asp_auto_loan_application_form
- 1. Auto Loan Application Form ITEM Vehicle Model: ________________________ Price: __________________ Down Payment: _________ Amount Financed: ___________ Terms: _________________ Service Parts Accessories Credit Limit: _______________________ APPLICANT LAST NAME: ____________________ FIRST NAME: ___________________________ MIDDLE NAME: _______________________ CIVIL STATUS: _________ NAME OF SPOUSE: _________________________________ NO. OF DEPENDENTS: __________________ TELEPHONE NO.:_____________________________ APPLICANT’S BIRTHDATE ___________________________________ SPOUSE’S BIRTHDATE ____________________________________________ HOME ADDRESS: __________________________________________________________________________________________________________________ PROVINCIAL ADDRESS: _____________________________________________________________________________________________________________ Rented ❑ Owned Living with relatives Length of stay: _____ yrs. ________ mos. APPLICANT’S EMAIL _______________________________ SPOUSE’S EMAIL ADDRESS ______________________________________ (PREVIOUS ADDRESS IF LENGTH OF STAY IN PRESENT RESIDENCE IS LESS THAN 2 YEARS) ________________________________________________________________________________________________________________________________________ EMPLOYMENT PRESENT EMPLOYER OWNS BUSINESS EMPLOYER OF SPOUSE OWNS BUSINESS ___________________________________________________________ ____________________________________________________________ ADDRESS ________________________________________________________ ADDRESS _________________________________________________________ TEL. NO. ________________ YRS.W/ CO. _______POSITION _____________ TEL. NO. ______________ YRS.W/ CO. ______ POSITION ________________ (PREVIOUS EMPLOYER, If Employment is less than two (2) years) PREVIOUS EMPLOYER YEARS WITH COMPANY _______ PREVIOUS EMPLOYER YEARS WITH COMPANY _______ _____________________________________ TEL. NO. ________________ ______________________________________ TEL. NO. ________________ ADDRESS _____________________________________________________ ADDRESS _____________________________________________________ NET MONTHLY INCOME APPLICANTS MONTHLY SALARY SPOUSE’S MONTHLY SALARY OTHER MONTHLY INCOME FROM ________________________ TOTAL MONTHLY INCOME ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ MONTHLY EXPENSES RENTALS MORTGAGES________ TOTAL EXPENSES NET MONTHLY INCOME _______________________________________ _______________________________ _______________________________________ _______________________________ ___________________________________ PERSONAL & CREDIT REFERENCES NAMES OF CHILDREN/DEPENDENTS AGE SCHOOL GRADE/LEVEL NEAREST RELATIVE NOT LIVING WITH YOU RELATIONSHIP ADDRESS TEL. NO/S. PERSONAL REFERENCES RELATIONSHIP ADDRESS TEL. NO/S. CREDIT REFERENCES ADDRESS/TEL.NO. ACCT. NO. LOAN TYPE MO. AMORT. O/S BAL. SAVINGS ACCOUNT AT NO. CURRENT ACCOUNT AT NO. CREDIT CARDS AT NO. Res. Cert. ____________________ Issued at __________________ Date _______________ TIN ______________________ SSS No. ____________________ ACR No. _____________________ Issued at __________________ Date _______________ Verification O.R. No. _____________________ Date ____________ I hereby certify that all data and statements in this application are correct and complete, and are made for the purpose of obtaining credit, and the signatures appearing hereon are genuine. I authorize you to obtain such information as you may require concerning the statements made in this application and that the sources from which you may verify are authorized to provide any information relative to this application. I agree that the application may remain your property whether the credit is granted or not. APPLICANT’S SIGNATURE : ______________________________ DATE : _____________________________ For Auto Search Philippines Use Only Approved Declined Conditions:____________________________________________ Loan Officer: _________________ Expiration : ______________