00
201904 9/5/2021 05/19/19 840 0.001 0.00 0.00
201905 9/5/2021 06/19/19 809 0.001 0.00 0.00
201906 9/5/2021 07/19/19 779 0.001 0.00 0.00
201907 9/5/2021 08/19/19 748 0.001 0.00 0.00
201908 9/5/2021 09/19/19 717 0.001 0.00 0.00
201909 9/5/2021 10/19/19 687 0.001 0.00 0.00
201910 9/5/2021 11/19/19 656 0.001 0.00 0.00
201911 9/5/2021 9,000.00 12/24/19 112 0.001 1,008.00 10,008.00
201912 9/5/2021 9,000.00 01/24/20 81 0.001 729.00 9,729.00
202001 9/5/2021 9,400.00 02/24/20 50 0.001 470.00 9,870.00
202002 9/5/2021

Total 9,000.00 2,207.00 29,607.00