BUYER’S INFORMATION SHEET

PERSONAL INFORMATION

Name: ______________________________________________________________________________________________________________
Last Name First Name Middle Name/ Maiden Name

Date of Birth: _____________________________ Age: _______ Sex: Male Female

Month Day Year

Civil Status: Single Married Widower Separated Citizenship: ______________ No. of Dependents: ______

Phone: ______________________________ Cellphone: _________________________________ Email Address: _____________________

Please include country and area code if applicable

TIN: _________________ Community Tax Cert No:___________________ Place issued _________ Passport no: ___________________

Present Address: _____________________________________________________________________________________________________

No. Street Barangay/Subdivision

______________________________________________________________________________________________
District/Municipality City/Province Zip Code

Residency: __ years __ mos. Ownership: Owned, not mortgaged Owned, mortgaged Rented Living with relatives Nos of cars owned:____

Provincial Address: ____________________________________________________________________________________________________

No. Street Barangay/Subdivision

_____________________________________________________________________________________________
District/Municipality City/Province Zip Code

Educational Attainment: High school Undergraduate College Post Graduate Last School Attended: ____________________________

EMPLOYMENT INFORMATION

Employment Status: Private Sector Government Self Employed/Business Retired OFW Others please specify:________________________

Present Occupation
Company/Business Name: __________________________________________________ Nature of Business: _________________________

Company/Business Address: ____________________________________________________________________________________________

No. Street Barangay/Subdivision
_ ___________________________________________________________________________________
District/Municipality City/Province Zip Code

Phone: ___________ Email Address: _____________________ Position: ___________________ Yrs w/ present employer: __ yrs _mos.
Please include country and area code if applicable
Contact Person

Name: _____________________________________________ Position: ___________________ Contact nos: _________________________

Previous Occupation
Company/Business Name: __________________________________________________ Nature of Business: _________________________

Company/Business Address: ____________________________________________________________________________________________

No. Street Barangay/Subdivision
_ ___________________________________________________________________________________
District/Municipality City/Province Zip Code

Phone: ___________ Email Address: _____________________ Position: ___________________ Yrs w/ present employer: __ yrs _mos.
Please include country and area code if applicable
Contact Person

Name: _____________________________________________ Position: ___________________ Contact nos: _________________________

Certified Complete by Marketing Officer: ____________________________

ATTORNEY-IN-FACT (for applicants not in the country)

Name: _____________________________________________________________________________________________________________
Last Name First Name Middle Name/ Maiden Name

Phone: ______________________________ Cellphone: _________________________________ Email Address: _____________________

Please include country and area code if applicable

Present Address: _____________________________________________________________________________________________________

No. Street Barangay/Subdivision
______________________________________________________________________________________________
District/Municipality City/Province Zip Code

Company/Business Address: ____________________________________________________________________________________________

No. Street Barangay/Subdivision District/Municipality City/Province Zip Code
Relationship with the buyer: ____________________________________________________________________________________________

SPOUSE INFORMATION

Name: ______________________________________________________________________________________________________________
Last Name First Name Middle Name/ Maiden Name

Date of Birth: _____________________________ Age: _______ Sex: Male Female

Phone: ______________________________ Cellphone: _________________________________ Email Address: _____________________
Please include country and area code if applicable

Present Address: _____________________________________________________________________________________________________

No. Street Barangay/Subdivision
______________________________________________________________________________________________
District/Municipality City/Province Zip Code

Educational Attainment: High school Undergraduate College Post Graduate Last School Attended: ____________________________

Employment Status: Private Sector Government Self Employed/Business Retired OFW Others please specify:________________________

Spouse Present Occupation

Company/Business Name: __________________________________________________ Nature of Business: _________________________

Company/Business Address: ____________________________________________________________________________________________

No. Street Barangay/Subdivision
_ ___________________________________________________________________________________
District/Municipality City/Province Zip Code

Phone: ___________ Email Address: _____________________ Position: ___________________ Yrs w/ present employer: __ yrs _mos.
Please include country and area code if applicable
Contact Person

Name: _____________________________________________ Position: ___________________ Contact nos: _________________________

Spouse Previous Occupation

Company/Business Name: __________________________________________________ Nature of Business: _________________________

Company/Business Address: ____________________________________________________________________________________________

No. Street Barangay/Subdivision
_ ___________________________________________________________________________________
District/Municipality City/Province Zip Code

Phone: ___________ Email Address: _____________________ Position: ___________________ Yrs w/ previous employer: __ yrs _mos.
Please include country and area code if applicable
Contact Person

Name: _____________________________________________ Position: ___________________ Contact nos: _________________________

Certified Complete by Marketing Officer: ____________________________

CO-BORROWERS INFORMATION

Name: ______________________________________________________________________________________________________________
Last Name First Name Middle Name/ Maiden Name

Date of Birth: _____________________________ Age: _______ Sex: Male Female

Phone: ______________________________ Cellphone: _________________________________ Email Address: _____________________

Please include country and area code if applicable

Present Address: _____________________________________________________________________________________________________

No. Street Barangay/Subdivision

______________________________________________________________________________________________
District/Municipality City/Province Zip Code

Educational Attainment: High school Undergraduate College Post Graduate Last School Attended: ____________________________

Employment Status: Private Sector Government Self Employed/Business Retired OFW Others please specify:________________________

Spouse Present Occupation

Company/Business Name: __________________________________________________ Nature of Business: _________________________

Company/Business Address: ____________________________________________________________________________________________

No. Street Barangay/Subdivision
_ ___________________________________________________________________________________
District/Municipality City/Province Zip Code

Phone: ___________ Email Address: _____________________ Position: ___________________ Yrs w/ present employer: __ yrs _mos.
Please include country and area code if applicable
Contact Person

Name: _____________________________________________ Position: ___________________ Contact nos: _________________________

Spouse Previous Occupation

Company/Business Name: __________________________________________________ Nature of Business: _________________________

Company/Business Address: ____________________________________________________________________________________________

No. Street Barangay/Subdivision
_ ___________________________________________________________________________________
District/Municipality City/Province Zip Code

Phone: ___________ Email Address: _____________________ Position: ___________________ Yrs w/ previous employer: __ yrs _mos.
Please include country and area code if applicable
Contact Person

Name: _____________________________________________ Position: ___________________ Contact nos: _________________________

Certified Complete by Marketing Officer: ____________________________

INCOME INFORMATION

DETAILS BORROWER SPOUSE CO-BORROWER TOTAL

Monthly Salaries
Monthly Allowances
Monthly Commissions
Monthly Rental Income
Cash on Hand
Cash in Bank
Stocks/Bond
Real Property
TOTAL

FINANCIAL REFERENCES

A. LOANS (Please provide the following information on your existing and previous loans)
Name of Institution Type of Loan Date Granted/Paid Outstanding Balance Monthly Amortization

B. CREDIT CARDS (Please provide the following information on your existing and cancelled credit cards)
Card Issuer Credit Card Number Credit Limit Name of Card if other than above name

C. DEPOSITS (Please provide the following information on your existing Savings, Checking and Time Deposits; also include both peso and all other currency deposits)
Name of Bank/Institution Branch/Contact Number Type of account Account Number Average Amount

PERSONNAL REFERENCES

Please provide at least 3 persons as references

Name Relationship to Buyer Residence Address Office Address Contact nos

AUTHORIZATION
By signing below, I certify that all the information provided on this application is verifiable and accurate. Any information, and other parties I authorize, which is not true
and accurate will automatically cause the R.A.Tagala Ventures to reject my application and cancel its approval.
I hereby authorize the owner of the property, and its authorized representative to verify and to investigate from my employer, business, my Bank, and other reference any
and all information required to process my application including information provided herein.
In view of my authorization to owner of the property, to check my credit history, I also authorize my Employer, my bank and other references to provide and/or verify
information to the R.A.Tagala Ventures and its authorize representative pertaining to my account.
I fully understand that submission of required documentation to support this application does not constitute automatic approval. I shall be informed of R.A.Tagala
Ventures’s decision regarding my application, without obligation on its part to furnish reason for rejection.
I understand that if my application is approved, I shall have to comply with the requirements as advised through a Document checklist.

I have read and agree to bind myself to the terms and conditions governing this house and lot purchase.

_____________________________________ _____________________________________
Applicant Spouse/Co-Borrower
_____________________________________ _____________________________________
Date Date

Comm. Tax. Cert. Nos:____________________ Comm. Tax. Cert. Nos:____________________

Date & Place Issued: _____________________ Date & Place Issued: _____________________
TIN Number: ___________________________ TIN Number: ___________________________

Certified Complete by Marketing Officer: ____________________________