LOAN APPLICATION FORM

LAST NAME FIRST NAME MIDDLE NAME STATUS BIRTHDAY

APPLICANT

SPOUSE'S NAME NO.OF DEPENDENTS EDUCATION

HOME ADDRESS MOBILE NO. PHONE NO.

PROVINCIAL ADDRESS EMAIL ADDRESS FB EMAIL ADDRESS (if any)

PRESENT EMPLOYER/ BUSINESS NAME OWN BUSINESS

EMPLOYMENT/ BUSINESS

Monthly Income/ Salary

BUSINESS ADDRESS
Spouse's Income / Salary
BUSINESS PHONE HOW LONG ON THE JOB/ BUSINESS

MONTHLY INCOME
Other Income From:
PREVIOUS EMPLOYER

BUSINESS ADDRESS OF PREVIOUS EMPLOYER

SPOUSE'S EMPLOYER/ BUSINESS NAME HOW LONG ON THE JOB Total Monthly Income
Fixed Obligations
SPOUSE'S EMPLOYER/ BUSINESS ADDRESS Other Living Expenses
SPOUSE

POSITION TELEPHONE NO. Net Monthly Income

SPOUSE'S HOME ADDRESS IF DIFFERENT FROM APPLICANT'S ADDRESS

ANY TWO CHILDREN STUDYING SCHOOL COURSE YEAR/GRADE

1.
2.
PERSONAL & CREDIT REFERENCES

NEAREST RELATIVE NOT LIVING WITH YOU ADDRESS TELEPHONE NO.

1.
2.
PERSONAL REFERENCES ADDRESS TELEPHONE NO.
1.
2.
3.
CREDIT REFERENCES ADDRESS TYPE OF LOAN MONTHLY PAYMENT OUTSTANDING BALANCE

CREDIT CARD SAVINGS ACCOUNT AT CURRENT ACCOUNT AT LAST FINANCING BY

Res . Cert. ______________ Issued at _________ Date __________ TIN ___________________ SSS No. ________________

ACR No. ______________ Issued at _________ Date __________ Verification OR No. ______ Date ________________

Purpose of Loan
Desired Loan Amount
Term of Loan
I hereby certify that all data and statements in this application are correct and complete, and are made for the
purpose of obtaining credit, and the signatures 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 sources to which you may inquire
are authorized to provide any information relative to this application. I agree the application may remain your property
whether the credit is granted or not.

FOR MONEY TREE INTERNATIONAL FINANCE USE ONLY

SIGNATURE OF APPLICANT
APPROVED DECLINED
credit status

CONDITIONS:
SIGNATURE OF SPOUSE

Recommended by: Approved by:

SIGNATURE OF SALES REPRESENTATIVE