HQP-AAF-005

______________________
(Branch)
RESERVATION FORM
Date of Reservation: ________________
A. Buyer Information
Name
Address
Contract Number
Employer/Business Name

:
:
:
:

B. Property Information
Property Number
Property Location
Selling Price
Mode of Payment

:
:
:
:

Signature
TO BE FILLED OUT BY Pag-IBIG FUND
Received by:

Date:__________________
Time:__________________

____________________________
Authorized Signatory
(Signature Over Printed Name)

(July 2012)

HQP-AAF-005

______________________
(Branch)
RESERVATION FORM
Date of Reservation: ________________
A. Buyer Information
Name
Address
Contract Number
Employer/Business Name

:
:
:
:

B. Property Information
Property Number
Property Location
Selling Price
Mode of Payment

:
:
:
:

Signature
TO BE FILLED OUT BY Pag-IBIG FUND
Received by:
____________________________
Authorized Signatory
(Signature Over Printed Name)

Date:__________________
Time:__________________
(July 2012)

HQP-AAF-004

_________________
(Branch)
OFFER TO PURCHASE

__________________
Date

Attention: ACQUIRED ASSET MANAGEMENT/SECTION

Sir/Madam:
Relative to the sale of Pag-IBIG Fund property/ies described below, I/We hereby submit my/our offer to
purchase the said property subject to the terms and conditions of the Guidelines Implementing the
Pag-IBIG Fund Acquired Assets Disposal Program:
1. Location of the Property: ______________________________________________________
2. Property No. __________________________TCT/CCT No. __________________________
3. Selling Price: ________________________________________________(P_____________)
4. Mode of Payment:
Cash
Installment ( ___ months) Pag-IBIG Housing Loan
5. Former Owner:
Yes
No
6. Pag-IBIG Member:
Yes
No
I/We agree to hold Pag-IBIG Fund free and harmless from liabilities of whatever kind and nature arising out
of any legal claims which may be filed by third persons involving the property. Further, I/we also agree that
Pag-IBIG Fund has no commitment and makes no guaranty to approve the offer, as it is understood to be
subject to final approval by Pag-IBIG Funds approving authorities.
Very truly yours,
_____________________________________
OFFEROR/AUTHORIZED REPRESENTATIVE
Buyer Information:
NAME OF BUYER/AUTHORIZED REPRESENTATIVE
Last Name

First Name

DATE OF BIRTH
Name Extension (e.g. Jr., III)

Middle Name

Maiden Name
m

TAXPAYERS IDENTIFICATION NO. (TIN)

SSS/GSIS ID NO.

Pag-IBIG MID NO.

PERMANENT HOME ADDRESS

Unit/Room No., Floor

Building Name

Subdivision

Barangay

COMMON REFERENCE NO. (CRN)

CONTACT DETAILS
Lot No., Block No., Phase No. or House No.

Street Name

(Indicate country code if abroad)

COUNTRY + AREA CODE TELEPHONE NO.

Municipality/City

Province and State Country (if abroad)

ZIP Code

PRESENT HOME ADDRESS

Unit/Room No., Floor

Building Name

Subdivision

Barangay

Home Tel. No.

Cellphone No.
Lot No., Block No., Phase No. or House No.

Municipality/City

Street Name

Province and State Country (if abroad)

ZIP Code

Employer/Business Tel. No.

Email Address

EMPLOYER/BUSINESS NAME

EMPLOYER/BUSINESS ADDRESS
Unit/Room No., Floor

Building Name

Subdivision

Barangay

Lot No., Block No., Phase No. or House No.

Municipality/City

Street Name

Province and State Country (if abroad)

PREFERRED MAILING ADDRESS

ZIP Code

Present Home Address

Employer/Business Address
Permanent Home Address

- ---------------------------------------------------------------------THIS PORTION IS FOR Pag-IBIG FUND USE ONLY

ACQUIRED ASSET MANAGEMENT/SECTION
Computation of Net Purchase Price
Offered Price:
P ______________
Less: Discount (___%):
(______________)
Net Purchase Price
Computed by

Date

Approved by

Date

For sale through installment

Interest Rate ____ %
Term
____ months
P _____________
Disapproved by

Date

Monthly Installment
P _____________
Remarks

(July 2012)

HQP-HLF-070

AUTHORIZATION TO CONDUCT CREDIT/

BACKGROUND INVESTIGATION

____________________
Date
_______________________
_______________________
_______________________
Dear Sir/Madam:
I hereby authorize Pag-IBIG Fund or its duly authorized representative to
validate/check with the following institutions in connection with my/our application
for housing loan:

Company/Employer
BIR
Bank (in case income is sourced from foreign remittances, pension, etc)
Credit Cards Owned (if any)
DTI (Business Name)
LGU (Mayors Permit/Business Permit)
LTFRB (Transport Franchise)
Others: ________________

Thank you.

Very truly yours,

______________________
Signature of Borrower
Over Printed Name

(August 2012)

Republic of the Philippines

City of Mandaluyong

AFFIDAVIT OF UNDERTAKING

I, ___________________________________ of legal age, Filipino, Single/Married, with

residence address at _______________________________________________________________
After having duly sworn in accordance with law, depotes and states:
1. That I am Pag-IBIG member who wishes to purchase a residential house and lot under
the Pag-IBIG Fund Acquired Assets Disposal Program (Circular 308) which
property is described and identified as Blk___Lot___Ph_________________________
______________________________;
2. That I am buying and accepting the subject property on AS IS WHERE IS basis
knowing for a fact that the same is presently occupied by the original borrower/buyers
of rights/illegal occupants;
3. That any payment or deposit made with the Pag-IBIG Fund in connection with my
purchase of the said property, the same shall be forfeited in accordance with the
Purchase Offer Form;
4. That I fully understand the contents of the foregoing affidavit and had been explained
to me in dialect/language known to me;
5. That I am executing this affidavit to attest the truth and veracity of that foregoing and
for whatever purpose this may serve.
IN WITNESS THEREOF, I affixed my signature this ____ day of _______________, 2014
____________.

____________________________
Signature over Printed Name

HOME DEVELOPMENT MUTUAL FUND

Acquired Assets Management
7/F JELP Business Solutions Center
409 Shaw Boulevard, Mandaluyong City

I, _________________________________ hereby acknowledge that I have been duly

informed by the Fund that the RESERVATION FEE for Property No._______________
is NON - TRANSFERRABLE / NON - REFUNDABLE and that it is valid for THIRTY (30)
days from the date the reservation is made and in the event of non-compliance with the
requirements, my reservation is deemed CANCELLED without the need to be notified.

____________
Date

___________________________
Signature over Printed Name

HOME DEVELOPMENT MUTUAL FUND

Acquired Assets Management
7/F JELP Business Solutions Center
409 Shaw Boulevard, Mandaluyong City

I, _________________________________ hereby acknowledge that I have been duly

informed by the Fund that the RESERVATION FEE for Property No._______________
is NON - TRANSFERRABLE / NON - REFUNDABLE and that it is valid for THIRTY (30)
days from the date the reservation is made and in the event of non-compliance with the
requirements, my reservation is deemed CANCELLED without the need to be notified.

____________
Date

___________________________
Signature over Printed Name

HQP-HLF-063

HQP-HLF-063
MEMBERSHIP STATUS
VERIFICATION SLIP
Date Filed: __________

MEMBERSHIP STATUS
VERIFICATION SLIP

MSVS No. ___________ Date Filed: __________

MSVS No. ___________

Name of Developer (For Developers account)

Tel. No.

Name of Developer (For Developers account)

Tel. No.

Last Name

Middle Name

Last Name

Middle Name

First Name

Name Ext.

Sex

Maiden Name (For married women)

Pag-IBIG MID No.

First Name

Name Ext.

Sex

Maiden Name (For married women)

Male
Female
Marital Status

Date of Birth

Single/
Married
Widow/er
Unmarried
Company/Employer/Business Name

Legally
Separated

Pag-IBIG MID No.

Male
Female
Annulled

Company/Employer/Business Address

Marital Status

Date of Birth

Single/
Married
Widow/er
Unmarried
Company/Employer/Business Name

Tel. No.

Legally
Separated

Annulled

Company/Employer/Business Address

Tel. No.

For AFP
Employee

Branch of Service

Serial/Account No.

For AFP
Employee

Branch of Service

Serial/Account No.

For DECS
Employee

Division Code

Station Code

For DECS
Employee

Division Code

Station Code

Employee No.

EMPLOYMENT HISTORY FROM DATE OF Pag-IBIG MEMBERSHIP

NAME OF EMPLOYER/ADDRESS

FROM (Mo./Yr.)

TO (Mo./Yr.)

Members
Signature

EMPLOYMENT HISTORY FROM DATE OF Pag-IBIG MEMBERSHIP

NAME OF EMPLOYER/ADDRESS

TO (Mo./Yr.)

FOR SERVICING DEPARTMENT / HOUSING LOANS DIVISION /

Pag-IBIG INTERNATIONAL OPERATIONS GROUP

HOUSING VERIFICATION
Without With

HOUSING
LOAN

HOUSING VERIFICATION

TOD

Loan Value

HL Status

_____________

_______________

_____________________

Verified by:

Date:

Without With

TOD

HOUSING
LOAN

_____________

Verified by:

LATEST CONTRIBUTION RECORD

PFR No./Date
Amount
Without

With

CLAIMS
MPL

DV Date

Loan Value /
Amount
_____________ ________________
_____________ ________________

Loan Entitlement

Verified by:

Certified by:

Date

HL Status

_______________

_____________________

PROVIDENT VERIFICATION
Total No. of
Contributions
Claim Type /
Last Applicable Month
_____________________
_____________________

Date

Year/Month

LATEST CONTRIBUTION RECORD

PFR No./Date
Amount
Without With

CLAIMS
MPL

DV Date

Loan Value /
Amount
_____________ ________________
_____________ ________________

Loan Entitlement

Verified by:

Certified by:

Date

MSVS APPROVAL

Approved

Loan Value

Date:

PROVIDENT VERIFICATION

Total No. of
Contributions
Claim Type /
Last Applicable Month
_____________________
_____________________

Date

MSVS APPROVAL

Disapproved

Remarks

Approved

Disapproved

Remarks

FOR RE-VALIDATION OF MSVS

FOR RE-VALIDATION OF MSVS

HOUSING VERIFICATION
Without With

TOD

HOUSING
LOAN

_____________

Verified by:

Loan Value

_______________

HOUSING VERIFICATION
HL Status

_____________________

Date:

Without With

HOUSING
LOAN

LATEST CONTRIBUTION RECORD

PFR No./Date
Amount
Without

CLAIMS
MPL

With

DV Date

Loan Value /
Amount
_____________ ________________
_____________ ________________

Loan Entitlement

Verified by:

Certified by:

Date

TOD

Loan Value

HL Status

_____________

_______________

_____________________

Verified by:

Date:

PROVIDENT VERIFICATION
Year/Month

FROM (Mo./Yr.)

Members
Signature

FOR SERVICING DEPARTMENT / HOUSING LOANS DIVISION /

Pag-IBIG INTERNATIONAL OPERATIONS GROUP

Year/Month

Employee No.

PROVIDENT VERIFICATION
Total No. of
Contributions
Claim Type /
Last Applicable Month
_____________________
_____________________

Date

Year/Month

LATEST CONTRIBUTION RECORD

PFR No./Date
Amount
Without With

CLAIMS
MPL

DV Date

Loan Value /
Amount
_____________ ________________
_____________ ________________

Loan Entitlement

Verified by:

Certified by:

Date

MSVS APPROVAL

Approved

Total No. of
Contributions
Claim Type /
Last Applicable Month
_____________________
_____________________

Date

MSVS APPROVAL

Disapproved

Remarks

Approved

Disapproved

Remarks

(August 2012)

(August 2012)