Sss Form Rs 5, also known as the takaful certificate, is an insurance policy that offers protection against loss or damage to property. The policy is designed to provide coverage for both Muslims and non-Muslims, and it can be used to protect a variety of assets, including homes, businesses, and vehicles. If you're looking for reliable property insurance coverage, Sss Form Rs 5 may be a good option for you.
The table offers information about the sss form rs 5. It's worth finding the time to read through this before starting filling in your document.
| Question | Answer |
|---|---|
| Form Name | Sss Form Rs 5 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | sss voluntary contribution form, sss voluntary payment form, sss form rs5, sss voluntary form |
Republic of the Philippines
CONTRIBUTIONS
PAYMENT RETURN
Please read the instructions below before accomplishing this form. |
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Print all information in capital letters and use black ink only. |
(THIS IS YOUR OFFICIAL RECEIPT WHEN VALIDATED) |
SS NUMBER
NAME |
(SURNAME) |
(GIVEN NAME) |
(MIDDLE NAME) |
ADDRESS |
(NO. & STREET) |
(BARANGAY) |
(TOWN/DISTRICT) |
(CITY/PROVINCE) |
POSTAL CODE
TELEPHONE/MOBILE NUMBER
TYPE OF PAYOR (Check the appropriate box) |
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Voluntary |
Overseas Filipino Worker |
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Farmer/Fisherman |
(Foreign |
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INSTRUCTIONS
1.Fill out this form in three (3) copies.
2.Remit your contributions following the payment deadlines below:
For
If 10th digit of the
SS number ends in:
1 or 2
3 or 4
5 or 6
7 or 8
9 or 0
For
-Contributions for January to December of a given year may be paid until 31 December of the same year
-Contributions for October to December of a given year may be paid until
31 January of the succeeding year
In case the payment deadline falls on a Saturday, Sunday or holiday, payment may be made on the next working day. Otherwise, late contribution payments of
3.Make all checks payable to SSS and fill out properly the "Details of Check Payment" portion of the form.
4.Fill out the Declaration of Earnings if you desire to change your monthly salary credit (MSC) to more than two salary brackets or if the change will result to an MSC of lower than P5,000. Please note that if you are 55 years old or older and present MSC is more than P10,000, your allowed increase is only one salary bracket.
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APPLICABLE PERIOD |
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SOCIAL SECURITY |
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Year |
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CONTRIBUTION |
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FEBRUARY |
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MARCH |
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APRIL |
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MAY |
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JUNE |
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JULY |
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AUGUST |
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OCTOBER |
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NOVEMBER |
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DECEMBER |
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TOTAL REMITTANCE |
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TOTAL AMOUNT IN WORDS |
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CERTIFIED CORRECT |
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SIGNATURE OVER PRINTED NAME |
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DATE |
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DETAILS OF CHECK PAYMENT |
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Check No. |
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Date |
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Bank/Branch Name |
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Declaration of Earnings
I hereby declare, for purposes of Sec.
(P ______________) as my monthly earnings, which shall be the basis of my monthly salary credit to be effective until revised in my next
declaration.
I affirm under the penalties of perjury, that this declaration has been made in good faith, and to the best of my knowledge and belief, is true and correct.
SIGNATURE OVER PRINTED NAME |
DATE |