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CLIENT INFORMATION SHEET Client Status # : 20373 Date : February 29, 2024 1. CLIENT PROFILE | DECLARED DEPENDENT/S: I.D. Number : 21144 *** RELEASED: Jan-04-2019 *** | Name Birth Age Name/Type : Delos Santos, Teresita A. (RT) | --------------- ----------- --- Address : 46 Paez St., Concepcion | Malabon City | * NO DEPENDENTS * Phone Nos. : 09175055276|/2826245 | Birthday/Age: January 14, 1948 (76 yrs.) | Debit/Acct. : _________________________/_____________| Email Addr. : _______________ | Facebook : _______________ | SSS/Coll.Day: 0317376650 (004) | Spouse : Eliezer 9/13/1957 | --------------------------------------------------------------------------------------------- 2. ACCOUNT STATUS | OUTSTANDING LOAN/S: Bank/Acct : Chinabank-Concepcion Ma (CBCNM) | PBR1291502617 Bankbal: -1.00 | * NO OUTSTANDING LOANS * Inst. Currnt: P 0.00 Pension: 3,520.00 | Latest: P 0.00 Coll'n.: 3,500.00 | Balance Term: 0 Mos Cntngnt: 01-14-2008 | Overdue : P 0.00 | Sukli Bal. : P 0.00 | Total O.B. : P 0.00 | L.C./Office : Esguerra, viole T. (BE1)/MLB | Coll'n Alert: *** OKAY *** | Co-Maker : *** none *** | : *** none *** | Concerns : ___ ______________ ___ ______________ | Client age: 70 up ___ ______________ | --------------------------------------------------------------------------------------------- ADDITIONAL NOTES/REMARKS: | DATE REFERENCE STS COLLECTION INSTALLS A/P note:ID#21144-Delos Santos, Teresita A.(Last Bank Bal. | ----------- ------------ --- ---------- ---------- ---------- of Passbook 190.37 Papadala sa MLB office | Mar-07-2018 Mar'18 Colln 3,500.00 3,000.00 500.00 dated:12/18/18 for Pull Out Matured last | Apr-10-2018 Apr'18 Colln 3,600.00 3,000.00 600.00 12/17/18)...yzhang121818 | Apr-18-2018 Apr'18 Prblm OUB update bank balance ok B.I. by Ritchel | May-10-2018 May'18 Colln 3,500.00 3,000.00 500.00 - the SSS Client hereby authorized her Sister, Merlina | Jun-13-2018 Jun'18 Colln 3,500.00 3,000.00 500.00 A. Laguitao to personally received her monthly pension | Jun-22-2018 Jun'18 Prblm OUB update bank balance excess fro the start of her loan up to her last loan. | Jul-11-2018 Jul'18 Colln 3,500.00 3,000.00 500.00 - Limuel 12/22/2011 | Jul-20-2018 Jul'18 Prblm OUB update bank balance | Aug-07-2018 Aug'18 Colln 3,500.00 3,000.00 500.00 | Aug-22-2018 Aug'18 Prblm OUB update bank balance | Sep-06-2018 Sep'18 Colln 3,600.00 3,000.00 600.00 | Sep-17-2018 Sep'18 Prblm OUB update bank balance | Oct-08-2018 Oct'18 Colln 3,500.00 3,000.00 500.00 | Oct-23-2018 Oct'18 Prblm OUB update bank balance | Nov-06-2018 Nov'18 Colln 3,500.00 3,000.00 500.00 | Nov-15-2018 Nov'18 Prblm OUB update bank balance | Dec-03-2018 Dec'18 Colln 7,000.00 3,000.00 4,000.00 | Dec-06-2018 Sukli �BISBR 10,200. -10,200.00 | Dec-17-2018 Adjst sent by col _____________________ _________________________ ____________________________________ Analyst Interviewer Client Conforme (Signature Verified)
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