MORTGAGE FINANCING PROGRAM APPI-ICATION FORM

(lndividual)
LANDBANK

BoRRor/vER: "--: FP.hNCIS 0*R0T FLzRES

NOTE; Please fill in all blanks properly to ensure efficient processing,

APPLIED FOR: Amount: P

PURPOSE OF LOAN
IF PURCHASE OF HOUSE & LOT
E Construction [] condominium Unit Furchase Price
P
E Home lmpro\€ment E Refinance Downpayment P
E Purchase of House & Lot Ef Others l(speciff)
E Purchase ofLot Available Cash P

s 8G LAkAnL DRtvE, bR6/ 7frA-080

offi uMur77
TCT No
Size of Lot:
Type of Property: F E others
Name of Regisiered Owner:

EXISTING ENCUMBRANCES ON COLLAiERA'

fl Existing: Year Built Lender
I To be improved: year Built Original Amount P
E to be constructed Present Balance P
E Single Family Residence (No. of Ftoors-_
....._ )
E Townhouse/condominium
lnterest Rate and Service Charge:
IF INCOME PRODUCING PROPERT'/

*^"t Date o,f Bioth /Llkncklq /q7o-Age 5/

o,'"I
Home Address'. &-L lE l]!
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t
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Ue
n 4, ! ? #'o
)twioo*"0
tyr*::dT;,E 37t Yw)cz -li6 7 -3/2,
Yearsinilo::rdd57:,.% gorn _O1*1 n uirr!'ffiffi
74/2C
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NatureofBusiness:lV/kT/0N@LengthofService:..years
Placetocontact.,o@Residence[ProvincialaddreSS

*r*", Dateof ai*n7%f 4/4tU ege

g4
(Last)
(Last) (First)
(First) (Middle)
(Middte)
''Joki'/
Employer (or name of Business, if qelf en v ,ftarz-e<

Length of Service: b years

age:
IF SELF EMPLOYED

_Borrower/Co-Borrower
.P
Spouse
Salaries
Allowances
Living & Utilities P
Education
Commissions
Transpo(ation
Rental lncome
Amortlzation
Others (specify)
Others (specify)

P-P- TNTAI
 _qEIAI!S !EMONTHLY INSTALLMENT DEBTS (INCLUDEALL EXISTING LOANS & FINANCING)
Creditor Address Outstanding Monthly
Security Maturity Date Original amount
Balance Amortization
p
P P

Tota I P P
..------.--.-_- - FINANCIAL STANDING
As$h IS AMOUNT LIABILITIES
uasn 0n Hand P )lving charqe accounts
- AMOUNT
P
Stocks and Bonds Unsecured Ioan
Real Estaie Real estate mortgage loans
AUrOmOOile
Automotive loans
Others (! Appliance loan
uther dehtS,itemize
Total lia P
TotalAssets {A) P Net Worth (A-D) P
BANK ACCOUNTS
Bank BirnahAddress Type ofAccount Account No Date Opened Balance

REAL ESTATE OWNED

Location Type of Propertv Acquisition Cost Market Value Mortqaqe Balance I Rental lncome

LOANAND CREDIT REFERENCES

Banks/Financial lnstituti(cn Hiohest ats
(wilh complete address Purpose Security Present
) Amou-nt 0wed Balance 0btained Fullvi Paid

TRADE REFERENCES
[ameETuppilii-- Address Telephone No. Volllmc Per Month

Name of Client Address Telephone No. Volume Per Month

GENERAL INFORMATION
(lf Yes, Explain on Separate Sheet)
E0rr0wer Spouse
Yes No Yes No
Have you cver qpplied fcr any l0an wrth I Bp berore?

Ever had a car, appliance or real estate linanced?

Co-mq!er endorser oiany notef
Have you previously owned a home?

AGREEMENT

(we) affirm that€ach of the statements made in this application is kue and correct and agree to nctify the Bank of any material change affecting
the informati0n contained herein. l.{We} authorize you to obtairi hnd verify such information as nra'y be requinid covering this hpplication frori the abovl
referen0es 0r any other sources. I (We)hgree that dll information obtained ny LRToaANK shall remiin itJp'ropeity wneirieioin6itre roan is granted.

PROCESSII,IG FEE

ln connection witlT,this application. I (WeO agree t0 pay the Bank the sum ol pesos (p as processing fee.
e(Borrower) '". . Signature (Spouse/Co-l
0ate
-