Republic of the Philippines

SOCIAL SECURITY SYSTEM

MALOLOS BRANCH
CABANAS N-4 BUILDING, MC ARTHUR HIGHWAY X
MALOLOS CITY BULACAN 3000
Tel. No. 09435807085

STATEMENT OF ACCOUNT SUMMARY

WINIFREDO E ENCLONA/WIN-SONS P 03-9110500-9-000

231 INT. 15-D AGUADO ST SAN MIGUEL MANILA Generation Date: March 29, 2019
1005

Statement Summary as of February 28, 2019

PARTICULARS PERIOD COVERED PRINCIPAL PENALTY TOTAL

Gap Months 07/2010 - 08/2010 5,052.00 10,321.34 15,373.34

(INCLUSIVE)

Penalties on Late 04/2018 - 04/2018 0.00 3.64 3.64

Contribution Payments (INCLUSIVE)

Less Penalties Paid Php 3.64

Total Amount Due in Php Php 15,373.34

Please review the details of the above statement against your records and settle the total amount due immediately.
Settlement may be made by (1) Payment at any SSS branch with tellering facility or SSS-Accredited Collecting Bank,
(2) Installment under SSS Circular No. 2008-008, (3) Dacion en Pago under SSS Circular No. 6-P, and/or (4) Availment of
the remedy under section 31 of the Social Security Law. The condonation of penalty for late remittances of contributions
starts from March 6 to September 6, 2019

Please be reminded that failure and/or refusal to comply with your obligations constitutes a criminal offense for
violation of the Social Security Law, and carries with it the punishment of fine and imprisonment under Section 28 of the
Social Security Law. Your property may also be levied upon under Section 22 of the same law to satisfy your civil
obligations.

The SSS reserves the right to determine and collect the true contributions/penalties during or before the period
above stated. SSS may conduct further verification and assessment on the applicable Contributions Collection Details and
collect the balance, if any.

We trust that you will give this matter your preferential attention as our partner in giving social protection to your
employees as our members.

Should you have further inquiries, please get in touch with RONNEL A. GALLEGA (e-mail:
gallegara@sss.gov.ph), your assigned Account Officer.

This is a system-generated statement. Signature is not necessary.

*This letter or electronic mail and its accompanying documents - Statement of Account (SOA) or Billing Letter - may contain information
from the SSS that is confidential and is only intended to the employer or entity to which it is addressed. If erroneously received, please
ignore, and immediately delete the electronic mail or return the letter to the SSS.