Authority To Deduct Blank

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AUTHORITY TO DEDUCT

I, ____________________________________, of legal age, Filipino, and with


residence address at ______________________________, do hereby authorize
________________________________, of legal age, Filipino, and with residence
address at Block 3 Lot 5 Molave St., Brgy., Narra San Pedro, Laguna, to Deduct the
amount of _______________________________________________________________
from the proceeds of Loan.

This Authority to Deduct is issued this _________________ in ______________.

___________________________
Affiant
______ID No. _________________

SUBSCRIBED AND SWORN to before me this ___________ in ___________.

Notary Public

Doc. No. _________;


Page No. _________;
Book No. ________;
Series of 2019.

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