ESJAY AUTO GROUP
43 Commonwealth Ave. Brgy. Holy Spirit, Quezon City
Tel No. 951-2201 to 09 / Fax 456 - 1696 Sales Consultant CINDY CELESTINO
CREDIT APPLICATION FORM Date August 16, 2024
PERSONAL DETAILS (PRINCIPAL BORROWER)
Borrower's Name PEREZ TALAUE * Date of Birth 11 6 1991
First Name Middle Name Last Name MM DD YYYY
* Civil Status Married Single Widowed Separated Widowed No. of Dependents
* Nationality Filipino Others Gender Male Female
Length of Stay 20 yrs months
* 0086 VALENCIA ST PULONG SAMPALOK DOÑA REMEDIOS
Home Address
TRINIDAD BULACAN * Home Tel
* Mobile No. 09975922477
Provincial Address * Email Address sassycha14@icloud.com
* Residential Status Owned (Mortgaged) Owned(Not Mortgaged) Rental Living with Relatives/Parents
Owned car? If yes how many Yes No * Tax payer's ID No. (TIN) 269989441000
* Main Bank LANDBANK Branch BULACAN Account No.
Other Bank Branch Account No.
* Source of Sales Office Sale Tel Inquiry Referral Walk-in Mall Other: FB PERSONAL
WORK & FINANCES
* Employment Private Sector Government Self employment * Years with present Employer/Business
* *
Employer / Business REMITTANCE FROM SISTER (CB) Position/Title REMITTANCE
* * Business Tel.
Business Address
N/A * Business Email
* Length of Stay yrs months
* Nature Of Business N/A * Monthly Income PHP 150,000
SPOUSE / CO-MAKER DETAILS
* Borrower's Name CHARRYBELLE PEREZ TALAUE * Date of Birth 8 18 1989
First Name Middle Name Last Name MM DD YYYY
* *
Employer / Business NORGARDEN PENINSULA Position/Title CLINICAL ADVISOR
* * Business Tel. 250-655-2313
Business Address
2300 HENRY AVE #2300 SIDNEY BC V8L 2B2 * Business Email norgardenpen@outlook.ca
* Length of Stay 3 yrs months
* Nature Of Business * Monthly Income PHP 350,000
* Relationship w/ borrower SISTER Contact no.: 587-890-0491 * Tax payer's ID No. (TIN) 266-849-667-000
CHILDREN'S DETAILS
* Name Education Institution's Name and Address Name Education Institution's Name and Address
PERSONAL REFERENCES (NOT LIVING WITH THE BORROWER)
* Name Address Contact Number
VEHICLE DETAILS
* Make / Model 2024 XPANDER GLX 1.5G 2WD AT
* List Cash Price PHP 1,128,000.00 List Cash Price PHP Total Cash Price PHP 1,128,000
* Down Payment 20% * Amount Finance 80% Terms 60 Months
* Purpose Private Business Public New Use
I/We certify that all the above information are true and correct to the best of my/our knowledge. I/We authorize you to verify and investigate the above
information from whatever sources you may consider appropriate. In addition, I/We hereby expressly and unconditionally Authorize (SJ Legacy Motors Corp.) to
disclose to any of its subsidiary, affiliate and accredited financing companies any information regarding me/us.
Signature of Borrower Date Signature of Spouse / Co-Borrower Date
PRINCIPAL BUYER VALID I.D'S
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PRINCIPAL BUYER VALID I.D'S
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CO-BUYER VALID I.D'S
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PRINCIPAL BUYER (REMITTANCE)
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PRINCIPAL BUYER (REMITTANCE)
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PRINCIPAL BUYER (REMITTANCE)
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CO-BUYER COE
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CO-BUYER PAYSLIPS
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CO-BUYER PAYSLIPS
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CO-BUYER PAYSLIPS
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P.B'S PROOF OF BILLING
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REMARKS
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CO-BUYER’S BANK STATEMENT (CANDA)
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REMARKS
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S.E NAME MODEL DESCRIPTION
RONIEL MEJONG MIRAGE GLX 1.2G MT ₱711,000
MARK OLIVER CANO MIRAGE GLX 1.2G CVT ₱772,000
CHARLENE SUYOM MIRAGE G4 GLX 1.2G MT ₱769,000
CINDY CELESTINO MIRAGE G4 GLX 1.2G CVT ₱819,000
ERIKA ROSE MEDINA MIRAGE G4 GLS 1.2G CVT ₱899,000
OLIVER PARALLAG XPANDER GLX 1.5G 2WD MT ₱1,068,000
KEITH CHRISTINE PALISOC XPANDER GLX 1.5G 2WD AT ₱1,128,000
ANGEL MAE FELISIMO XPANDER GLS 1.5G 2WD AT ₱1,216,000
NARGIL OLAJAY XPANDER GLS 1.5G 2WD AT (QUARTZ WHITE PEARL) ₱1,231,000
BRIAN JOSEPH YLEN XPANDER CROSS 1.5G 2WD AT (MONOTONE) ₱1,346,000
HONEY PEARL BALASANOS XPANDER CROSS 1.5G 2WD AT (TWO-TONE) ₱1,356,000
ROMMEL NOGAR XPANDER CROSS 1.5G 2WD AT (TWO-TONE, QUARTZ WHITE PEARL) ₱1,371,000
TRISHA ANNE ARMENDI TRITON GL 2.4D 2WD M/T ₱1,134,000
ARTHUR JEMRALD BELBES TRITON GLX 2.4D 2WD M/T ₱1,311,000
BIANCA BELLO TRITON GLX 2.4D 2WD M/T (WHITE DIAMOND) ₱1,326,000
VIRGILIO BEJUNA JR. TRITON GLX 2.4D 2WD A/T ₱1,383,000
TRISHA ARMENDI TRITON GLX 2.4D 2WD A/T (WHITE DIAMOND) ₱1,398,000
KAROLYN FEGURO TRITON GLS 2.4D 2WD A/T ₱1,582,000
JAYBIE HOMBRE TRITON GLS 2.4D 2WD A/T (WHITE DIAMOND) ₱1,597,000
JOHN ERICKSON FERRER TRITON GL 2.4D 4WD MT ₱1,157,000
R-JAY MALLARE TRITON GLX 2.4D 4WD MT ₱1,561,000
JOHN ERICKSON FERRER TRITON GLX 2.4D 4WD MT (WHITE DIAMOND) ₱1,576,000
ANGELIA CORDOVA TRITON ATHLETE 2.4D 4WD A/T ₱1,909,000
MARICEL MIJARES TRITON ATHLETE 2.4D 4WD A/T (WHITE DIAMOND) ₱1,924,000
MARIEL BALLESTA MONTERO SPORT GLX 2.4D 2WD MT ₱1,568,000
MARILYN GONZALEZ MONTERO SPORT GLX 2.4D 2WD MT (WHITE DIAMOND) ₱1,583,000
EDISON VENTURA MONTERO SPORT GLS 2.4D 2WD AT ₱1,899,000
DEAN AESHBAN CRISOLO MONTERO SPORT GLS 2.4D 2WD AT (WHITE DIAMOND) ₱1,914,000
RONILO MAGLACION MONTERO SPORT 2.4D BLACK SERIES 2WD AT ₱2,162,000
CRISTINE JANE CARMELOTES MONTERO SPORT 2.4D BLACK SERIES 2WD AT (WHITE DIAMOND) ₱2,177,000
MONTERO SPORT GT 2.4D 4WD AT ₱2,428,000
MONTERO SPORT GT 2.4D 4WD AT (WHITE DIAMOND) ₱2,443,000
L300 CAB & CHASSIS 2.2D M/T w/AC ₱825,000
L300 SINGLE AC 2.2D M/T ₱999,900
L300 DUAL AC 2.2D M/T ₱1,033,000
Strada GL 2.4D 2WD M/T
Outlander PHEV 4WD A/T (Red Diamond)
Strada GLS 2.4D 2WD M/T
Strada GLS 2.4D 2WD M/T (White Diamond)
Strada GLS 2.4D 2WD A/T
Strada GLS 2.4D 2WD A/T (White Diamond)
Strada Athlete 2.4D 2WD A/T (Bare)
Strada Athlete 2.4D 2WD AT (Bare - White Diamond)
Athlete Accessories (Dealer Installed)
Strada Athlete 2.4D 2WD A/T
Strada Athlete 2.4D 2WD AT (White Diamond)
Strada GLS 2.4D 4WD M/T
Strada GLS 2.4D 4WD M/T (White Diamond)
Strada Athlete 2.4D 4WD A/T (Bare)
Strada Athlete 2.4D 4WD AT (Bare - White Diamond)
Athlete Accessories (Dealer Installed)
Strada Athlete 2.4D 4WD A/T
Strada Athlete 2.4D 4WD AT (White Diamond)
Strada GL 2.4D 4WD M/T
Strada C/C 2.5D 2WD M/T
