Buyer'S Information Sheet: Relationship To Principal Buyer

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BUYER'S INFORMATION SHEET

Please fill out this form COMPLETELY & LEGIBLY. If something does not apply, kindly write "N/A" in the space.
Buyer Type: ❐ Principal Buyer ❐ Co-borrower Relationship to principal buyer: ___________________________________ DATE: ____________________________________________
BUYER'S PERSONAL INFORMATION
Last Name: First Name: Middle Name: Suffix Name: Nickname:

Gender: Age: Birthdate (MM/DD//YYYY) Ciutizenship: ❐ Filipino Birthplace:


❐ Male ❐ Female ❐ Others _________________
Civil Status: ❐ Single ❐ Married ❐ Widowed Tax Identification Number: PAG-IBIG Number: SSS Number:
❐ Annulled/Divorced ❐ Legally Separated
BUYER'S CONTACT INFORMATION
Present Address: ( No. / Street / Barangay / Municipality / Province / Country) Zip Code:

Landline Number: Mobile Number: Email Address: Facebook Account Name:

BUYER'S EMPLOYMENT/BUSINESS INFORMATION


LOCALLY EMPLOYED OVERSEAS FILIPINO WORKER SELF-EMPLOYED/BUSINESS OWNER OTHERS
Select the buyer's
❐ Private ❐ Land Based ❐ Business Owner Please specify:
source of income:
❐ Government / NGO ❐ Sea Based ❐ Licensed Professionals
Employer/Business Name: Employer/Business Address:

Employer's Contact Number: Employer's Email Address: Positiong/Occupation/Profession Years of Employment Gross Monthly Income:
/ Business Operation:

SPOUSE'S PERSONAL INFORMATION


Last Name: First Name: Middle Name: Suffix Name: Nickname:

Gender: Birthdate (MM/DD//YYYY) Ciutizenship: ❐ Filipino Birthplace:


❐ Male ❐ Female ❐ Others _________________
Tax Identification Number: PAG-IBIG Number: SSS Number:

SPOUSE'S CONTACT INFORMATION


Present Address: ( No. / Street / Barangay / Municipality / Province / Country) Zip Code:

Landline Number: Mobile Number: Email Address: Facebook Account Name:

SPOUSE'S EMPLOYMENT/BUSINESS INFORMATION


LOCALLY EMPLOYED OVERSEAS FILIPINO WORKER SELF-EMPLOYED/BUSINESS OWNER OTHERS
Select the spouse's
❐ Private ❐ Land Based ❐ Business Owner Please specify:
source of income:
❐ Government / NGO ❐ Sea Based ❐ Licensed Professionals
Employer/Business Name: Employer/Business Address:

Employer's Contact Number: Employer's Email Address: Positiong/Occupation/Profession Years of Employment Gross Monthly Income:
/ Business Operation:

CHARACTER REFERENCES

Name Address Contact Number


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UNDERTAKING
I/We hereby certify that all the information above are correct to the best of my knowledge. Likewise, I/we understand that falsification of information in this document is a sufficient ground
for cancellation of my/our purchase.

Buyer's Signature Over Printed Name Spouse's Signature Over Printed Name

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