FORM PDP 3.

4 REV(2)ISO®
PERSONAL FINANCIAL STATEMENT
CONFIDENTIAL
IMPORTANT: DIRECTIONS TO APPLICANT

CBFGroup Affiliated Companiesa BRIX

Investment Group Inte rnational Inc. ® company. Read directions before completing Financial Statement.
To: Please check appropriate box
Address: ! Individual credit—If relying on your own income and assets and not the
550 INDUSTRIAL WAY STR. 100BEND income and assets of a spouse or another person as a basis for extension or
OREGON 97702 repayment or credit, complete the Financial Statement below only as itapplies
to you, individually. Do not provide any information about a spouse or other
Personal Financial Statement as of person. Sign the Financial Statement.
(DATE) ! Joint Credit If applying for joint credit or for individual credit relyin
APPLICANT’S NAME(S): on income or assets of a spouse or another person
for extension and repayment of credit requested,
Marcela S. Velandres
! Individual relying complete the Financial Statement below. Include
HOME ADDRESS 951 Rizal Boulevard, Pooc, upon income or information about income, assets and liabilities of the
City of Santa Rosa, Laguna, Philippines assets of spouse spouse or other person. Both Applicant and Spouse
or other person. or Co-Applicant sign this statement.
HOME PHONE +63495440306 Please do not leave any questions unanswered. Use “no” or “none” where
necessary.

In Even In Even
Assets Dollars Liabilities and Net Worth Dollars
Cash on hand and in Banks—See Schedule A $ 22,651.70Notes Payable: This Bank—See Schedule A $ None
U.S. Government Securities —See Schedule B None Notes Payable: Other Institutions—See None
Listed Securities—See Schedule B None Schedule A
Unlisted Securities —See Schedule B None Notes Payable—Relatives None
Other Equity Interests—See Schedule B None Notes Payable—Others None. .
Accounts and Notes Receivable None Accounts and Bills Due 100
Real Estate Owned—See Schedule C 261,568.00 Unpaid Taxes 3,000
Mortgages and Land Contracts Receivable— Real Estate Mortgages Payable—See
See Schedule D 720,000.00 Schedule C or D 5,000
Cash Value Life Insurance—See Schedule E None Land Contracts Payable—See Schedule C or D None
Other Assets: Itemize Car and Motors 11,000.70 Life Insurance Loans—See Schedule E None
Office Machines &others 6,000.00 Other Liabilities: Itemize 1,000
Construction Equipment. 2,000.00
4 houses 10,000.00
Office Building. 3,000.00 TOTAL LIABILITIES $ 9,100
NET WORTH 1,036,219
TOTAL ASSETS $1,036,219.00 TOTAL LIABILITIES AND NET WORTH $1,045,319

In Even
Sources of Income Dollars General Information
Salary $ Employer
Bonus and Commissions Position or Profession No. Years
Dividends Employer ’s Address
Real Estate Income Phone No.
*Other Income: Itemize Partner, officer or owner in any other venture? ! No ! Yes
If so, explain:
TOTAL $
*Alimony, child support or separate maintenance payments need not
be disclosed unless relied upon as a basis for extension of credit. If Are any assets pledged? ! No ! Yes Detail in Schedule A
disclosed, payments received under ! court order ! written
agreement ! oral understanding. Income taxes settled through (Date)
CBFGroup, Affiliated Companies 1 2017REV(2)ISO ®
In Even
Contingent Liabilities Dollars General Information (co ntinued)
As endorser, co-maker or guarantor $ Are you a defendant in any suits or legal action? ! No ! Yes
On leases If so, explain:
Legal claims Have you ever taken bankruptcy? ! No ! Yes
Provision for federal income taxes If so, explain:
Other special debt, e.g., recourse or repurchase liability Do you have a will? ! No ! Yes With whom?
Do you have a trust? ! No ! Yes With whom?
2
TOTAL $ Number of dependents Ag es 20 , 21

Schedule A: Banks, Brok ers, Savings & Loan Association, Finance Companies or Credit Unions. List here
the names of all the in stitutions at which you maintain a deposit account and/or where you have obtained lo ans.
Name of Name on Balance on Amount Monthly Secured by
Institution Account Deposit High Credit Owing Payment What Assets
Marcela S.
LDB Bank Velandres P 569,547.26 $. 11 ,3 90 .90 NONE. NONE. NONE. NONE
May Bank. Jesus 563,038.67. NONE. NONE. NONE. NONE
Aking Panginoon Foundtn 11,260.80

See attached Bank Account and Bank Statement

TOTAL $ 22,651.70 TOTAL Not applicable

Schedule B: U.S. Governments, Stoc ks (Listed & Unlisted), Bonds (Gov ’t & Comm .), and Partnership
Inte rests (Ge neral & Ltd.)
Number of Indicate: Pledged
Shares, 1. Agency or name of company issu ing security or name In Name of *Market Yes No
Face Value of partnership Value (") (")
(Bonds), or 2. Typ e of investment or equity classification
% of 3. Number of shares, bonds or % of ownership held
Ownership 4. Basis of valuation*
NONE NONE NONE NONE NONE. NONE
NONE. NONE NONE. NONE NONE. NONE
NONE. NONE NONE. NONE NONE. NONE
NONE. NONE NONE. NONE NONE. NONE
NONE. NONE NONE. NONE NONE. NONE
NONE. NONE NONE. NONE NONE. NONE
TOTAL Not Applica ble
*If unlisted security or partnership in terest, provide current financial statements to support basis for valuation.

Schedule C: Real Estate Owned (a nd related debt, if applicable)

Description of Title in Date Cost + Present Mortgage or Land Contract
Payable
Property or Name Of Acq. Improvements Mkt. Value Bal. Owing Mo. Payt. Holder
Address
Lot 1646-A2, Dita, CSRL Dec. 11, 2011. $. 124,000.00. §. 600,000.00. NONE. NONE. NONE
TCT No. T-595520. Florencio M. Casupang. See attached Absolute Deed of Sale
—————————————————————————————————————————————————————————-
Lot 4324-B-4-I, Palo Alto, Sept 28, 2015. NONE. NONE. NONE
Calamba TCT No.
T-. 060-2015011647 Leonisa C. Villarosa. $. 35,000.00. $ 156,150.00. See attached Absolute Deed of Sale
———————————————————————————————————————————————————-

Lot 457-X-C-1. $ 5,000.00.See attached Certification

Banadero, Calamba City,
Laguna Elmer Alandoni $. 80,568.00 $. 900,000.00
Rowena Alandoni -Yu 20,000.00
Grace Alandoni
————————————————————————————————————————————————————————————————————-

Lot 4428. Clemente Santiago. $. 2,000.00. 1,250,000.00 See attached Extra Judicial Settlement
Mercado, Hagonoy,
Bulacan
————————————————————————————————————————————————————————————————————-
TOTAL l $ 261,568.00 l $ 2,906,150.00 l $ 5,000.00. l None.
CBFGroup, Affiliated Companies 1 2017REV(2)ISO ®
Schedule D: Real Estate: Mortgage s & Land Contracts Receivable (and related debt, if applicable)
Description of Title in Date Balance Monthly Mortgage or Land Contract
Payable
Property or Name Of Acq. Receivable Payment Bal. Owing Mo. Payt. Holder
Address
Lot 1642-A Mr. Casupang Diff. Parties $. 230,400.00 $ 600.00 None None None
Diff. Dates
Lot457-X-C-1. Diff. Parties 144,000.00 1,500.00 None None None
Diff. Dates
Part of Lot 1623 Diff. Dates 354,000.00 3,600.00 40,000.00 None None
TOTAL $ 720,000.00 $ 5,700.00 $ 40,000.00 N.A. N.A.

Schedule E: Life Insurance Carried

Name of Company Face Amount Cash Surrender Value Loans Beneficiary

TOTAL

I/we have carefully read and submitted the foregoing information provided on all three pages of this statement to
the Financial company named above. The information is presented as a true and accurate statement of my/our
financial condition on the date indicated. This statement is provided for the purpose of obtaining and maintaining
credit with said Financial company. I/we agree that if any material change(s) occur(s) in my/our financial
condition that I/we will immediately notify said Financial company of said change(s) and unless said Financial
company is so notified it may continue to rely upon this financial statement and the representations made herein
as a true and accurate statement of my/our financial condition.

I/we authorize the Financial company to make whatever credit inquiries it deems necessary in connection
with this financial statement. I/we authorize and instruct any person or consumer reporting agency to furnish
to the Financial company any information that it may have or obtain in response to such credit inquiries.

I/we also hereby certify that no payment requirements listed herein are delinquent or in default except
as follows; if “NONE” so state.

I/we fully understand that it is a federal crime punishable by fine or imprisonment or both to knowingly
make any false statements concerning any of the above facts, pursuant to 18 U.S.C. Section 1014.

Applicant’s Date Social Date of

Signature Signed Security No. Birth

Co-Applicant’s Date Social Date of

Signature Signed Security No. Birth

CBFGroup
Affiliated Companies

550 INDUSTRIAL WAY STR. 100

BEND OREGON 97702

info.CBFGroup@financier.com
1.503.409.7617 / 1.503.776.8425 messages/text