N. Bacalso Avenue, South Expressway, Cebu City Tel. No.

(032) 261-0307

BUYERS’ INFORMATION SHEET

Dear Valued Clients,
May we ask you to fill up this form. Please be assured that the information you will be giving us will be treated with
utmost confidentiality and will be used only to service you better.
Thank you.

 PROPERTY DETAILS
PROJECT NAME: ___________________________________________

BLOCK NO.: 4
_______________ 2
LOT NO.: _______________

Aphrodite 68
HOUSE MODEL: ____________________________ 68sqm
FLOOR AREA: ___________ 77sqm
LOT AREA: __________

 BUYER’S DETAILS
Jose Renie
FIRST NAME: _____________________________FAMILY Palmin
NAME: ___________________ I
MIDDLE INITIAL: _______
09/03/1995CIVIL STATUS: ________________________
BIRTHDAY (mm/dd/yy): ______________ Married Male
SEX: ___________________

Filipino
CITIZENSHIP: _______________________________ Roman Catholic
RELIGION: __________________________________________
F. Jaca street, Inayawan, Cebu City, Cebu 6000
HOME ADDRESS: _______________________________________________________________________________
House No. Street City/Municipality Province Zip Code

09278685531
MOBILE NOs.:_________________________________ None
HOME TELEPHONE NOs.: ___________________________
joren.palmin1@gmail.com
OFFICE MOBILE/TEL NO.: ____________________E-MAIL ADDRESS: _____________________________________

OCCUPATION: EMPLOYED SELF-EMPLOYED UNEMPLOYED RETIRED

NAME OF COMPANY/EMPLOYER: _________________________________________________________________

BUSINESS ADDRESS: ____________________________________________________________________________

Building No. Street City/Municipality Province Zip Code

COMPANY POSITION: ___________________________________________________________________________

713-676-604-000
TAXPAYER’S IDENTIFICATION NUMBER (TIN): ________________________________________________________

GROSS MONTHLY INCOME:

Below Php 40,000 Php 90,001 – Php 100,000
Php 40,000 – Php 60,000 Php 100,001 – Php 120,000
Php 60,001 – Php 70,000 Php 120,001 – Php 150,000
Php 70,001 – Php 80,000 Php 150,001 – Php 200,000
Php 80,001 – Php 90,000 Above Php 200,000

 CO-OWNER OR SPOUSE’S DETAILS

Maria Jaica
FIRST NAME: _____________________________FAMILY Palmin
NAME: ___________________ L.
MIDDLE INITIAL: _______
08/30/1996CIVIL STATUS: ________________________
BIRTHDAY (mm/dd/yy): ______________ Married Female
SEX: ___________________

Filipino
CITIZENSHIP: _______________________________ Roman Catholic
RELIGION: __________________________________________
F. Jaca street, Street, Inayawan, Cebu City, Cebu 6000
HOME ADDRESS: _______________________________________________________________________________
House No. Street City/Municipality Province Zip Code

09278685531
MOBILE NOs.:_________________________________ None
HOME TELEPHONE NOs.: ___________________________
None
OFFICE MOBILE/TEL NO.: ____________________E-MAIL lapingcao1996@gmail.com
ADDRESS: _____________________________________

Alberlyn Buyers’ Information Sheet Page 1 of 2

OCCUPATION: EMPLOYED SELF-EMPLOYED UNEMPLOYED RETIRED

Perpetual succour hospital

NAME OF COMPANY/EMPLOYER: _________________________________________________________________
Gorordo Ave., Lahug Cebu City
BUSINESS ADDRESS: ____________________________________________________________________________
Building No. Street City/Municipality Province Zip Code

Nursing Aide
COMPANY POSITION: ___________________________________________________________________________

341-744-365-00000
TAXPAYER’S IDENTIFICATION NUMBER (TIN): ________________________________________________________

GROSS MONTHLY INCOME:

Below Php 40,000 Php 90,001 – Php 100,000
Php 40,000 – Php 60,000 Php 100,001 – Php 120,000
Php 60,001 – Php 70,000 Php 120,001 – Php 150,000
Php 70,001 – Php 80,000 Php 150,001 – Php 200,000
Php 80,001 – Php 90,000 Above Php 200,000

 AUTHORIZED REPRESENTATIVE’S DETAILS (if applicable)

FIRST NAME: _____________________________FAMILY NAME: ___________________ MIDDLE INITIAL: _______

BIRTHDAY (mm/dd/yy): ______________ CIVIL STATUS: ___________ SEX: ________ CITIZENSHIP: ____________

HOME ADDRESS: _______________________________________________________________________________

House No. Street City/Municipality Province Zip Code

MOBILE NOs.:_________________________________ HOME TELEPHONE NOs.: ___________________________

OFFICE MOBILE/TEL NO.: ____________________E-MAIL ADDRESS: _____________________________________

OCCUPATION: EMPLOYED SELF-EMPLOYED UNEMPLOYED RETIRED

NAME OF COMPANY/EMPLOYER: _________________________________________________________________

BUSINESS ADDRESS: ____________________________________________________________________________

Building No. Street City/Municipality Province Zip Code

COMPANY POSITION: ___________________________________________________________________________

RELATIONSHIP TO THE CLIENT(S): __________________________________________________________________

 SOURCE OF SALE
Website/ Facebook Project Presentation Employee Walk-in or
E-mail Tripping Flyer NO AGENT
Repeat Buyer Advertisement Referral

 REASON FOR BUYING

Primary Home Retirement Home Vacation/ Weekend Home
Investment (Buy and Sell) Investment (For Rent)

I signify my conformity to the foregoing and certify that all information provided herein are true and correct.
BUYER’S CONFORMITY: MARITAL CONSENT:
JOSE RENIE PALMIN
_________________________________ MARIA JAICA PALMIN / 08-23-22
_________________________________
(signature over printed name / date) (signature over printed name / date)

SELLING AGENT: REALTY/BROKERAGE:

_________________________________ _________________________________
(signature over printed name / date)
Mobile No.: _______________________
-------------------------------------------------FOR DEVELOPER’S USE ONLY---------------------------------------------------
CHECKED/VERIFIED BY: APPROVED BY:
________________________________ ________________________________
AE International Const. & Dev’t Corp AE International Const. & Dev’t Corp

Alberlyn Buyers’ Information Sheet Page 2 of 2