CREDIT APPLICATION

TOYOTA GLOBAL CITY, INC.

University Parkway Cor.11th Ave.Bonifacio Global City Taguig

Tel. No. 846-7777

MP : _____________________________Time : ________________________

YOUR DESIRED MOTOR VEHICLE

Unit/Model : ____________________________________________________________

Selling Price : ____________________________________

Downpayment :

Term:

20%

30%

40%

50% Others:___________

12

18

24

36

48

60

FOR INDIVIDUAL
PERSONAL DATA

Borrower

Spouses

Name : __________________________________________________
Last

First

Date of Birth : (

Middle

Civil Status : _____No. of Dependents : ______

) (
Mo

) (
Day

Name : ____________________________________________

Yr.

Last

Nationality : _________ Email : _________________

First

Date of Bi
Date of Birth :(

Middle

Civil Status :____ No. of Dependents : _________

) (
Mo

Nationality : ___________

) (
Day

Yr.

Email : _________________

Address : _________________________________________________________________________________________Address : _______________________________________________________________________

Owned

Owned but Mortgage

Rented

Living with parents Length of Stay _______

Tel. No. :

Owned

Owned but Mortgage

Rented

Living with parents Length of Stay______

Tel. No. :

Home:_______________
Office: ______________
If stay is less than 2years, previous address :

Mobile: ________________

Home:_______________
Office: ______________
If stay is less than 2years, previous address :

Mobile: ________________

_________________________________________________________________________________

__________________________________________________________________________________

TIN: _________________ CTC No. ____________ Issued at : ______________ On : ______________

TIN: _________________ CTC No. ____________ Issued at :____________ On : __________

Owned Motor Vehicle? _________________

SOURCE OF INCOME

Employed

How Many? _________________

Make: __________________
SOURCE OF INCOME

Owns Business

Employed

Owns Business

Name of Employer/Business: ____________________________ Nature of Business: _______________________

Name of Employer/Business: ____________________________

Business Address : ___________________________________________________________________________

Business Address : _______________________________________________________________

Tel.No/Mobile No. ____________________________

Tel.No/Mobile No. ____________________________

Salary/Income : _______________________

Position: ________________________________________

Year with the co. : ______________________________________

Salary/Income : __________________________

Nature of Business: ______________

Position: _______________________________
Year with the co.____________________________

PERSONAL REFERENCES
NAME

ADDRESS

TEL.NO.

TYPE OF ACCOUNT

ACCOUNT NO.

BANK BRANCH / TEL.NO.

BANK REFERENCES

Available Proof of Income:

Estimated Monthly expenses:

Bank Statement

1.) Rental : ______________________________________

4.) Tuition Fees : ______________________________________

ITR

2.) Housing Loan: _________________________________

5.) Others:

Proof of remittances/allotment

3.) Car Loan: _____________________________________

COE

I certify that all the information provided on this applicaton form is verifiable and accurate.
_______________________________________
Borrower's Signature

a.) ______________________________________
b.) ______________________________________

TOTAL : __________________

CREDIT APPLICATION
TOYOTA GLOBAL CITY, INC.

Date Recd :12/14/2011

38th Corner 11th Ave. Fort Bonifacio Global City, Taguig City
Tel.No. 846-7777

YOUR DESIRED MOTOR VEHICLE

Unit/Model : FORTUNER 4X2 DSL AT

MP : RICH BRYAN L
Selling Price : 1,408,000

Downpayment :

20

30

40

50 OTHERS

Term:

Time :

12

18

24

36

48

FOR CORPORATE ACCOUNT

NAME OF FIRM :
Business Address :
Nature of Business :
Tel. No.
Authorized Signatories :

Mobile No.
1.)

Form of Organization :

Sole Proprietorsh

Date Established :
Contact Person :
2.)
Partnership

Corporation
EMAIL :

FOR INDIVIDUAL
PERSONAL DATA
Name :
GUTIERREZ
ERNESTO
CHUA
Date of Birth :
Last
First
Middle
Address : RM1004-A BROADVIEW TOWER 1408 MAYHALIGUE ST.TONDO MANILA

( 31 ) ( 1962)
Day
Yr

Owned
Rented
27 Length of Stay
If rented, previous address : 1342 LARDIZABAL ST. SAMPALOC, MANILA
Tel. No. 2147777
Mobile No. 09178516210
Civil Status :
No. of Dependents :
SOURCE OF INCOME

( 01 )
Mo

Email : C.RHADDY@SAMSUNG.COM
Nationality : FILIPINO

Employed
Owns Business
Name of Employer/Business : SAMSUNG ELECTRONICS PHILS., CORP
Nature of Business: MANUFACTURING (SALES SUBSIDY)
Business Address : 1128 UNIVERSITY PARKWAY,HANJIN PHIL BLDG.9F NORTH BONIFACIO,TAGUIG
Tel.No/Mobile No. 2147771
Position: ASSISTANT MANAGER
Salary/Income :
97,000
Year with the co. : 3 YEARS
SPOUSE / CO-MAKER DATA

Name :

LAPENA

Owns Business

MARY ANNE JANINE

Last
Address :

Employed
First

HOLGADO

Middle

Date of Birth : ( 01 )
Mo

( 16 )
Day

( 1990 )
Yr

56 OCAMPO AVE. DON JOSE HEIGHTS,COMMONWEALTH, Q.CITY

Owned
Rented
21 Length of Stay
If rented, previous address :
Tel. No.
Mobile No.
9176307746
No. of Dependents :
Name of Employer/Business:
Business Address :
JOLLIBEE PLAZA BLDG. EMERALD AVENUE, ORTIGAS
Tel.No. : 6887293
Position: MARKETING ASSISTANT
Salary/Income : 15,000
Year with the co. : 6 MONTHS

NONE

PERSONAL / TRADE REFERENCES

NAME
HAROLD NGO
JERRY WONG

ADDRESS
ANTIPOLO
ORTIGAS

TEL.NO
2147777
6871234

BANK BRANCH
STERLING BANK OF ASIA (MASANGKAY)

ACCOUNT NO.

BANK PROFILE
TYPE OF ACCOUNT
CHECKING ACCOUNT

TIN No.:

CTC No.:

Issued at :

I certify that all the information provided on this applicaton form is verifiable and accurate.

Borrower's Signature

on :

60

NONE

L.NO
47777
71234

UNT NO.

CREDIT APPLICATION

TOYOTA GLOBAL CITY, INC.

University Parkway Corner 11th Ave. Bonifacio Global City, Taguig City
Tel.No. 846-7777

YOUR DESIRED MOTOR VEHICLE

Unit/Model :
Downpayment :

20%

30%

40%

MP :
Selling Price :
50% OTHERS ______ Term:

12

Time :

18

24

36

48

FOR BUSINESS
Form of Organization:

Sole Proprietorship

Partnership

Corporation

NAME OF FIRM: _______________________________________________________________________________________________________________________

Business Address : _______________________________________________________________________________________________________________________
If stay is less than 2years, previous address: _________________________________________________________________________________________________
Tel. No. _____________________________
Mobile No. _______________________ Email : ______________________________________
Nature of Business: ____________________________________

Date Established: ________________________________________

Authorized Signatories:
1.) ______________________________________________
Position: ________________________________________

2.) _____________________________________________________
Position: ________________________________________________

TRADE REFERENCES
NAME

ADDRESS

TEL.NO

TYPE OF ACCOUNT

BANK BRANCH

ACCOUNT NO./TEL.NO.

BANK REFERENCES

TIN No.:

CTC No.:

Available Proof of Income:

Estimated Monthly expenses:

Issued at :

on :

Bank Statement

1.) Rental : ______________________________________

4.) Tuition Fees : ______________________________________

ITR

2.) Housing Loan: _________________________________

5.) Others:

Proof of remittances/allotment

3.) Car Loan: _____________________________________

b.) ______________________________________
TOTAL : ___________________________________________

I/We certify that all the information provided on this applicaton form is verifiable and accurate.

Borrower's Signature

a.) ______________________________________

60