EXHIBIT A: REQUEST FOR SPO

COMPANY NAME (or Company’s Letter Head)

DATE:
BANCO DE ORO UNIBANK, INC.
NAME OF PROCESSING CENTER
ADDRESS OF PROCESSING CENTER

ATTENTION : NAME OF CONTACT PERSON

DESIGNATION

RE : REQUEST FOR STOP PAYMENT ORDER

Dear Sir/ Madam:

May we request for issuance of Stop Payment Order (SPO) for the following FASTWrite/IDS
Manager’s Check issued by our Company.

Check Date Check Number Amount Payee

The above mentioned checks were (indicate reason, e.g. lost, stolen, etc) by (indicate
name of Payee or Client Company).

Please find the attached Notarized Affidavit of Loss executed by (indicate name of
Payee).1

This request is being issued on behalf of (indicate name of Payee) who has not yet
executed an Affidavit of Loss2.
A copy of Notarized Affidavit of Loss shall be submitted to your office to comply with
bank’s documentary requirements.3

We hope that this will merit your attention.

Thank you.

Sincerely Yours,

PAYEE’S CONFORME
(if MC is lost by the Payee)

______________________________
SIGNATURE OVER PRINTED NAME

CLIENT COMPANY
Authorized Signatory/Representative 1 Authorized Signatory/Representative 2

SIGNATURE OVER PRINTED NAME SIGNATURE OVER PRINTED NAME

FOR BANK’S USE ONLY

Signature verified by:

SIGNATURE OVER PRINTED NAME

1
This statement is applicable only if the check was lost or stolen from the Payee and the Payee has already executed an
Affidavit of Loss, otherwise this statement must be omitted.
2
This statement is applicable only if the Payee has not yet executed and submitted an Affidavit of Loss but has informed
the Purchaser that the check was lost or stolen from him/her, otherwise, this statement must be omitted.
3
This statement is applicable only if the check was lost or stolen from the Purchaser (Client Company) and the Purchaser
has not yet executed an Affidavit of Loss, otherwise this Formal Letter is no longer necessary.