Professional Documents
Culture Documents
LOAN PARTICULARS
PURPOSE OF LOAN WITH EXISTING HOUSING APPLICATION
YES NO
Purchase of fully developed residential lot or adjoining residential lots If yes, indicate Housing Application No. _______________________
Purchase of a residential house and lot, townhouse or condominium
DESIRED LOAN AMOUNT (Exclusive of DESIRED LOAN TERM (Years)
unit, inclusive of a parking slot the co-borrower’s desired loan amount, if any)
Construction or completion of a residential unit on a residential lot
Home improvement DESIRED RE-PRICING PERIOD (Year/s)
Refinancing of an existing housing loan 1 3 5 10 15 20 25 30
Purchase of residential lot plus cost of transfer of title MODE OF PAYMENT
Purchase of residential unit plus cost of transfer of title Salary deduction Collecting Agent
Purchase of a parking slot Over-the-Counter Bank
Post-Dated Checks Developer
Cash/Check Remittance Center
COLLATERAL
PROPERTY LOCATION (Street, Municipality, Province) TYPE OF PROPERTY
Rowhouse Single Detached Townhouse
Single Attached Condominium Duplex
NAME OF DEVELOPER/REGISTERED TITLE HOLDER DESCRIPTION OF
EXISTING PROPOSED
IMPROVEMENTS
TCT/OCT/CCT NO. TAX DECLARATION NO. LOT/UNIT NO. BLOCK/BLDG NO. No. of
STOREYS
IS PROPERTY PRESENTLY LAND AREA/FLOOR AREA AGE OF HOUSE (For Purchase of a
MORTGAGED? TOTAL FLOOR
Residential Unit)
YES NO AREA
SQM SQM SQM
IS THE PROPERTY AN OFFSITE COLLATERAL? YES NO REASONS FOR USE OF OFFSITE COLLATERAL
If yes, use separate sheet for the offsite collateral details
BORROWER’S DATA
LAST NAME FIRST NAME NAME EXTENSION MIDDLE NAME CITIZENSHIP DATE OF BIRTH (mm/dd/yy) SEX
M F
PERMANENT HOME ADDRESS MARITAL STATUS
Unit/Room No., Floor Building Name Lot No., Blk No., Phase No., House No. Street Name Single/Unmarried ATTACH HERE
Married 1”X1”
Annulled ID PHOTO
ZIP Code
Subdivision Barangay Municipality/City Province and State Country (if abroad) Legally Separated OF APPLICANT
Widow/er
INDUSTRY
Employer/Business Email Address
Accounting Business Process Outsourcing Health and Social Work; Technology
Activities of Private (BPO) Health and Medical Services Transport, Storage
Households as Construction Life Sciences and Communications
PREFERRED TIME TO BE CONTACTED (For
Employer’s & Education & Training Management Travel and Leisure
Undifferentiated Electricity, Gas and Water Manufacturing Wholesale & Retail
Employer)
Production Activities Supply Media Trade; Repair of
of Private Extra-Territorial Organization & Mining and Quarrying Motor Vehicles, POSITION & DEPARTMENT YEARS IN
Households Bodies Other Community, Social & Motorcycles, EMPLOYMENT/
Agriculture, Hunting, Financial Services/ Personal Service Activities Personal & BUSINESS
Forestry & Fishing Intermediation Public Administration & Defense; Household Goods PREFERRED MAILING ADDRESS NO. OF
Basic Materials HR/Recruitment Compulsory Social Security Present Home Address DEPENDENT/S
Employer/Business Address
IF SINGLE, PLS PUT N/A ON SPOUSE DATA Permanent Home Address
SPOUSE’S PERSONAL DATA
LAST NAME FIRST NAME NAME EXTENSION MIDDLE NAME Pag-IBIG MID NO./RTN
INDUSTRY
Accounting Business Process Outsourcing (BPO) Life Sciences Technology
Activities of Private Households as Education & Training Management Transport, Storage and
Employer’s & Undifferentiated Production Electricity, Gas and Water Supply Manufacturing Communications
Activities of Private Households Extra-Territorial Organization & Bodies Media Travel and Leisure
Agriculture, Hunting, Forestry & Fishing Financial Services/ Intermediation Mining and Quarrying Wholesale & Retail Trade;
Basic Materials HR/Recruitment Other Community, Social & Personal Service Activities Repair of Motor Vehicles,
Construction Health and Social Work; Public Administration & Defense; Compulsory Social Motorcycles, Personal &
Health and Medical Services Security Household Goods
HQP-HLF-068
(V08, 02/2020)
N/A
CREDIT CARDS OWNED (Indicate your 3 most active)
CARD TYPE CARD EXPIRY
ISSUER NAME CREDIT LIMIT
(e.g. Visa/Mastercard) (mm/yyyy)
N/A
REAL ESTATE OWNED
MORTGAGE
LOCATION TYPE OF PROPERTY ACQUISITION COST MARKET VALUE RENTAL INCOME
BALANCE
N/A
OUTSTANDING CREDITS/LOAN AVAILMENTS
Creditor & Address Security Type Maturity Date
Amount/Balance Mo. Amortization
Creditor & Address Security
N/A Type
Amount/Balance
Maturity Date
Mo. Amortization
Creditor & Address Security Type Maturity Date
Amount/Balance Mo. Amortization
MISCELLANEOUS
(Answer the following questions with YES or NO. If your answer is YES, please elaborate the details as required)
Are there past or pending cases against you? Yes No
If Yes, please indicate the nature, plaintiff, amount involved and the status.
Do you have past due obligations? Yes No
If yes, please indicate the creditor’s name, nature, amount involved and due date.
Was your bank account ever closed because of mishandling or issuance of bouncing checks? Yes No
If yes, please indicate the bank’s name, nature amount and date.
Have you ever been diagnosed, treated or given medical advice by a physician or other health care provider? Yes No
If yes, please indicate the condition/diagnosis.
LOAN AND CREDIT REFERENCES
HIGHEST PRESENT DATE DATE FULLY
BANK/FINANCIAL INSTITUTION ADDRESS PURPOSE SECURITY
AMOUNT OWED BALANCE OBTAINED PAID
N/A
TRADE REFERENCES (For Self-Employed Only)
NAME OF SUPPLIER ADDRESS TEL. NO.
N/A
CHARACTER REFERENCES
NAME ADDRESS TEL. NO.
SELLER’S DATA
LAST NAME FIRST NAME NAME EXTENSION MIDDLE NAME Pag-IBIG MID NO./RTN TIN
Unit/Room No., Floor Building Name Lot No., Blk No., Phase No., House No. Street Name CONTACT NUMBER
Subdivision Barangay Municipality/City Province and State Country (if abroad) ZIP Code EMAIL ADDRESS
_____________________________________________ _________________________________________
SIGNATURE OVER PRINTED NAME OF BORROWER SIGNATURE OVER PRINTED NAME OF SPOUSE
____________________________________ ____________________________________
DATE DATE
THIS FORM CAN BE REPRODUCED. NOT FOR SALE.