Home Loan Application Form Page 2
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1
2LIABILITIES
PREVIOUS EMPLOYMENT
APPLICANT
SPOUSE
Personal Loan
Employer/Business Name
Auto Loan
O ce/Business Address
Home Loan
Unit/Apart./Bldg. No. and Name
House/Block/Lot/Phase No.
Business Loan
Street/Village
Credit Cards
Barangay
Municipality/City/Province
Credit Card 1
Credit Card 2
Zip Code
Credit Card Company
P.O. Box
Card Number
O ce/Business Phone No.
Length of Stay (years)
Member Since
Monthly Salary
Expiry Date
WORK/BUSINESS/PERSONAL REFERENCES
Credit Limit
Work/Business
Name ___________________ Phone No. ___________ Relationship _________
Outstanding Balance
Personal
Name ___________________ Phone No. ___________ Relationship _________
TOTAL
ABOUT YOUR DEPENDENTS
NET WORTH
No. of Children _______
No. of Dependents _______
bagong bahay?
* as required by Bangko Sentral ng Pilipinas under BSP Circular 622
Name __________________________ Age _______ Relationship _____________
SOURCE OF PRODUCT INFORMATION
Name __________________________ Age _______ Relationship _____________
TV
Magazine
PSBank Employee ____________________
simple lang.
Name __________________________ Age _______ Relationship _____________
PSBank Client _______________________
Radio
Email
Website
SMS
Accredited Developer _________________
Name __________________________ Age _______ Relationship _____________
Billboard
Flyer/Poster/Streamer
Others _____________________________
STATEMENT OF INCOME AND EXPENSES
Newspaper
GROSS MONTHLY INCOME
COVENANTS OF THE BORROWER/S
APPLICANT
SPOUSE
Basic Salary
Filling-out this application form, providing information and a xing my/our signature herein constitute my/our written and formal consent as
required by Republic Act 10173 and a waiver of my/our rights accorded to in the said law. This waiver shall also cover all other documents related
PSB
Overtime Pay
to this speci c loan with PSBank. I/We hereby certify that all information in this application form and all supporting documents are true and correct.
I/We agree that this loan application shall be subject to Bangko Sentral ng Pilipinas circulars, rules, regulations, and policies of the Bank and
ank
Professional/Service Fee
hereby undertake to comply with/submit all the loan requirements.
Upon acceptance of my/our application, I/we bind myself/ ourselves to the Terms and Conditions of all loan agreement as well as other relevant
Allowance
documents including, but not limited to, joint and several liability for all charges, fees and other obligations necessary in processing my/our loan
application.
I/we hereby authorize the Bank and its o cers and sta to obtain and disclose information on my/our deposits and other properties whether
Commission/Incentive
within Metrobank or with other banks. I/We agree that the application remains PSBank's property and the same may be used at their discretion
Home
Others
whether credit is granted or not.
I/ We hereby waive my/our rights under the provisions of A.M. No. 08-1-16-SC issued by the Supreme Court on the Rule of the Writ of Habeas
Loan
Data.
TOTAL
I/We hereby expressly waive all statutory or regulatory provisions governing con dentiality of Bank transactions particularly, but not limited to
Section 87-A of the General Banking Act as amended, as well as Republic Act No. 1405, R.A. 6426 and the Bank's compliance with Anti-Money
GROSS MONTHLY EXPENSES
Laundering Law.
I/We authorize PSBank to conduct random veri cation with the BIR to establish authenticity of my/our ITR and other submitted nancial
House Rent/Amortization
Prime
Rebate
statements and hereby waive the con dentiality of any personal information obtained in the course of the veri cation. I/We also agree that the
with
same shall be considered in evaluating my/our nancial capacity and credit-worthiness of my/our application.
Living Expenses (e.g. food, etc.)
I/We also authorize PSBank to conduct, through its representative accredited appraisers, an appraisal of any or all of the collateral to be used for
this loan application. I/We also agree that the Appraisal Report will be forwarded directly to PSBank for its sole use only.
Utilities (e.g. electricity, etc.)
I/We authorize PSBank to send me/us updates about my/our loan via SMS/text, email, mail or other means of communication.
Should the document(s) submitted prove to be spurious or incorrect in material detail, the Bank may terminate any loan or other credit
accomodations granted on the basis of said document(s) and shall have the right to demand immediate repayment or liquidation of the obligation.
School Expenses (e.g. tuition, etc.)
Moreover, the Bank may seek redress from the court for any harm done by the borrower's submission of spurious document(s).
Payment for Loan/Credit Cards
I/We authorize the Bank to include my/our names and other pertinent information about my/our loan history in any credit bureau or institution
as required by law.
In case of disapproval of this application, I/we hereby understand that the Bank is not obliged to disclose the reason/s for such disapproval.
Others
In the case this loan application is approved, and upon release of the loan proceeds to me/us, I/we hereby authorize PSBank to automatically
For construction and renovation needs,
TOTAL
enroll my/our Loan Account in PSBank Remote Banking for the use of its available functionalities subject to PSBank's terms and conditions.
I/We voluntarily agree that PSBank has the sole option to debit/credit any of my/our PSBank deposit account(s) to cover the payment in full any
NET MONTHLY INCOME
Home Construction Loan and Home Credit Line are also available.
loan obligation due or all such other amounts at the time the same is due including but not limited to penalty charges, insurance, interests and
other fees or such overdue amounts provided for in this Agreement and such other documents executed that are relevant and connected
therewith.
STATEMENT OF ASSETS AND LIABILITIES*
ASSETS
Signature of Applicant
Signature of Spouse/Co-Maker
Cash
Date ____________________
Date ____________________
Bank ________________________ Acct. Type ________ Amount ______________
Automatic Debit Account Number ____________________
Bank ________________________ Acct. Type ________ Amount ______________
FOR PSBANK’S USE ONLY
Real Estate
Sales Channel
Branch
Direct
Developer
Sales Desk
Others
How many? ____________ Est. Value _____________________________________
If branch-referred: Branch Name _________________ Branch Head ___________
Motor Vehicle
If from Developer: Agent/Broker ____________________ % of NSP/TAV _______
How many? ____________ Est. Value _____________________________________
Others __________________________ Est. Value ____________________________
MBD/Sales Desk Account O cer _______________________________________
Interest Rate ________%
TOTAL
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