Form No. 7-8021 - Housing Loan Application - 2010 Page 3

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ANNEX TO THE HOUSING LOAN APPLICATION FORM

(Applicable only to Multi-Purpose Loans)

Client Information File Number

_________________________

The undersigned BORROWER/S hereby certify that the additional information below to wit COLLATERAL:

Actual Occupants of the Property Constituting the Collateral

Collateral

Relationship to Borrower/s

(only those of legal age)

Property 1

TCT / CCT No. ___________________

Property 2

TCT / CCT No. ___________________

Property 3

TCT / CCT No. ___________________

and the documents submitted to support it, if any, are hereby true and correct and may be relied upon by the United Coconut Planters Bank (the “Bank”) for

the purpose of processing the undersigned’s application for a Housing Loan.

Signed this _______ day of __________________________ 20 ____ at ________________________________.

______________________________________________

Signature of Borrower

Signature of Spouse / Co-Borrower