Transcription of Home Loan Application Form APPLICANT SPOUSE
1 Thank you for choosing PSBank Home loan . We would like to know more about you. Please check the appropriate boxes and print your answers using black ink PSBank client?If yes, what product:BorrowerCo-borrower/Co-makerYe sNoDepositAuto LoanHome LoanPersonal LoanBusiness LoanPSBankHome loan Application FormABOUT THE loan YOU WISH TO AVAILHome loan ProductBuy a lot (acqui)Buy a property that is currently mortgaged (acqui/ref )Buy a lot and build a house on it (acqui/cons)Transfer my existing housing loan (ref )Construct a house on own lot that is currently mortgaged (ref/cons) loan Amount Php _____Home loan No.
2 Of Years _____ Rate Fixing* _____Home Credit LineHome Construction LoanIf Home Construction loan , choose a payment scheme after the 1st and Interest - No. of Years _____ Rate Fixing* _____Interest only - Line renewable yearlyABOUT YOUR COLLATERALI ntended useFor owner occupancyNot for occupancyOwner-occupiedLocationResidenti alOthers _____TCT/CCT No. _____ Survey Control No. _____Registered Owner/Developer _____Classi cationIf from a developer,Project Name _____ Net Selling Price Php_____Contact Person _____Tel. No. and Name _____ House/Block/Lot/Phase No. _____Street/Village _____Barangay Box _____Municipality/City/Province _____ Zip Code _____First NameMiddle NameLast NameBirth Date (mm/dd/yyyy)--Age _____ Gender _____Mobile Address _____Civil StatusSingleMarriedLegally SeparatedWidow/WidowerEducationElementar yHigh SchoolVocationalUndergraduateCollegePost -graduateTINDo you or your SPOUSE have a relative working at PSBank?
3 Ye sNoIf yes, Name _____ Relationship _____ABOUT YOURSELFM other s Maiden Name _____Place of Birth _____ Religion _____Not Legally SeparatedSSS/GSIS YOUR SPOUSEM ( ) _____First NameMiddle NameLast NameBirth Date (mm/dd/yyyy)Age _____Nationality _____ Citizenship _____Mother s Maiden Name _____Place of Birth _____ Gender _____Landline SchoolVocationalUndergraduateCollegePost -graduateEmployment StatusAPPLICANTSPOUSEIf unemployedEmployment Sub StatusO ce/Business AddressABOUT YOUR/ SPOUSE S EMPLOYMENT/BUSINESSL ocally EmployedOverseas Filipino (non-immigrant)Overseas Filipino (immigrant)UnemployedPrivateGovernmentSe lf-EmployedAlloteeNot WorkingPensioner/RetiredStudentEmployer/ Business No.
4 And NameHouse/Block/Lot/Phase BoxIf Overseas Filipino, Country of DestinationO ce/Business Phone TitlePosition 1 Clerical/Non-ProfessionalSta /ProfessionalManager/HeadOwner/President /ChairmanPosition 2 Non-O cerJr. O cer/SupervisorMiddle ManagerSr. O cerWork StatusPermanentProbationaryContractualCa sualNature of Work/BusinessIndustryLength of Stay (years)Other Source of FundsNationality _____ Citizenship _____For this loan Application , I am the:Get extra cash (equity) for RenovationOthers _____Other Name _____Other Name _____Preferred Mailing Address:Present AddressPermanent AddressO ce AddressEmployment BaseLandSeaAirLandSeaAirTINSSS/GSIS ciary (if applicable)Name _____--Birth Date (mm/dd/yyyy)--Place of Birth _____Present Address _____Nature of Work _____ Source of Funds _____Buy a lot with improvement (acqui)If your present and permanent address are one and the same, please ll out the present column and indicate N/A in the permanent No.
5 & NamePresent AddressPermanent AddressHouse/Block/Lot/Phase BoxMunicipality/City/ProvinceZip CodeLength of StayYearsMonthsYearsMonthsHome OwnershipOwnedRentedMortgaged with _____Living with relativesOwnedRentedMortgaged with _____Living with relativesRemaining years _____Remaining years _____*No of years you want a xed rate.(To be occupied by owner)(Currently occupied by owner)Buy a PSBank acquired property (acqui) Construct a house on a lot I own (cons) ( ) a condominium (acqui)Interest Rate _____%PREVIOUS EMPLOYMENTAPPLICANTSPOUSEE mployer/Business NameO ce/Business No. and NameHouse/Block/Lot/Phase BoxLength of Stay (years)Monthly SalaryWORK/BUSINESS/PERSONAL REFERENCESWork/BusinessName _____ Phone No.
6 _____ Relationship _____PersonalName _____ Phone No. _____ Relationship _____ABOUT YOUR DEPENDENTSNo. of Children _____No. of Dependents _____Name _____ Age _____ Relationship _____Name _____ Age _____ Relationship _____Name _____ Age _____ Relationship _____Name _____ Age _____ Relationship _____STATEMENT OF INCOME AND EXPENSESGROSS MONTHLY INCOMEASSETSCashBank _____ Acct. Type _____ Amount _____Real EstateHow many? _____ Est. Value _____Motor VehicleHow many? _____ Est. Value _____Others _____ Est. Value _____TOTA LLIABILITIESAPPLICANTSPOUSEB asic SalaryOvertime PayProfessional/Service FeeAllowanceCommission/IncentiveOthersTO TA LGROSS MONTHLY EXPENSESH ouse Rent/AmortizationLiving Expenses ( food, etc.)
7 Utilities ( electricity, etc.)School Expenses ( tuition, etc.)Payment for loan /Credit CardsOthersTOTA LNET MONTHLY INCOMESTATEMENT OF ASSETS AND LIABILITIES*Bank _____ Acct. Type _____ Amount _____Personal LoanAuto LoanHome LoanBusiness LoanCredit CardsTOTA LNET WORTHCOVENANTS OF THE BORROWER/S 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 to this speci c loan with PSBank.
8 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 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 documents including, but not limited to, joint and several liability for all charges, fees and other obligations necessary in processing my/our loan Application .
9 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 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 whether credit is granted or not. I/ We hereby waive my/our rights under the provisions of No. 08-1-16-SC issued by the Supreme Court on the Rule of the Writ of Habeas Data. 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.
10 1405, 6426 and the Bank's compliance with Anti-Money 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 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 same shall be considered in evaluating my/our nancial capacity and credit-worthiness of my/our Application . 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 .
