Philippine Deposit Insurance Corporation Payment Receipt
This document is the official payment receipt form for assessments due to the Philippine Deposit Insurance Corporation. Users must complete this form to ensure proper assessment payments are recorded. It includes payment details, remitting bank information, and confirmation validation.
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How do I fill this out?
To fill out this form, begin by entering the date of the payment and the name of the remitting bank. Next, specify the assessment types applicable, detailing amounts for each category such as Assessment Due and Interest/Penalty. Ensure all information is accurate before submitting the form.

How to fill out the Philippine Deposit Insurance Corporation Payment Receipt?
1
Enter the date paid and paying bank details.
2
Complete the remittance nature and assessment breakdown.
3
Add the total amount remitted in words and numbers.
4
Have the remitting entity's representative sign the form.
5
Submit the completed form to the appropriate PDIC office.
Who needs the Philippine Deposit Insurance Corporation Payment Receipt?
1
Bank tellers need it to issue receipts for payments made.
2
Entities paying assessments to the PDIC must document their payments.
3
Auditors require it for financial records and compliance checks.
4
Accountants use it for bookkeeping and financial reporting.
5
Business owners must have it to verify payments to the PDIC.
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What are the instructions for submitting this form?
Submit this form via email to the designated PDIC email address or visit your nearest PDIC office. In addition to email, you may also fax the form to the provided fax number. Ensure that the submission includes all required fields and is completed accurately to avoid issues in processing.
What are the important dates for this form in 2024 and 2025?
Important dates regarding the assessment must be noted, such as the due dates each quarter. Specifics will vary based on the PDIC’s published schedules for each year. Keep abreast of these dates to ensure timely compliance with assessment payments.

What is the purpose of this form?
This form serves as an official receipt for payments made to the Philippine Deposit Insurance Corporation. It ensures that all assessment payments are documented properly for accounting and auditing purposes. Additionally, it provides confirmation to the payer of their obligation being fulfilled.

Tell me about this form and its components and fields line-by-line.

- 1. Date Paid: The date the payment was made.
- 2. Paying Bank: The name of the bank handling the transaction.
- 3. Total Amount Remitted: The total amount of money being remitted.
- 4. Assessment Due: The amount due for assessment.
- 5. Signature: The signature of the remitting entity representative.
What happens if I fail to submit this form?
Failure to submit this form may result in late fees or penalties due to unrecorded payments. Inaccurate submissions can lead to complications with the PDIC and may affect compliance status. It is crucial to ensure timely and correct submission of all required documents.
- Late Fees: Charges incurred due to delayed submission of payment.
- Compliance Issues: Potential non-compliance can result in legal implications.
- Confusion in Records: Unclear records may disrupt financial auditing processes.
How do I know when to use this form?

- 1. Assessment Payments: When paying any due assessments.
- 2. Bank Transactions: To validate payments made through banks.
- 3. Financial Compliance: For ensuring accurate financial reporting.
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