CREDIT APPLICATION FORM FOR MOTORCYCLE LOAN

Dealer: Noel G. Tordilla

Sales Rep:___________________

Date:_________________

Application: __________

IMPORTANT: PLEASE FILL UP THIS FORM TO FACILITATE PROCESSING OF YOUR LOAN APPLICATION. ALL INFORMATION WILL BE TREATED STRICTLY CONFIDENTIAL.

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Item Applied For

New
Used
Brand _________________________ Model_______________________ Accesor
____________________________________________________________________________
Cash Price P________________ Downpayment P________________ Amount Financed P__________ Term _______
Last Name

First Name

Spouse's Last Name

Middle Name

First Name

Status

Single
Married

No.of
Dependents

Middle Name

Widowed
Separated
Education
Elementary High
Scho
Education Elementary
College
College
Post
Grad
Highschool
Post Grad

Home Address
Owned
Rented

Tel Nos. Nos.

Telephone
Free living with Parents
Others

Lived There

Provincial Address

_____Yrs.______Mos.

Present Employer/Own Business

___________________________________________________
Business Address
___________________________________________________
Business Phone
How Long On Job
___________________________________________________
Position
______Yrs.________Mos.
Previos Employer
___________________________________________________
How Long On Job
Address
____Yrs.____Mos.
Tel No.

Own Monthly Salary

P____________
Co-Maker's Monthly Salary P____________
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Other Income From:

_(Spouse)_____ P_________ ___________

______________ _________
______________ _________
Total Monthly Income

P____________

Fixed Montly Obligations

P____________

Other Living Expences

P___________

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Co-Maker Employer
___________________________________________________
Co-Maker Employer Address
___________________________________________________
Monthly Income
How Long On Job
Position
______Yrs.________Mos.
___________________________________________________
Co-Maker Home Address
Tel No.
___________________________________________________

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Course
Year/Grade
Any Two Children Studying
School
1.______________________________________________________________________________________________
2._____________________________________________________________________________________________
Nearest Relative Not Living With You
Address
Relationship
1._____________________________________________________________________________________________
2._____________________________________________________________________________________________
Personal References
Address
1._____________________________________________________________________________________________
2._____________________________________________________________________________________________
3.______________________________________________________________________________________________

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Credit References

Credit Card Info

Address & Telephone No.

Savings Account At

REQUIREMENTS
2 VALID ID (Photocopy)
Brgy. Certificate or Proof of Billing
2x2 picture (2 pcs.)
Proof of Income (Payslip,COE,Business
Permit)
ITR
Co-Maker: 2 Valid ID
Spouse: 2 Valid ID
3 Specimen Signature on Photocopy of all ID

Net Monthly Income

Amount No./Type of Loan

Current Account At

P___________

Monthly Payment

Last Financing By

I hereby certify that all data and statement in this application are correct and comp
and are made for the purpose of obtaining credit, and the signatures appearin
thereon are genuine. I authorize you to obtain such information as you may requ
concerning the statements made in the application and that the sources to which
may apply are authorized to provide any information relative to this application. I a
the application may remain your property whether the credit is granted or not

SIGNATURE OF APPLICANT

**ADDITIONAL BUT NOT REQUIRED**

Credit Card

SIGNATURE OF CO-MAKER

Application: __________

________________________ Model_______________________ Accesorries

ment P________________ Amount Financed P__________ Term _______

Status

Single
Married

Widowed
Birthday
Separated
Education Elementary
Elementary High
School
Education
College
College
Post
Grad
Highschool
Post Grad
Tel Nos. Nos.
Telephone

Own Monthly Salary

P____________
Maker's Monthly Salary P____________

_____ P_________ ___________

______________ _________
______________ _________
Total Monthly Income

P____________

Fixed Montly Obligations

P____________

Other Living Expences

P___________

Net Monthly Income

P___________

Course
Year/Grade
____________________________________________________________
___________________________________________________________
Telephone
Relationship
___________________________________________________________
___________________________________________________________

Telephone
___________________________________________________________
___________________________________________________________
_____________________________________________________________
Outstanding Bal.

Last Financing By

by certify that all data and statement in this application are correct and complete,
d are made for the purpose of obtaining credit, and the signatures appearing
eon are genuine. I authorize you to obtain such information as you may require
rning the statements made in the application and that the sources to which you
pply are authorized to provide any information relative to this application. I agree
e application may remain your property whether the credit is granted or not.

SIGNATURE OF APPLICANT

SIGNATURE OF CO-MAKER