TBR LEASING / ARREARS TIN/SSS/GSIS # : 405-036-658

DATE Sept 23, 2019

REF NO.
TOYOTA BACOOR, CAVITE, INC. MP / GRM
Bacoor Blvd, Mambog IV, Bacoor, Cavite 4102 jec/arb
Tel no.: 498-8000 local 7201
Fax no.: (046)0435-9938
USAGE: [ ] PRIVATE [ ] PUBLIC [ ] BUSINESS [ ] with Attachment [ ] w/o Attachment
APPLICATION FOR VEHICLE FINANCING

I/We certify that all this information entered into this loan application are true, correct and complete. I/We authorize you to verify and investigate said information from whatever
sources you may consider appropriate. I/We authorize the sources that you approach to provide information relative to this application. I agree that this application and the
information derived will remain your property whether the loan is granted or not.
YEAR MODEL UNIT VARIANT

2019 HILUX G AUTO

UNIT PRICE DOWNPAYMENT AMOUNT FINANCE TERM MONTHLY

Php1,279,000 [ 15% ] 191,850 [ 85% ] 1,087,150 60 27,341

PRINCIPAL BORROWER CO-MAKER [ ] SPOUSE [ * ] RELATIVE :
LAST NAME FIRST NAME MIDDLE NAME LAST NAME FIRST NAME MIDDLE NAME

TABLIGA GERWIN ANDRES AGUSTI MARISSA CALZADO

COMPLETE ADDRESS COMPLETE ADDRESS
UNIT 9 JNA TOWN HOUSE BAYAKAL ST. PALIPARAN SAME AS BORROWER
ROAD, SILANG CAVITE
[ * ] OWNED ] RENTED [ * ] OWNED ] RENTED
HOME OWNERSHIP HOME OWNERSHIP
[ ] MORTGAGE [ ] USED FREE [ ] MORTGAGE [ ] USED FREE
STATUS BIRTHDAY AGE CITIZENSHIP PLACE OF BIRTH STATUS BIRTHDAY AGE CITIZENSHIP PLACE OF BIRTH
[ ] SINGLE
2 26 84 35 FIL NUEVA [ ] SINGLE
8 30 77 42 FIL ILO-ILO
[ * ] MARRIED ECIJA [ * ] MARRIED
[ ] SEPARATED [ ] SEPARATED
[ ] WIDOWED DEPENDENTS 1 [ ] WIDOWED DEPENDENTS 0
YRS. STAYED HOME PHONE YRS. STAYED HOME PHONE

5 YRS CELLPHONE NO/s. 0956.996.1698 5 YRS CELLPHONE NO/s. 0917.274.7106

TIN # PROVINCIAL ADDRESS TIN # PROVINCIAL ADDRESS

APPLICANT'S EMPLOYER / BUSINESS NAME CO-MAKER/CO-BORROWER EMPLOYER / BUSINESS NAME

ASSIRAM INDUSTRIAL SKILLS TRAINING CENTER SAME

EMPLOYER'S / BUSINESS ADDRESS EMPLOYER'S / BUSINESS ADDRESS
UNIT 9 JNA TOWN HOUSE BAYAKAL ST. PALIPARAN SAME
ROAD SILANG CAVITE
TEL. # YRS W/ COMPANY POSITION TEL. # YRS W/ COMPANY POSITION
0927.562.1820 5 YEARS ASST. MANAGER SAME SAME OWNER
LESS MONTHLY EXPENSES
APPLICANT’S MONTHLY SALARY PHP 75,000.00
CO-BUYER’S/CO-MAKER’S MONTHLY SALARY PHP 150,000.00 RENTALS

ADD. OTHER MONTHLY INCOME MORTGAGES

HOUSEHOLD EXPENSES

OTHER EXPENSES

TOTAL EXPENSES

TOTAL MONTHLY INCOME NET MONTHLY INCOME

BANK BRANCH TYPE OF ACCOUNT ACCOUNT NO.

PSBANK SILANG SAVINGS
PSBANK SILANG CHECKING
BANK/CREDIT CARD REF: CREDIT FACILITY ACCOUNT NO. MONTHLY PAYMENTS

PERSONAL / TRADE REFERENCES (NAME) ADDRESS CONTACT NO/S.

HAVE YOU FILLED-OUT CAR LOAN APPLICATION TO OTHER CAR DEALER/FINANCING COMPANY? YES__ or No__
If yes, please state the name of the car dealer/financing company. _________________________
HAVE YOU HAD PREVIOUS CAR LOAN? YES__ or No__
If yes, please state the name of the financing company. __________________________________

Applicant's Signature over Printed Name Date of Application GRM'S initial/signature

* If Co-Maker or Co-Buyer as not spouses, kindly fill-up one(1) application each.
 TBR LEASING / ARREARS NMI:
DATE
REF NO.
TOYOTA BACOOR, CAVITE, INC. MP / GRM
Bacoor Blvd, Mambog IV, Bacoor, Cavite 4102
Tel no.: 498-8000 local 7201
Fax no.: (046)0435-9938
USAGE: [ ] PRIVATE [ ] PUBLIC [ ] BUSINESS [ ] with Attachment [ ] w/o Attachment
APPLICATION FOR VEHICLE FINANCING (CORPORATE)
I/We certify that all this information entered into this loan application are true, correct and complete. I/We authorize you to verify and investigate said information from whatever sources you may consider
appropriate. I/We authorize the sources that you approach to provide information relative to this application. I agree that this application and the information derived will remain your property whether the
loan is granted or not. I/We understand that any willful misrepresentation will be considered as fraud, and will adversely affect approval of this application ans status of my loan, and may be prosecuted to
the full extent of the law if already granted.

YEAR MODEL UNIT VARIANT

UNIT PRICE DOWNPAYMENT AMOUNT FINANCE TERM MONTHLY

[ ] [ ]
PRINCIPAL OWNER / AUTHORIZED SIGNATORY
NAME OF FIRM
LAST NAME FIRST NAME MIDDLE NAME

COMPLETE BUSINESS ADDRESS COMPLETE HOME ADDRESS

OWNERSHIP: [ ] OWNED [ ] RENTED [ ] MORTGAGE to OWNERSHIP: [ ] OWNED [ ] RENTED [ ] MORTGAGE [ ] USED FREE
YEARS OF STAY YRS IN OPERATION TIN # POSITION YRS w/ COMPANY TIN #

TELEPHONE NOS. FAX NO. HOME PHONE / MOBILE NO. BIRTHDATE AGE CITIZENSHIP

TYPE OF BUSINESS NATURE OF BUSINESS PRODUCTS/SERVICES SEC REG NUMBER COMMUNITY TAX CERT #
[ X ] CORPORATION
[ ] PARTNERSHIP
[ ] SOLE PROPRIETORSHIP
MAIN STOCKHOLDERS / PARTNERS % OWNERSHIP POSITION CITIZENSHIP ADDRESS

◦INCOME STATEMENT LIABILITIES

MONTHLY GROSS REVENUE TRADE PAYABLES
ADD. OTHER MONTHLY INCOME SHORT TERM LOANS
OPERATING EXPENSES LONG TERM LOANS
TOTAL MONTHLY INCOME BEFORE TAX TOTAL LIABILITIES
◦BALANCE SHEET CAPITAL STOCK
ASSETS:
TRADE RECEIVABLES ADDL PAID-IN CAPITAL
CURRENT ASSETS RETAINED EARNINGS
FIXED ASSETS TOTAL EQUITY
TOTAL ASSETS TOTAL LIABILITIES AND EQUITY

BANK BRANCH TYPE OF ACCOUNT ACCOUNT NO.

BANK/CREDIT CARD REF: CREDIT FACILITY TEL No. ACCOUNT NUMBER MONTHLY PAYMENTS

SUPPLIER / TRADE REFERENCES (NAME/COMPANY) TEL NoS. ITEM SUPPLIED ADDRESS

VEHICLE OWNED MORTGAGED TO TOTAL PAYMENTS

HAVE YOU FILLED-OUT CAR LOAN APPLICATION TO OTHER CAR DEALER/FINANCING COMPANY? YES__ or No__ If yes, please state the name of the car
dealer/financing company. _________________________

HAVE YOU HAD PREVIOUS CAR LOAN? YES__ or No__ If yes, please state the name of the
financing company. __________________________________
Authorized Signatory Position Date of Application GRM'S initial/signature