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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，係指符合聯徵中心會員規約第12條第1項之規定者。"]
[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"]
[]
["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108年1月至108年2月查詢不動產逆向抵押借款人遷籍、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。本類查核不須檢附證明文件影本予本中心。"]
[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,"      “金融機構將辦理不動產逆向抵押貸款借款人名單提供聯徵中心向內政部查詢其戶籍資料時，應先"]
[null,"      於借款契約中取得借款人書面同意。”"]
[null,"(三)查核資料來源之查詢紀錄，於本中心產品代號為「Z50」。"]