CREDIT APPLICATION FOR VEHICLE FINANCING

INDIVIDUAL TERM

UNIT

MAKE/MODEL

CASH PRICE

DOWNPAYMENT %

AMT. FINANCE

LAST NAME

FIRST NAME

MIDDLE NAME

DATE OF BIRTH (MM/DD/YY)

AGE

MARITAL STATUS BORROWER HOME ADDRESS

MARRIED

SINGLE

WIDOW Yrs. Of Stay

SEPARATED Owned Rented

CITIZENSHIP Tel. No. Cel. No. Ofc. No.

NAME OF EMPLOYER/BUSINESS OFFICE ADDRESS NATURE OF BUSINESS Position/Title

Length of Stay or Years in Business

Yrs. Mos.

LAST NAME SPOUSE/CO-MAKER

FIRST NAME

MIDDLE NAME

DATE OF BIRTH (MM/DD/YY)

AGE

NAME OF EMPLOYER/BUSINESS

Cel No./Tel.No.

NATURE OF BUSINESS

Position/Title

Length of Stay or Years in Business

Yrs. Mos.

ASSETS & INCOME

BORROWER'S MONTHLY SALARY SPOUSE'S MONTHLY SALARY OTHER SOURCE OF INCOME TOTAL MONTHLY INCOME NAME OF DEPENDENTS AGE

REMARKS

SCHOOL ADRRESS

GRADE/YEAR

PERSONAL & CREDIT REFERENCES

PERSONAL REFERENCES

COMPLETE HOME ADDRESS

RELATIONSHIP

HOME TEL. NO.

CREDIT REFERENCES

ADDRESS

CONTACT PERSON

TEL. NO.

SAVINGS ACCOUNT/BANK & BRANCH

CURRENT ACCOUNT/BANK & BRANCH

CREDIT CARD

CREDIT LIMIT

I Hereby certify that all data and statement in this application are correct and complete, and are made for the purpose of obtaining credit and signature appearing thereon are genuine. I authorize you to obtain such information as you may require concerning the statements made in this application and that the source to which you may appply are authorized to proide any information to this application. I agree the application may remain your property whether the credit is granted or not.

Signature of Borrower To facilitate processing of application, the borrower should submit photocopy of the following documents: Bank Statement (3 months) 5. Sketch of Residence at the back Registration of Business 6. Others: _________________________ 2 VALID IDs Govt Issued Certificate of Employment Proof of Remittance (OFW) Submitted by: E. Rodriguez Sales Executive

Date

1 2 3 4

Sales Manager