The Short-Term Loan Remittance Form (STLRF), bearing the reference HQP-SLF-017, acts as a crucial document for employers in the process of remitting loan repayments to the Pag-IBIG Fund. This document requires detailed information including the Pag-IBIG Employer’s ID Number and various employer and borrower details such as the business name, address, and the borrower’s membership and application numbers. It's specifically designed for employers to report and remit payments for different types of short-term loans like Multi-Purpose Loans (MPL) or Calamity Loans (CL). The form also allows for the reporting of changes in a borrower's employment status, ensuring that the Pag-IBIG Fund has the most current information. With sections for the amount due, remittance totals, and employer certification, the form is detailed to ensure accuracy in the remittance process. Furthermore, it outlines penalties for delayed payments and specifies instructions for the correction of remittances, alongside the policies for check payments and overpayments. Employers are instructed to fill out the form with care, as it includes a certification section that must be signed under penalty of perjury, asserting the truthfulness and accuracy of the information provided.
| Question | Answer |
|---|---|
| Form Name | Loan Payment Form |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | stl pag ibig, pag ibig short term, pag ibig loan payment form, pag ibig form loan payment |
REMITTANCE FORM (STLRF)
NOTE: PLEASE READ INSTRUCTIONS AT THE BACK.
EMPLOYER/BUSINESS NAME
EMPLOYER/BUSINESS ADDRESS |
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PERIOD COVERED |
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Unit/Room No., Floor |
Building Name |
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Lot No., Block No., Phase No. House No. |
Street Name |
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Subdivision |
Barangay |
Municipality/City |
Province/State/Country (if abroad) |
ZIP Code |
TELEPHONE NUMBER |
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NAME OF MEMBERS |
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APPLICATION NO. |
Last Name |
First Name Name Extension |
Middle Name |
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LOAN TYPE |
AMOUNT |
EMPLOYER |
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MID NO. |
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(e.g., MPL, Calamity Loan) |
REMARKS |
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(Jr., III, etc.) |
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TOTAL FOR THIS PAGE
GRAND TOTAL (if last page)
EMPLOYER CERTIFICATION
I hereby certify under pain of perjury that the information given and all statements made herein are true and correct to the best of my knowledge and belief. I further certify that my signature appearing herein is genuine and authentic.
___________________________________________________ |
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_________________________ |
HEAD OF OFFICE OR AUTHORIZED REPRESENTATIVE |
DESIGNATION/POSITION |
DATE |
(Signature Over Printed Name)
THIS FORM MAY BE REPRODUCED. NOT FOR SALE.
(V02, 10/2016)
GUIDELINES AND INSTRUCTIONS
a.Type or print all entries in BLOCK or CAPITAL LETTERS.
b.Accomplish this form in softcopy when making remittances to
c.A separate
d.In case there is a correction in the remittance which resulted to overpayment, the employer shall advise the Fund. Once validated, a Notice of Overpayment and Credit Memo shall be issued to the employer. From the date of issuance of the said Notice, the employer may request, not later than six (6) months for refund of the excess amount or have it applied to the future remittance with the Fund.
e.The total amount to be remitted should be equal to the total amount reflected on the STLRF. Check payments should be made payable to
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12
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f.Failure or refusal of the Employer to pay or to remit the contributions herein prescribed shall not prejudice the right of the covered employee to the benefits under the Fund. Such Employer shall be charged a penalty equivalent to 1/10 of 1% per day of delay of the amount due starting on the first day immediately following the due date until the date of full settlement.
1
2Employer/Business Name – per DTI/SEC Registration.
Employer/Business Address - indicate Unit/Room No., Floor,
3Building Name or Lot No., Block No., Phase No. or House No. and Street Name, Subdivision, Barangay, Municipality/City, Province, and ZIP Code.
4Period Covered – indicate the applicable month and year of MS remittance in the following format: yyyy/mm.
5Telephone Number – indicate current telephone number.
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7Application No. – indicate the borrower’s loan application number per type of loan.
8Name of Borrower – indicate borrower’s complete name in the following format: Last Name, First Name, Name Extension (Jr., III, etc.), Middle Name
Loan Type – indicate if payment is intended for
9 Loan (MPL) or Calamity Loan (CL) in the following format: MPL or
CL
10Amount – indicate the amount due as indicated in the latest billing statement
Employer Remarks – accomplish this portion only to report
11changes in the borrower’s employment status and to update any information regarding the borrower. Indicate the appropriate code and effectivity date in the following formate (mm/dd/yy) on the space provided. Please refer to the following codes and examples.
N |
- Newly Hired |
Examples |
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L |
- Leave Without Pay/AWOL |
1. |
N: |
1/4/2013 |
RS |
- Resigned/Separated |
2. |
L: |
1/21/2013 |
RT |
- Retired |
3. |
RS: 1/3/2013 |
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D |
- Deceased |
4. |
D: |
1/14/2013 |
O- Others, please specify reason
12Indicate the total amount due per page.
Indicate the grand total of the total amount due if this is the last
13page.
14Employer Certification - to be accomplished and duly signed by the Head of Office/Authorized Representative.
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