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Affidavit of Undertaking for Lending Cooperatives Survivorship

COA affidavit of undertaking for lending cooperatives survivorship if terminal leave is not sufficient to cover loans

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______________________

AFFIDAVIT OF UNDERTAKING FOR LENDING COOPERATIVES (Survivorship)

I,
_______________________, of legal age, Filipino, and a resident of
__________________________________________, after having been duly sworn to in
accordance with law, hereby voluntarily depose and say:
1. That my husband (state name)/my wife (state name) was an employee of
the Commission on Audit (COA);
2. That I have applied
___________________;

for GSIS

survivorship

benefits

effective

3. That my husband/my wife have unsettled financial obligations with
_______________________;
4. That his/her terminal leave benefits is not sufficient to pay for his/her
financial obligations in the amount of __________with the said lending
cooperative/s;
5. That I will pay his/her financial obligations in the amount of
______________________ for __________________, immediately after I
receive his/her retirement benefits from the GSIS;
6. That I am executing this affidavit to attest to all the above facts.

IN WITNESS HEREOF, I have hereunto signed my name below this _________
day of _____________,20______ at __________ City.

___________________
(Affiant)

SUBSCRIBED AND SWORN TO BEFORE ME this _______ day of _________
___________,20 ______, affiant exhibited to me his/her Government issued ID
________________No.________________issued at__________ on ____________, 20______.

Doc. No. ________
Page No. ________
Book No. ________
Series of ________

Notary Public
 
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