CREDIT APPLICATION FOR

INDIVIDUAL & SOLE PROPRIETOR

TEL NO 722-1102/ FAX NO. 722-1209 CP#:09276255809
PERSONAL DETAILS SALES CONSULTANT:

Borrower's Name
First Middle
Date of Birth

Nationality

Civil Status Tin No.

Home Address

Length of Stay

Home Tel. No. Mobile No.

RESIDENTIAL STATUS Owner Yes / No.

Rental Yes / No.
Living with relatives Yes / No.
Owned Car? Yes / No. How Many?

Main Bank/Branch
WORK AND FINANCES
Employeer / Business
Employer / Business Address

Tel. No. Length of Stay

Position / Title Nature of Business
Monthly Income
SPOUSE PERSONAL DETAILS
Name of Spouse/Co-maker

Employeer
Business Address
Date of birth Tin No.
Tel. No. Mobile No.

Position/Title Length of stay

Monthly Income

PERSONAL REFERENCES
Name Address

VEHICLE DETAILS
Unit/Make MAZDA 3 1.6 L S Term
Selling Price 860,000.00
Downpayment 20% Amount Finance

I/We hereby certify that all above information are true and correct to the best of my knowledge.
I/We authorize you to verify anf investigate the above information from whatever sources you
may consider appropriate.

Signature of Borrower over printed name Signature of Borrower over printed nam
 GREENHILLS
ARIS ARAGONES

Last

Monthly Rental______________

Tel no.

60

80%

correct to the best of my knowledge.

Signature of Borrower over printed name

CREDIT APPLICATION FOR
INDIVIDUAL & SOLE PROPRIETOR
TEL NO 722-1102/ FAX NO. 722-1209
PERSONAL DETAILS SALES CONSULTANT:
Business Name

Nature of Business
Tel. No.
Contact Person Tin No.
Length of Stay

MAJOR STOCKHOLDER AND

OFFICERS
Name Position % of Stock Ownership

BANK REFERENCES

Name

CREDIT REFERENCES
Name Address

VEHICLE DETAILS
Unit/Make Term
Selling Price
Downpayment Amount Finance

I/We hereby certify that all above information are true and correct to the best of my knowledge.
I/We authorize you to verify anf investigate the above information from whatever sources you
may consider appropriate.
Signature of Borrower over printed name Signature of Borrower over printed name
 GREENHILLS
SALES CONSULTANT:

Residence Address

Tel no.

re true and correct to the best of my knowledge.

Signature of Borrower over printed name