Form No. 7-8021 - Housing Loan Application - 2010 Page 2

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FINANCIAL DATA
P
(In Thousands)
Applicant
Spouse / Co-Borrower
Total
0.00
(A)
Monthly Income
P
P
(B)
Monthly Expenses
0.00
P
0.00
Monthly Disposable Income
(A-B)
Assets
Cash on Hand and in Bank
P
0.00
Real Estate
P
0.00
Car / Vehicles
P
0.00
P
Others
0.00
(Please specify)
Total Assets
P
0.00
Liabilities
Loans
P
0.00
P
Others
0.00
P
Total Liabilities
0.00
P
P
Net Worth
0.00
(Total Assets Less Total Liabilities)
0.00
0.00
DOCUMENTARY REQUIREMENTS
1.
Information on Personal Data and Income
c.
Articles of Incorporation and By-Laws
a.
Loan Application Form with ID of all Borrowers/Signatories
d.
Business background/ company profile
e.
List of major suppliers and customers (indicate Telephone
b.
Marriage Contract
c.
Bank Statements/Passbooks for the past year
Number and Contact Person)
d.
Billing Statement
f.
Bank Statement (last 6 months)
g.
Photocopy of 1 government-issued ID (Signatories) (affix 3 specimen
If Employed
signatures on the photocopy)
a.
Borrower’s Income Tax Return (ITR) for the past year
b.
Certificate of Employment and Salary
2.
Information on Collateral Property
c.
Payslip for 3 months
a.
Photocopy of the Title (CCT / TCT)
d.
Photocopy of 1 government-issued ID (affix 3 specimen signatures
b.
Certified lot plan and location/vicinity map
on the photocopy)
c.
Tax Declaration / Tax Receipts
If Working Abroad
3.
If Loan is for Construction/Renovation
a.
Consularized Special Power of Attorney
a.
Building Plans and Specifications
b.
Consularized Certificate of Employment or Original COE with
b.
Bill of Materials
employer e-mail address
c.
Proof of Remittance
4.
If Loan is for Refinancing
d.
If seaman & OFW, POEA certified contract and Seaman’s Book
a.
Statement of Account from the Creditor/Mortgagor
If in Business
A Non-Refundable Appraisal Fee shall be collected upon application
a.
ITR and Audited Financial Statement for the last 3 years
b.
Certificate of Business Registration (SEC/DTI)
Res. Cert. ____________________________ Issued at ______________________________ Date __________________________ TIN________________________
ACR Number __________________________ Issued at ______________________________ Date __________________________ TIN______ __________________
Verification OR Number ___________________________ Date ____________________ _________
LETTER OF AUTHORIZATION AND WAIVER OF CONFIDENTIALITY
(In compliance with BSP Cir. No. 472 and Like Regulations)
To all Concerned Banks
In relation with my application with UCPB, I hereby authorize the said Bank to obtain information on my deposit accounts with you:
Bank / Branch _________________________
Deposit Type ______________________
Account Number
Bank / Branch _________________________
Deposit Type ______________________
Account Number
Bank / Branch _________________________
Deposit Type ______________________
Account Number
Bank / Branch _________________________
Deposit Type ______________________
Account Number
Bank / Branch _________________________
Deposit Type ______________________
Account Number
I hereby certify that all information contained in this Application and in all supporting documents submitted are true and correct and that the signatures
appearing thereon are genuine. In compliance with BSP Circular Nos. 472 (as amended by BSP Circular No. 549) and 589, I hereby authorize the Bank and/or
its representative, as my Attorney-in-Fact, to verify my financial capacity, creditworthiness, and all information herein, including previous credit transactions
with other institutions, to conduct random verifications with the Bureau of Internal Revenue to establish the authenticity of the Income Tax Returns and
accompanying Financial Statements/documents submitted by me in support of this Application and to report and make disclosures of any credit information
relative to me that are basically adverse in nature to credit information bureaus and organizations performing similar functions. I willingly and voluntarily, with
full knowledge of my rights under the law, waive my rights under any and all statutory and regulatory provisions governing confidentiality of information. I
hereby authorize the Bank to obtain such information as it may require concerning the statements made in this Application and that the sources to which it
may apply are authorized to provide any information relative to this Application.
I hereby hold free and harmless the Bank, its stockholders, directors, officers, employees and agents from any claims in relation to this waiver of confidentiality
and authority, herein granted.
Signed this _______ day of __________________________ 20 ____ at ________________________________.
______________________________________________
______________________________________________
Signature of Borrower
Signature of Spouse / Co-Borrower

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