PFF053 MembersContributionRemittanceForm V02-Fillable

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HQP-PFF-053

MEMBER'S CONTRIBUTION
REMITTANCE FORM (MCRF)
NOTE: PLEASE READ INSTRUCTIONS
EMPLOYER/BUSINESS

NAME

123456789

AT THE BACK.

A COMPANY

EMPLOYER/BUSINESS ADDRESS
Unit/Room No" Floor

Building Name

Lot No" Block No" Phase No, House No,

Street Name

Municipality/City

Province/State/Country

ZIP Code

METRO MANILA
Subdivision

Barangay

(if abroad)

METRO MANILA
Pag-IBIG

MID

No.lRTN

ACCOUNT

NO,

NA

1234567890

NAME OF MEMBERS

MEMBERSHIP
PROGRAM

Last Name

First Name

DELA CRUZ

JUAN

MEMBERSHIP

Name Ext.
(Jr. 1/1, etc.)

Middle Name

II

PERIOD
COVERED

MONTHLY
COMPENSATION

DEC 2013

TOTAL FOR THIS PAGE


GRAND TOTAL (if last page)

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SHARE

ER
SHARE

REMARKS
TOTAL

NONE

100

100

200

1" 10000
1" 10000

1" 10000

1"20000

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CONTRIBUTIONS

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f/' 10000 it 20000


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I hereby certify under pain of perjury that the information given and all statements made herein are true and correct to the best of my knowledge and belief. I further
certify that my signature appearing herein is genuine and authentic,

JUAN DELA CRUZ

OWNER

HEAD OF OFFICE OR AUTHORIZED REPRESENTATIVE


(Signature

DESIGNATION/POSITION

DEC 31, 2013


DATE

Over Printed Name)

THIS FORM MAY BE REPRODUCED.

NOT FOR SALE.

(Revised

7/2012)

GUIDELINES AND INSTRUCTIONS


a. Type or print all entries in BLOCK or CAPITAL LETTERS.
b. Accomplish this form in softcopy when making remittances to Pag-IBIG Fund
or to any authorized collecting agent based on the following payment
schedule:
Schedule of Payments
First Letter of
Due Date
Employer/Business Name
A to 0
10th to the 14thday of the month
E to L
ts" to the is" day of the month
M to Q
zo" to the 24th day of the month
R to Z, Numeral
25th at the end of the month
c. For employer with branch offices, please prepare separate Membership
Contributions Remittance Form (MCRF, [HQP-PFF-053]) for each branch
indicating therein their respective addresses.
d. A separate MCRF should be accomplished
per type of payment
(whether cash or check payment) and in case Credit Memo shall be
applied as payment to the Fund.
e. RATE OF MEMBERSHIP CONTRIBUTIONS (MC)
MONTHLY COMPENSATION
(BASIC + COLA)
P1 ,500.00 and below
Over P1,500.00

CONTRIBUTION RATE
EMPLOYEE
EMPLOYER
TOTAL
1%
2%

2%
2%

3%
4%

f.

Membership contribution payments to be remitted should be equal to the total


amount reflected in the MCRF. Check payments should be made payable to
Pag-IBIG Fund and shall be posted upon clearing.
g. Employers with over remittance from previous payments shall be issued with
a Notice of Overpayment and Credit Memo. For remittances previously made
for employees for whom remittances should not have been made, the
employer shall request a refund subject to the Fund's verification and
approval. The request shall be made not later than six (6) months from the
time said remittance was made.
h. Employers who shall remit on or before the due date as evidenced by the
validated Membership Contribution Remittance Form (MCRF) or Pag-IBIG
Fund Receipt shall be entitled to an incentive fee equivalent to 0.2% of the
amount remitted provided he satisfy all the conditions
required.

MEMBER'> CONTRfBUTION
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Pag-IBIG Employer's
Number.
Employer/Business

10 No. - assigned Pag-IBIG Employer's ID

Name - per DTIISEC Registration.

Employer/Business
Address - indicate UniURoom No., Floor,
Building Name or Lot No., Block No., Phase No. or House No. and
Street Name, Subdivision, Barangay, Municipality/City, Province,
and ZIP Code.
Pag-IBIG MID No.lRTN - indicate the member's assigned Pag-IBIG
Membership Identification (MID) Number or Registration Tracking
Number (RTN)
Account
No. - indicate
the member's
Number per Membership Program.

The maximum Monthly Compensation to be used in computing the employee


and employer contributions shall not be more than 5,000.00.
A member may contribute more than what is required, however the employer
shall only be mandated to contribute two percent (2%) of the monthly
compensation of the member as counterpart contribution.
In case the
member increases his/her monthly membership contribution, the employer
shall have the option to match said increase or to contribute only what is
required.

R!2MITTANCfJ::QRM(MGRf)

Failure or refusal of the Employer to payor


to remit the
contributions herein prescribed shall not prejudice the right of the
covered employee to the benefits under the Fund. Such Employer
shall be charged a penalty equivalent to 1/10 of 1% per day of delay
of the amount due starting on the first day immediately following the
due date until the date of full settlement.

assigned

Account

NOTE: In accomplishing
the Account Number column, for
Pag-IBIG I contributions,
indicate MID Number or RTN; for
Pag-IBIG II, indicate the assigned Account Number; for
MP2, indicate
the system-generated
Account
Number
provided after successful enrollment.
Membership Program - indicate if MC remittance is for Pag-IBIG I,
Pag-IBIG " or Modified Pag-IBIG II program.
Name of Members - indicate member's complete name in the
following format: Last Name, First Name, Name Extension (Jr., III,
etc.), Middle Name
Period Covered - indicate the applicable month and year of MC
remittance in the following format (YYYYMM).
Monthly Compensation
- refer to the basic salary and other
allowances, where basic salary includes, but is not limited to, fees,
salaries, wages, and similar items received in a month. Accomplish
this portion only when remitting the member's initial membership
contribution or if there are changes in monthly compensation of the
member.
Membership
Contributions
-~icate
the amount of employee
contributions
under columJl-:.-,.\jQ) the amount of employer
contributions under column , apd.,!he total amount of employee
and employer contributions under\.:11J. Do not round-off nor drop
centavos .
Remarks - accomplish this portion only to report changes in the
employee's/member's
employment status and to update any
information
regarding
the employee/member.
Indicate
the
appropriate code and effectivity date in the following format
(mm/dd/yy) on the space provided for. Please refer to the following
codes and examples:
N
L
RS
RT

o
o

Newly Hired
Leave Without Pay/AWOL
Resigned/Separated
Retired
- Deceased
- Others, please specify reason

Examples
1.N: 1/4/2012
2. L: 1/21/2012
3. RS: 1/3/2012
4.D: 1/14/2012

Indicate the total amount due and employer contributions per page
Indicate the grand total amount due and employer contributions
if this is the last page.
Employer Certification
- to be accomplished and duly signed by
the Head of Office/Authorized Representative.

15

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