Application Form 2018
Application Form 2018
APPLICATION NO.___________________________
Client Source:
( ) Dealer: __________________________________
Sales Rep.: _______________________________
CREDIT APPLICATION Date Received:_________________________
ITEM APPLIED FOR (Please Check)
( ) Truck ( ) Heavy Equipment ( ) ATTACHEMENT ( ) OTHER_________________________________
( ) NEW ( ) USED BRAND________________________ TYPE & YEARS MODEL_______________________________
CASH PRICE _____________________ DOWNPAYMENT___________________ AMOUNT FINANCE__________________________
Term_____________ Accessories/Attachement_____________________________________________________
Barrower (LAST) FIRST) (MIDLE) E-MAIL_________________________
*NAME_________________________________________________________________________________________ CP#_____________________
PLACE OF BIRTH__________________________________________________________________ DATE OF BIRTH_____________________ AGE________
MARITAL STATUS ( ) SINGLE ( ) MARRIED ( ) SEPARATED ( ) WIDOW HIGHEST EDUCATION: ___________________________________
*HOME ADDRESS____________________________________________________________________________________________ TEL.NO._____________
YEARS IN ABOVE ADDRESS:_____ ( )OWN MO. AMORT.________________ ( )RENT MO. RENTAL_____________ ( )LIVING WITH RELATIVE
PREVIOUS ADDRESS____________________________________________________________________________ YEARS THERE________________
*EMPLOYER (OR NAME OF BUSINESS IF SELF EMPLOYED) ________________________________________________________________________________
*OFFICE ADDRESS: _______________________________________________________________________________________________________________
POSTION:____________________________ LENGTH OF STAY_________ ACR NO. ____________________ NATIONALITY _____________________
ID’S:
SSS/GSIS_____________ TIN______________ PASSPORT_________________ RES. CERT.__________________ DRIVER’S LIC.______________________
* NO. OF DEPENDENTS______________________ HOW MANY IN: ESTIMATED MO. SCHOOLING
DEPENDENTS AGES ____, ____, ____,____,_____, ELEMENTARY______ HIGHSCHOOL_____COLLEGE_____ EXPENSES___________________________
*NAME____________________________________________________________________________________ CP #________________________________
PLACE OF BIRTH_________________________________________________________________ DATE OF BIRTH_______________ AGE___________
*EMPLOYER (or Name Of Business If Self Employed)________________________________________________ POSITION____________________________
*OFFICE ADDRESS:___________________________________________TEL. NO._______________________________ LENGTH OF SERVICES_____________
CREDIT CARD COMPANY CARD NO. MEMBER SINCE EXPIRY DATE CREDIT LIMIT OUTS. BALANCE
_________________________________ ______________________________
BORROWER/MAKER SPOUSE/CO-MAKER
FOR CORPORATION
NAME OF BUSINESS/FIRM
Savings/Time DEPOSIT
Deposit BALANCE
DEPOSIT
BALANCE
Checking DEPOSIT
Account BALANCE
DEPOSIT
BALANCE
Loans/Credit DEPOSIT
Facility BALANCE
DEPOSIT
BALANCE
I certify that all the information given above are true and correct to the best of my knowledge. The above information are given for the purpose of obtaining
credit from and hereby authorize GOOD MORNING FINANCE CORPPORATION to obtain information concerning any statement made herein. Pursuant to Banko Sentral ng
Pilipinas (BSP) Circular 472 dated February 1, 2005. I/we hereby execute a Waiver of Confidentiality of Information authorizing GOOD MORNING FINANCE CORPORATION to
conduct random verification with the Bureau of Internal Revenue (BIR) for purposes of establishing the authenticity of the Income Tax Return (ITR) and accompanying financial
statement submitted by us in connection with loans, other credit accommodations and credit lines granted, renewed or extended by the said financial institution.
________________________________ ________________________________________
Date Signature of Applicant