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ML_1 Member Loan Payment Return
SSS form used for loan payment return
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: SSS FORM ML-1(Rev. 03/98)
(This is your official receipt when validated)
Republic of the Philippines
SOCIAL SECURITY SYSTEM
MONTHLY
MONTHLY -SALARY/CALAMITY/EDUCATIONAL/
EMERGENCY/STOCK INVESTMENT LOAN
P A Y M E N T R E T U R N
SBR NO.
Postmark/S & R
Date
Teller’s Initials
AMOUNT
(To be submitted in 3 copies)
DATE
EMPLOYER ID NUMBER
EMPLOYEE SS NUMBER
EMPLOYER’S REGISTERED NAME & ADDRESS
TR. NO.-M.N.
PA
BELO
ENTER TYPE OF PAYMENT BELOW (Salary/Calamity/
Educational/Emergency/Stock Investment Loan):
PAYMENT TYPE
(FOR SSS USE ONLY- Do not alter or change amount printed
in this box)
Amount due per collection list
APPLICABLE MONTH
Enter total amount collected
per collection list
P
P
Prior periods
Penalty
Add: Penalty
P
Prior periods
over payment
Less: Over Payment
P
Prior periods
under payment
Add: Under Payment
P
Total Amount
Remitted
P
Please pay on or before
P
NET DUE
Total amount remitted in words
INSTRUCTIONS
1. Pay your monthly amortization on the following schedule:
Employer
- on or before the 5th calendar day
following the applicable month.
Self-Employed/Voluntary Member - on or before the last working day of the
applicable month.
2. Always indicate your ID or SS number along with your name and address.
3. Use this form exclusively for your SALARY/CALAMITY/EDUCATIONAL/
EMERGENCY/STOCK INVESTMENT LOAN payments.
4. Always support this form with the SSS official pre-printed collection list to ensure
proper posting of payments. If the employers do not receive the list, please notify the
respective SSS office.
5. Leave employer ID No. blank if individual payment.
PAYMENT MADE IN: (All checks & postal money orders must be
made payable to Social Security System)
Check/PMO: Bank _____________ Check No.________ Date ___________
Cash: P ____________________________
CERTIFIED CORRECT: __________________________________________
(SIGNATURE OVER PRINTED NAME)
Official Designation: ____________________________________________
Internet Edition (1/2003)
