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HQP-HLF-305 HCF Withdrawal Form
Pag - Ibig withdrawal form for HCF
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HQP-HLF-305
HCF WITHDRAWAL FORM
HCF WITHDRAWAL FORM
_______________
Branch
_______________
Branch
Date Filed: ___________
File No. ___________
Date Filed: ___________
File No. ___________
TO BE ACCOMPLISHED BY THE BENEFICIARY ONLY
TO BE ACCOMPLISHED BY THE BENEFICIARY ONLY
Name of Deceased (Last Name, First Name, Name Ext., Middle Name)
Name of Deceased (Last Name, First Name, Name Ext., Middle Name)
Principal Borrower
Date of Birth
Age
Principal Borrower
Co-Borrower
Date of Birth
Age
Co-Borrower
HL Account No.
Date of Death
Cause of Death
HL Account No.
Date of Death
Name of Beneficiary
Name of Beneficiary
Address of Beneficiary
Cause of Death
Address of Beneficiary
Relationship to the Deceased
Contact Number/s.
Beneficiary’s
Signature
Relationship to the Deceased
Beneficiary’s
Signature
THIS PORTION IS FOR Pag-IBIG FUND USE ONLY
HL Account
No.
Age Upon
Takeout
Co-Borrower/s
Loan Value
THIS PORTION IS FOR Pag-IBIG FUND USE ONLY
HL Account
No.
1.
Age Upon
Takeout
Co-Borrower/s
Loan Value
1.
2.
2.
Developer/Originating Bank
Takeout Date
Program
FOLIO 1
PI
OH
Overhang
Cir. 100
Contact Number/s.
Developer/Originating Bank
Takeout Date
Program
CTS
Express Lane (W1)
Elite (W1)
Regular (W2)
50M
EHLP
UHLP/7B
RL 9507
RL 8501
Others ______
FOLIO 1
PI
OH
Overhang
Cir. 100
CTS
Express Lane (W1)
Elite (W1)
Regular (W2)
50M
EHLP
UHLP/7B
RL 9507
RL 8501
Others ______
Interest Rate
Annual Premium
Last Renewal Date
Loan Term
Interest Rate
Annual Premium
Last Renewal Date
Loan Term
Verified by
Date
Certified by
Date
Verified by
Date
Certified by
Date
Remarks
Remarks
Remarks
REQUIREMENTS:
Submit 3 photocopies each
1. NSO Certified True Copy of Borrower’s Death Certificate *
2. NSO Certified True Copy of Birth Certificate* or Baptismal
3. If borrower is single, Certificate of No Marriage (CENOMAR)
4. If borrower is married, NSO Certified True Copy of Marriage Contract
and Advisory of Marriage*
5. Police Report (if death due to accident)
Submit 2 photocopies each
6. Notarized Proof of Surviving Legal Heirs
7. Notarized Affidavit of Guardianship (if with child/children below 18 years
old, or if child/children is/are physically/mentally incompetent)
8. NSO Certified True Copy of Birth Certificate of all Children or Baptismal
(if with child/children)
9. NSO Certified True Copy of Death Certificate of Spouse (if borrower is
married) or Parents (if borrower is single)
10. Special Power of Attorney, if applicable
11. Housing Loan Application, Promissory Note, Certified True Copy of
TCT/CCT, Loan and Mortgage Agreement (LMA)
NOTE: * The Joint Affidavit of 2 Disinterested Persons shall be
submitted on any of the following cases:
There is a discrepancy in Name/Birthday.
There is no record from the Local Civil Registrar.
The original copy shall be presented for authentication.
(Rev. 00, 07/2014)
Remarks
REQUIREMENTS:
Submit 3 photocopies each
1. NSO Certified True Copy of Borrower’s Death Certificate *
2. NSO Certified True Copy of Birth Certificate* or Baptismal
3. If borrower is single Certificate of No Marriage (CENOMAR)
4. If borrower is married NSO Certified True Copy of Marriage Contract
and Advisory of Marriage *
5. Police Report (if death due to accident)
Submit 2 photocopies each
6. Notarized Proof of Surviving Legal Heirs
7. Notarized Affidavit of Guardianship (if with child/children below 18 years
old, or if child/children is/are physically/mentally incompetent)
8. NSO Certified True Copy of Birth Certificate of all Children or Baptismal,
(if with child/children)
9. NSO Certified True Copy of Death Certificate of Spouse (if borrower is
married) or Parents (if borrower is single)
10. Special Power of Attorney, if applicable
11. Housing Loan Application, Promissory Note, Certified True Copy of
TCT/CCT, Loan and Mortgage Agreement (LMA)
NOTE: * The Joint Affidavit of 2 Disinterested Persons shall be
submitted on any of the following cases:
There is a discrepancy in Name/Birthday.
There is no record from the Local Civil Registrar.
The original copy shall be presented for authentication.
(Rev. 00, 07/2014)
