TOYOTA MAKATI INC.

FINANCING APPLICATION / CLIENT INFORMATION

MARKETING PROFESSIONAL: L.A. DOMINGO 0915-6043523

APPLICANT INFORMATION
Name: GOMEZ RAQUEL DELGADO
SU RNAM E FI RS T NAM E MI D D L E NAM E

Date of birth: August 11, 1963 Place of birth: Manila Citizenship: Filipino
Complete address: 3512 Buenos Aires St., Sta. Mesa, Manila
Ownership(Owned or Rented): If Rented, how much: Years of Stay:
Home Tel. #: 7145038 Mobile #: 09238889942 Mobile # 2: 09179651123
E-mail Address: alecs2328@yahoo.com TIN#: 139538125
Marital Status: separated How long?:
Mother’s Maiden Name:Corazon Salonga Educational Attainment: College graduate
SPOUSE OR CO-APPLICANT INFORMATION
Name:
SU RNAM E FI RS T NAM E MI D D L E NAM E

Date of birth: Place of birth: Citizenship:

Complete address:
Ownership(Owned or Rented): If Rented, how much: Years of Stay:
Home Tel. #: Mobile #: Mobile # 2:
E-mail Address: TIN#:
Marital Status: How long?:
Mother’s Maiden Name: Educational Attainment:
INCOME
Employer / Business Name: Dept. of Social Welfare
Employer / Business address: Rm 108 G/F Dept. of Social Welfare,
How long? 29 years
Manila City Hall, A. Villegas, Ermita, Manila
Nature of Business: Government
Phone: 5275042 E-mail: Fax:
Position / Title: Administrative Officer V ZIP Code: 1000
SPOUSE / CO-APPLICANT INCOME
Employer / Business Name:
Employer / Business address: How long?
Nature of Business:
Phone: E-mail: Fax:
Position / Title: ZIP Code:
CASH FLOW
Estimated monthly take home pay: 35000
Spouse’s monthly take home pay:
Other source of income:
TOTAL: 35000
FINANCIAL REFERENCES
Bank:
Branch: Phone:
UNIT DETAILS
Model: Variant: Terms:
Unit Price:
Down Payment:
Amount Financed: