ALPINE MOTORS CORPORATION

Governor’s Drive, Barangay Ulong Tubig,

Carmona, Cavite 4116
Tel No. (046) 404-6902
TIN No. 009-231-539-000

CREDIT APPLICATION
All information will be treated confidential

AUTO LOAN APPLICATION FOR INDIVIDUAL AND SINGLE PROPRIETORSHIP

MOTOR VEHICLE TO BE PURCHASED

UNIT / MODEL APPLIED FOR UNIT PRICE DOWN PAYMENT

PLACE OF USE / PURPOSE OF USE AMOUNT TO BE FINANCED TERMS

APPLICANT
BORROWER / MAKER
TIN CIVIL STATUS NO. OF DEPENDENT
FULL NAME (LAST, FIRST, MIDDLE)

BIRTHDATE BIRTH PLACE CITIZENSHIP

PRESENT ADDRESS

TEL. NO. / MOBILE NO. EMAIL ADDRESS OWNED PROVICE

LENGTH OF STAY MORTGAGE AMORTIZED
RENTED LIVING W/ PARENTS
___YEARS ___MOS.
PREVIOUS ADDRESS MONTHLY RENTAL MONTHLY AMORTIZATION
LENGTH OF STAY

___YEARS ___MOS.

CO-BORROWER / CO-MAKER
FULL NAME (LAST, FIRST, MIDDLE) TIN CIVIL STATUS NO. OF DEPENDENT

BIRTH DATE BIRTH PLACE CITIZENSHIP TEL. NO. / MOBILE NO.

SOURCE OF INCOME
PRESENT EMPLOYER / BUSINESS NAME (BORROWER) LENGTH OF STAY POSITION MONTHLY INCOME

___YEARS ___MOS.

BUSINESS ADDRESS TEL. NO.

PRESENT EMPLOYER / BUSINESS NAME (CO-BORROWER) LENGTH OF STAY POSITION MONTHLY INCOME

___YEARS ___MOS.

BUSINESS ADDRESS TEL. NO.

AMORTIZATION LIVING EXPENSES OTHER EXPENSES TOTAL EXPENSES TOTAL EARNINGS

PERSONAL REFERENCES
NAME ADDRESS TEL. NO.

NAME ADDRESS TEL. NO.

NAME ADDRESS TEL. NO.

CREDIT REFERENCES ID's PRESENTED

BANK ACCOUNT BRANCH ACCOUNT NO. TYPE ID NO.

I hereby certify that all data and statement in this application are correct and complete and are made for purpose of obtaining credit, and the signature appearing thereon are genuine, I
authorize you to obtain such information as you may require concerning the statements made in this application and that the sources to which you may apply are authorized to provide any
information relative to this application. I agree the application may remain in your property whether the credit is granted or not:

________________________________________________ _________________________________________________
SIGNATURE OF BORROWER DATE SIGNED CO-BORROWER / CO-MAKER DATE SIGNED

________________________________________________ _________________________________________________
SALES EXECUTIVE TEAM LEADER / GENERAL MANAGER
 ALPINE MOTORS CORPORATION
Governor’s Drive, Barangay Ulong Tubig,
Carmona, Cavite 4116
Tel No. (046) 404-6902
TIN No. 009-231-539-000

CREDIT APPLICATION
All information will be treated confidential

AUTO LOAN APPLICATION FOR INDIVIDUAL AND SINGLE PROPRIETORSHIP

MOTOR VEHICLE TO BE PURCHASED

UNIT / MODEL APPLIED FOR UNIT PRICE DOWN PAYMENT

PLACE OF USE / PURPOSE OF USE AMOUNT TO BE FINANCED TERMS

APPLICANT
BORROWER
TIN *CIVIL STATUS NO. OF DEPENDENT
*FULL NAME (LAST, FIRST, MIDDLE)

*BIRTHDATE BIRTH PLACE CITIZENSHIP

*PRESENT ADDRESS

*TEL. NO. / MOBILE NO. *EMAIL ADDRESS *LENGTH OF STAY OWNED PROVICE
MORTGAGE AMORTIZED
___YEARS ___MOS. RENTED LIVING W/ PARENTS
PREVIOUS ADDRESS LENGTH OF STAY If rental - Yrs If rental Monthly Amortization

___YEARS ___MOS.
SOURCE OF INCOME - BORROWER
*PRESENT EMPLOYER / BUSINESS NAME *LENGTH OF STAY *POSITION *MONTHLY INCOME

___YEARS ___MOS.
*ADDRESS: *EMPLOYERS CONTACT NO & EMAIL ADDRESS

SPOUSE
*FULL NAME (LAST, FIRST, MIDDLE) TIN *CIVIL STATUS NO. OF DEPENDENT

*BIRTH DATE BIRTH PLACE CITIZENSHIP *EMAIL ADDRESS *TEL. NO. / MOBILE NO.

SOURCE OF INCOME - SPOUSE

*PRESENT EMPLOYER / BUSINESS NAME *LENGTH OF STAY *POSITION *MONTHLY INCOME

___YEARS ___MOS.
*ADDRESS: *EMPLOYERS CONTACT NO & EMAIL ADDRESS

ADDITIONAL CO-BORROWER / CO-MAKER

*FULL NAME (LAST, FIRST, MIDDLE) TIN *CIVIL STATUS NO. OF DEPENDENT

*BIRTH DATE BIRTH PLACE CITIZENSHIP *EMAIL ADDRESS *TEL. NO. / MOBILE NO.

SOURCE OF INCOME - CO MAKER

*PRESENT EMPLOYER / BUSINESS NAME *LENGTH OF STAY *POSITION

___YEARS ___MOS.
*ADDRESS: *EMPLOYERS CONTACT NO & EMAIL ADDRESS

AMORTIZATION LIVING EXPENSES OTHER EXPENSES TOTAL EXPENSES TOTAL EARNINGS

PERSONAL REFERENCES
NAME ADDRESS TEL. NO.

NAME ADDRESS TEL. NO.

NAME ADDRESS TEL. NO.

CREDIT REFERENCES ID's PRESENTED

BANK ACCOUNT BRANCH ACCOUNT NO. TYPE ID NO.

I hereby certify that all data and statement in this application are correct and complete and are made for purpose of obtaining credit, and the signature appearing thereon are genuine, I
authorize you to obtain such information as you may require concerning the statements made in this application and that the sources to which you may apply are authorized to provide any
information relative to this application. I agree the application may remain in your property whether the credit is granted or not:

________________________________________________ _________________________________________________
SIGNATURE OF BORROWER DATE SIGNED CO-BORROWER / CO-MAKER DATE SIGNED

Masanaa Zermae Gunji Albert Gene Lorenzo

________________________________________________ _________________________________________________
SALES EXECUTIVE TEAM LEADER / GENERAL MANAGER