C-1 3RD FLOOR DONA MANUELA BUILDING SAN JUAN STREET,

BACOLOD CITY NEGROS OCCIDENTAL

(034) 713 44 95 0917 315 89 82
eltaverarealty@gmail.com

BUYERS INFORMATION SHEET

Name:
Age:
Civil Status:
Birthdate:
Address:
Mobile Number:

EMPLOYMENT DETAILS

Employers Name:
Nature of Work Industry:
Number of Years in Work Place:
Gross Monthly Income( if employed abroad) :
Net Monthly Income (if employed locally) :

Note: The name herein mentioned above expresses his/her intent in availing a house unit
in Deca Homes - Cabug Bacolod and that he/she is willing to wait for the final and official
computation from the developer.

SOCIALIZED ECONOMIC
*Attached in the information sheet should be the following for pre-qualification purposes.
a. 2 Government Issued and Valid Identification Card
b. Proof of Income such as Certificate or Contract of Employment
c. 3 months payslip

I attest that the hereby information provided are true and correct according to the best of my knowledge and I bind
myself to the agent who had referred and informed me of the said project.

_______________________________________
Clients Signature over Printed Name

ASSISTED BY: _____________________________

DATE:____________________________________
E.L TAVERA REALTY
PRC LICENSED REAL ESTATE BROKER
PRC LICENSE NUMBER: 0028783