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
