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[null,null,null,"(樣    式)"]
["財團法人金融聯合徵信中心"]
["所屬單位：8888888  xxx銀行xxx分行",{"$nulls":5},"查詢日期：xxx/xx/xx      09：09：09            "]
["查詢對象：8888888   "]
["查詢項目：W01                           不定期性指定項目會員自行查核工作底稿"]
["(D)類--查詢當事人不動產逆向抵押借款人遷籍、死亡資訊之查詢紀錄"]
["編號","發查日期","查詢對象",null,"使用者代號","查詢資格要件\n是否符合(註D1)","缺失改善辦理\n情形(註D2)","備註"]
[1,"xxx/xx/xx","A1XXXXXXX0",null,"888WA002","□1.是□2.否"]
[2,"xxx/xx/xx","B2XXXXXXX3",null,"888WA002","□1.是□2.否"]
[3,"xxx/xx/xx","F2XXXXXXX9",null,"888WA002","□1.是□2.否"]
[4,"xxx/xx/xx","E1XXXXXXX8",null,"888WA002","□1.是□2.否"]
[5,"xxx/xx/xx","S1XXXXXXX6",null,"888WA002","□1.是□2.否"]
[null,"註D1：符合查詢資格要件者，係指借款契約中取得當事人書面同意向內政部查詢其戶籍資料，且符合辦理"]
[null,"          不動產逆向抵押貸款之特定目的。        "]
[null,"註D2：查詢資格要件不符合者，請於本欄位填寫改善辦理情形。"]
["     (D)類-應查核總筆數共5筆"]
["(E)類--透過本中心介接使用公務機關資料之發查紀錄"]
["編號","發查日期","查詢對象",null,"資料項目","使用者代號","查詢資格要件\n是否符合(註E1)","缺失改善辦理\n情形(註E2)","備註"]
[1,"xxx/xx/xx","A2XXXXXXX1",null,"T50","888WA011","□1.是□2.否"]
[2,"xxx/xx/xx","C1XXXXXXX5",null,"T50","888WA013","□1.是□2.否"]
[3,"xxx/xx/xx","B1XXXXXXX3",null,"T51","888WA011","□1.是□2.否"]
[4,"xxx/xx/xx","B2XXXXXXX7",null,"T51","888WA011","□1.是□2.否"]
[5,"xxx/xx/xx","K1XXXXXXX2",null,"T52","888WA012","□1.是□2.否"]
[6,"xxx/xx/xx","D2XXXXXXX3",null,"T52","888WA011","□1.是□2.否"]
[7,"xxx/xx/xx","R1XXXXXXX8",null,"T53","888WA013","□1.是□2.否"]
[8,"xxx/xx/xx","T2XXXXXXX9",null,"T53","888WA014","□1.是□2.否"]
[9,"xxx/xx/xx","Z1XXXXXXX6",null,"T54","888WA015","□1.是□2.否"]
[10,"xxx/xx/xx","S1XXXXXXX0",null,"T54","888WA013","□1.是□2.否"]
[null,"註E1：符合查詢資格要件，係指取得當事人查調公務機關資料授權書，且符合授信業務之特定目的(不含"]
[null,"          信用卡)。"]
[null,"註E2：查詢資格要件不符合者，請於本欄位填寫改善辦理情形。"]
["     (E)類-應查核總筆數共5筆"]
["(F)類--介接查調證券商授信業務負面資料之查詢紀錄"]
["編號","發查日期","查詢對象",null,"使用者代號","查詢資格要件\n是否符合(註F1)","符合查詢資格要件\n但有下列缺失(註F2)","不符合查詢資格   \n要件之原因(註F3)","備註"]
[1,"xxx/xx/xx","B2XXXXXXX1",null,"888WA101","□1.是□2.否","□1 □2  □3","□1 □2 □3 □4"]
[2,"xxx/xx/xx","B1XXXXXXX2",null,"888WA101","□1.是□2.否","□1 □2  □3","□1 □2 □3 □4"]
[3,"xxx/xx/xx","G1XXXXXXX3",null,"888WA103","□1.是□2.否","□1 □2  □3","□1 □2 □3 □4"]
[4,"xxx/xx/xx","C1XXXXXXX4",null,"888WA101","□1.是□2.否","□1 □2  □3","□1 □2 □3 □4"]
[5,"xxx/xx/xx","Z1XXXXXXX5",null,"888WA102","□1.是□2.否","□1 □2  □3","□1 □2 □3 □4"]
[null,"註F1：符合查詢資格要件，係指取得當事人同意(需包含當事人表示同意金融機構得經由本中心介接查調當"]
[null,"          事人於證交所之授信業務負面資料之意思表示)，且符合放款、透支、貼現、保證、承兌等授信業務"]
[null,"          （不包含信用卡及無追索權應收帳款承購）。"]
[null,"註F2：符合查詢資格要件但有下列缺失者，請續勾選缺失項目，其代號為："]
[null,"          (1)證明文件無填寫日期； (2)證明文件日期後於查詢日；(3)其他(請說明於備註)。"]
[null,"註F3：不符合查詢資格要件者，請續勾選原因，其代號為：(1)未具辦理放款、透支、貼現、保證、承兌等"]
[null,"          授信業務目的；(2)未取得足資證明文件；(3)ID誤鍵；(4)其他(請說明於備註)。"]
["     (F)類-應查核總筆數共5筆"]
[]
["主管：",null," ",null,null,"覆核人：",null,"查核人："]
[]
["注意事項："]
["(D)類查核資料 "]
[null,"(一)查核資料來源"]
[null,"       1、為111年3月至111年8月查詢不動產逆向抵押借款人遷籍與死亡產品(B46)之查詢紀錄。(含特約產"]
[null,"            品查詢紀錄)"]
[null,"      2、請逐筆查核。本類查核須檢附查詢對象書面同意影本，詳見「不定期性指定項目會員自行"]
[null,"           查核辦理說明」。"]
[null,"(二)依據「財團法人金融聯合徵信中心及金融機構辦理逆向抵押貸款業務使用戶役政資訊管理規定」"]
[null,"      第三條規定之查詢資格要件。"]
[null,"(三)查核資料來源之查詢紀錄，於本中心產品代號為「Z50」。"]
["(E)類查核資料 "]
[null,"(一)查核資料來源"]
[null,"       1、為110年8月至111年7月透過本中心介接使用公務機關資料(T50~T54)之發查紀錄。"]
[null,"       2、請逐筆查核。本類查核不須檢附證明文件影本予本中心。"]
[null,"(二)依據「金融機構透過財團法人金融聯合徵信中心介接使用公務機關資料管理規範」第三條規定"]
[null,"       之查詢資格要件，惟電子授權，目前僅限電子憑證授權。"]
[null,"(三)查核資料來源之查詢紀錄，於本中心產品代號為「Z52」。"]
["(F)類查核資料 "]
[null,"(一)查核資料來源"]
[null,"       1、為110年11月至111年4月查詢金融機構介接查調證券商授信業務負面信用資料產品(T70)之查詢紀錄。"]
[null,"       2、請逐筆查核。本類查核不須檢附證明文件影本予本中心。"]
[null,"(二)依據「金融機構透過財團法人金融聯合徵信中心及證券商透過臺灣證券交易所股份有限公司介接交換"]
[null,"      授信業務負面信用資料管理規範」第四條規定之查詢資格要件。"]
[null,"(三)查核資料來源之查詢紀錄，於本中心產品代號為「Z50」。"]