INTECO: Credit Application Form
U N I T
Year Model
Sales Executive
Date
Application No.
Unit Applied For
CROSSWIND
N-Series
IPV
DMAX
F-Series
Cash Price
Downpayment
Amount Financed
Term
A P P L I C A N T
Last Name
First Name
M I
Age
Birthdate
Education
Post-Grad
College
Under Grad
Home Address
Rented
Own
Living w/ Relatives
Used Free
No. of Dependents
Nationality
Civil Status
Provincial Address
Tel. No.
Mobile No.
E-mail
SPOUSE / CO-MAKER INFORMATION
Last Name
First Name
M I
Age
Birthdate
Home Address
E M P L O Y M E N T
PRINCIPAL
Employed
Self-Employed
OFW
Others
Name of Employer / Business
Business Address
Yrs w/ Company
Tel. No.
Position
TIN #
SSS / GSIS #
Previous Employer
Address
Res. Cert. No.
Issued at
Date
CO-MAKER
Employed
Self-Employed
OFW
Others
Name of Employer / Business
Business Address
Yrs w/ Company
Tel. No.
Position
TIN #
SSS / GSIS #
Previous Employer
Address
Relation to Principal
N E T I N C O M E
Applicant's Monthly Salary
P
Spouse's Monthly Salary
Other Monthly Income from
Total Monthly Income
P
Monthly Expenses
P
Rentals
Mortgage
Total Monthly Expenses
Net Monthly Income
P
C R E D I T R E F E R E N C E S
Credit References
Address
Contact Nos.
1.
2.
SAVINGS ACCOUNT/S
CURRENT ACCOUNT/S
TIME DEPOSIT/S
Bank / Branch
Acct. No.
Bank / Branch
Acct. No.
Bank / Branch
Acct. No.