FOR INDIVIDUAL
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___________________________
SPOUSE/CO-Maker (LAST) (FIRST) (MIDLE) E-MAIL _________________________________
*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_____________
OTHER SOURCE OF INCOME OWN CAR/VEHICLE TO WHOM MORTGAGED
1 ( ) NO ( ) YES ( ) MORTGAGED
OWN REALSTATE TO WHOM MORTGAGED
2 ( ) NO ( ) YES ( ) MORTGAGED
MONTHLY INSTALMENT DEBTS (INCLUDE ALL EXISTING OBLIGATION) USE SEPARATE SHEET IF NECESSARY
CREDITORS ADDRESS SECURITY MATURITY ORIGINAL OUTSTANDING MONHLY
DATE AMOUNT BALANCE AMORTIZATION
CREDIT CARD COMPANY CARD NO. MEMBER SINCE EXPIRY DATE CREDIT LIMIT OUTS. BALANCE
SAVINGS ACCOUNT CURRENT ACCOUNT CREDIT CARDS
MAINTAINED AT: MAINTAINED AT:
Name of Bank/Branch Account No. Name of Bank/Branch Account No. Card Name Card No.
TRADE REFERENCES (FOR BUSINESS IF SELF EMPLOYED)
Name of Client/Supplier Contact Person Contact Number
1
2
3
4
5
6
I hereby certify that all information in this application are correct & complete. This signatures appearing hereon are genuine. I authorize you to obtain information as you may inquire
concerning the statement made in this application and that the sources to which you may apply are authorized to provide any information relative to this application. 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 the purposes of establishing the authenticity of the Income tax Return (ITR) and accompanying Financial statement submitted by us in connection with loans,
other credit accommodation and credit lines granted, renewed or extended by the said financial institution.
_________________________________ ______________________________
BORROWER/MAKER SPOUSE/CO-MAKER
FOR CORPORATION
NAME OF BUSINESS/FIRM
FINANCING DESIRE ( ) BRAND NEW TRUCK ( ) BRAND NEW HEAVY EQUIPMENT
PURCHASE OF A
PURPOSE ( ) PRIVATE/PERSONAL USE ( ) BUSINESS/SERVICE PLACE OF USE
( ) Public Utility ( ) RENTAL ( )OTHER__________________________
DEALERS NAME LIST CASH PRICE SALES DISCOUNT
NAME OF USER (if not Applicant) DOWN PAYMENT AMOUNT FINANCE
ITEM DESCRIPTION TERMS (✔) 24 MOS. ( ) OTHERS________________ ___
BUSINESS INFORMATION
BUSINESS ADDSRESS TELEPHONE NUMBER(S) YEARS OF STAY
HEAD/MAIN OFFICE
1.
2.
FACTORY/BRANCH CONTACT PERSON POSITION
1 1.
2. 2.
TYPE OF BUSINESS (Nature of Operation) YEARS OF OPERATION FORM OF BUSINESS ORGANIZATION NET TOTAL INCOME (YR MO)
YEARS INCORPORATED
GROSS REVENUE NET INCOME TOTAL ASSETS EQUITY
OWNERSHIP / OFFICERS AND STOCKHOLDERS
NAME POSITION AMOUNT OF STOCK/ % ADDRESS BIRTH DAY BIRTH PLACE CONTACT NUMBER
PARTICIPATION
BANK, CREDIT & TRADE REFERENCES
TYPE BANK/INSTITUTION ADDRESS DEPOSIT/ CREDIT INFORMATION
Savings/Time DEPOSIT
Deposit BALANCE
DEPOSIT
BALANCE
Checking DEPOSIT
Account BALANCE
DEPOSIT
BALANCE
Credit Card DEPOSIT
BALANCE
DEPOSIT
BALANCE
Loans/Credit DEPOSIT
Facility BALANCE
DEPOSIT
BALANCE
Trade/ Supplier Tel no.
Reference
Tel no.
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
