AUTO LOAN APPLICATION FORM

VEHICLE TO BE PURCHASED
Unit/Model Selling Price Amount For Financing
TIGGO 5X AT 860,000 70%

Dealer/Agent Down Payment Terms

RIZA MAE VERGARA
30% 60 MONTHS
BORROWER'S INFORMATION
NAME SURNAME FIRST NAME MIDDLE NAME

RELATION/CIVIL STATUS Date of Birth (MM/DD/YEAR) AGE

PB SANTOS REGINALD CARRASCO
NOT LEGALLY SEPARATED (10yrs) 11/5/1976
45
SPS
CB
CB
MOBILE NUMBER & LANDLINE EMAIL ADDRESS PB TIN # CB TIN #
09613827266/09182760776 eigger5@yahoo.com 247-415-798

PRESENT HOME ADDRESS LENGTH OF STAY

199 D F LEGASPI ST. UGONG PASIG CITTY 10YRS

OWNED RENTED MORTGAGED USED FREE

PREVIOUS HOME ADDRESS LENGTH OF STAY

PRINCIPAL INCOME DETAILS

EMPLOYER'S NAME / BUSINESS NAME SPD JOBS INC.
Office / Business Address COMPANY/BUSINESS EMAIL ADD
spajob96@yahoo.com
3F LEMON SQUARE BLDG. 1199 EDSA BRGY KATIPUNAN QUEZON CITY
Telephone Numbers (632) 374 48761 (HR / BUSINESS)
POSITION / DESIGNATION SITE ENGINEER OTHER INCOME :
Years in Employment / Business 2 YRS AND 8 MONTHS
MONTHLY INCOME ₱ 60,000.00
Previous Employer (If less than 2 years incurred
employment)
SPOUSE / CO-BORROWER'S INCOME DETAILS
EMPLOYER'S NAME / BUSINESS NAME
Office / Business Address COMPANY/BUSINESS EMAIL ADD

(HR / BUSINESS)
POSITION / DESIGNATION OTHER INCOME :
Years in Employment / Business SOURCE ;
MONTHLY INCOME
Previous Employer (If less than 2 years incurred
employment)

BANK Type of Account Account No. BRANCH

EASTWEST CHECKING ACCOUNT 200040700187 C. RAYMUNDO
BDO SAVINGS 007370087465 SUBIC ZAMBALES
PSBANK SAVINGS 635110010828 LANUZA AVE. PASIG
PERSONAL / TRADE AND BUSINESS REFERENCES
Name Contact Person Telephone No. Nature of Transaction / Volume
EX WIFE: ARLENE PASCUAL VALDEZ
BIRTHDAY: APRIL 15, 1978

Application Date: 29-Sep-21 SOURCE; FB BOOST GRM Signature: LHYAN TECHON

 AUTO LOAN APPLICATION FORM
Unit/Model Selling Price Amount For Financing

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Dealer/Agent Down Payment Terms

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