Office and mailing address:
PHILIPPINE NATIONAL BANK 561 7th Avenue, 2nd Floor
New York Branch New York, NY 10018
Tel. No. (212) 790-9600/Fax No. (212) 382-2238
OWN A PHILIPPINE HOME LOAN APPLICATION
I. AMOUNT AND TERM OF LOAN
Amount Requested: $ Term Requested: 10 years 15 years 20 years
II. PROPERTY INFORMATION AND PURPOSE OF LOAN
Description of Subject Property
OCT/TCT/CCT no. in the name(s) of
Lot no. Block no. Area (sqm): Address:
Property type: Residential Commercial Industrial
Purpose of Loan :
Purchase of Lot only House Construction only Purchase of Lot & House Construction
Purchase of House & Lot House Improvement/Renovation Others:
Purchase of Condominium/Townhouse Unit Refinance Existing Home Mortgage
Complete this portion if house construction or renovation loan.
Year Lot/Property Acquired Original Cost Amount of Existing Liens (a) Current Value of Lot (b) Cost of Improvements Total (a + b)
$ $ $ $ $ -
Complete this portion if this is refinancing Description of property offered as collateral:
Year Acquired Original Cost Amount of Existing Lien Purpose of Refinance
$ $
Title will be registered or held in whose name/s (for purchase of property): Title is presently held in whose name/s (if construction/renovation loan or refinancing):
Source of down payment and payment for fees and charges (ex: salary, self-employment or business income, personal savings, borrowed funds, etc.):
III. BORROWER INFORMATION
SECTION A - INFORMATION REGARDING BORROWER SECTION B - INFORMATION REGARDING CO-BORROWER
Borrower's Name (Include Jr. or Sr., if applicable) Citizenship Co-Borrower's Name (Include Jr. or Sr., if applicable) Citizenship
Social Security No. Home phone Celphone DOB(mm/dd/yyyy) #yrs in sch Social Security No. Home phone Celphone DOB(mm/dd/yyyy) # yrs in sch
Married Unmarried (includes single, Dependents Married Unmarried (includes single, Dependents
divorced, widowed) No. Ages divorced, widowed) No. Ages
Separated Separated
Present Address (street, city, state, ZIP) Own Rent yrs Present Address: Own Rent yrs
Email address: Email address:
If residing at present address for less than two years, please complete the following:
Former Address (street, city, state, ZIP) Own Rent yrs Former Address (street, city, state, ZIP) Own Rent yrs
Former Address (street, city, state, ZIP) Own Rent yrs Former Address (street, city, state, ZIP) Own Rent yrs
BORROWER IV. EMPLOYMENT INFORMATION CO-BORROWER
Name & Address of Employer: Self-employed Yrs on this job Name and Address of Employer Self Employed Yrs on this job
Yrs employed in this line of Yrs employed in this line of
work/profession work/profession
Position/Title/Type of Business Business phone Business fax Position/Title/Type of Business Business phone Business fax
Responsible person at Personnel/Admin./HR Dept. Fax no.: Responsible person at Personnel/Admin./HR Dept. Fax no.:
Email: Email:
If employed in current position for LESS THAN two years or if currently employed in MORE THAN one position, please complete the following:
Name & Address of Employer Self Employed Dates (from-to) Name & Address of Employer Self Employed Dates (from-to)
Monthly Income Monthly Income
Position/Title/Type of Business Business phone Business fax Position/Title/Type of Business Business phone Business fax
Name & Address of Employer Self Employed Dates (from-to) Name & Address of Employer Self Employed Dates (from-to)
Monthly Income Monthly Income
Position/Title/Type of Business Business phone Business fax Position/Title/Type of Business Business phone Business fax
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V. MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION
Gross Monthly Income Borrower Co-Borrower Total Monthly Expenses Single Borrower Co-Borrower or Combined
Base Empl. Income* $ - $ - $ - Rent/Mortgage payment $ - $ -
Overtime Credit Cards
Bonuses Car Lease/Loan
Commissions Insurance - Home
Dividends/Interest Insurance - Car
Net Rental Income Educational loan
Other Income (before completing Personal expenses
see "Notice" below) Others
Total $ - $ - $ - Total $ - $ -
* Self-employed Borrower/s must provide additional documentation such as business tax returns and financial statements.
Notice: Alimony, child support, or separate maintenance income need not be revealed if Borrower (B) or Co-Borrower (C)
does not choose to have it considered for repaying this loan.
B/C Describe Other income Monthly Amount
Have your ever received credit from us? ( ) No ( ) Yes. When?
Name of Nearest Relative not living with you: Telephone No: ( )
Relationship: ______________ Address:
VI. ASSETS AND LIABILITIES
This Statement and any applicable supporting schedules may be completed jointly by both married and unmarried Co-Borrowers if their assets and liabilities are
sufficiently joined so that the Statement can be meaningfully and fairly presented on a combined basis; otherwise SEPARATE Statements and Schedules are required.
If the Co-Borrower section was completed about a spouse, this Statement and supporting schedules must be completed about that spouse or other person also.
Completed Jointly Not Jointly
ASSETS Cash or Market Liabilities and Pledged Assets. List the creditor's name, address and account number for
Description Value all outstanding debts, including auto loans, revolving charge accounts, real estate loans, alimony,
Cash deposit toward purchase held by: $ child support, stock pledges, etc. Use separate sheet if necessary. Indicate by (*) those liabilities
which will be satisfied upon sale of real estate owned or upon refinancing of the subject property.
Monthly Payment & Unpaid
List checking and savings accounts below LIABILITIES Mos. Left to Pay Balance
Name and address of Bank, S & L, or Credit Union Name and address of Company $ Payment/ Mos. $
Account No. $ Account No.
Name and address of Bank, S & L, or Credit Union Name and address of Company $ Payment/Mos. $
Account No. $ Account No.
Name and address of Bank, S & L, or Credit Union Name and address of Company $ Payment/Mos. $
Account No. $ Account No.
Name and address of Bank, S & L, or Credit Union Name and address of Company $ Payment/Mos. $
Account No. $ Account No.
Life insurance net cash value $ Name and address of Company $ Payment/Mos. $
Face amount: $
Subtotal Liquid Assets $
Real estate owned (enter market value from $
Schedule of Real Estate Owned, per page 3) Account No.
Vested interest in retirement fund $ Alimony/Child Support/Separate Maintenance $
Net worth of business(es) owned $ Payments Owed to:
(provide financial statement)
Automobiles owned (make and year) $
Job-related expenses (child care, union dues, etc.) $
Other Assets (itemize) $ Other liabilities (give details) $
Total Monthly Payments $
Net Worth
Total Assets (a) $ (a - b) ► Total Liabilities (b) $
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VI. ASSETS AND LIABILITIES (continued)
Schedule of Real Estate Owned (If additional properties are owned, use continuation/separate sheet).
Property Address (check R if rental being Check Type of Present Amount of Mortgage Gross Rental Mortgage Ins., Mainte'ce Net Rental
held for income, PS if pending sale) R PS Property Market Value and Liens Income Payments Taxes & Misc Income
$ $ $ $ $ $
$ $ $ $ $ $
$ $ $ $ $ $
Totals $ $ $ $ $ $
List any additional names under which credit has previously been received and indicate appropriate creditor name(s) and account numbers (s):
Alternate Name Creditor Name Account Number
VII. CREDIT REFERENCES
Are you a co-maker, endorser or guarantor Yes If yes, for whom?
on any loan or contract? No And, to whom?
Are there any unsatisfied judgments against you? Yes If yes, to whom owed?
No Amount?
Have your ever been declared bankrupt in Yes If yes, where?
the last 14 years? No Year?
Have your ever rendered service for any Yes If yes, where?
arm of the U.S. Military Forces? No When?
VIII. DECLARATION OF PURPOSE STATEMENT
THIS STATEMENT IS TAKEN PURSUANT TO THE TRUTH IN LENDING ACT:
I / WE ___________________________________________________________________________________________________________________________
have applied with the PHILIPPINE NATIONAL BANK, NEW YORK BRANCH, located at 561 7th Avenue, 2nd Floor, New York, NY 10018, for an extension of credit
in the amount of US DOLLARS: __________________________________________________________________________________ (US$___________________).
The purpose of the proposed loan is to purchase real property in the Philippines for:
( ) Personal/Family Use
( ) Investment/Rental
I / WE have read this form and hereby certify and affirm that, to the best of my/our knowledge and belief, the foregoing statements are true, accurate and correct.
Borrower's Signature Co-Borrower's Signature
IX. ACKNOWLEDGMENT AND AGREEMENT
Everything that I/We have stated in this application is correct to the best of my/our knowledge. I/We understand that you will retain this application
whether or not it is approved. You are authorized to check my/our credit and employment history and to answer questions about your credit experiences
with me/us. I understand that PNB normally obtains credit reports for all loan applications and for any updates, renewals or extensions of credit granted.
Upon request, PNB will inform me/us if a credit report has been obtained and will give me/us the name and address of the agency furnishing the report.
I/We acknowledge and agree that the loan processing fee I/we have submitted with this loan application is non-refundable. I/We will not be entitled to a
refund of this amount or any portion thereof in the event that my/our application is declined, withdrawn or cancelled for any reason.
Borrower's Signature: Date:
Co- Borrower's Signature (if applicable): Date:
REQUIREMENTS TO BE SUBMITTED TOGETHER WITH LOAN APPLICATION: (All fees are payable to "PNB New York") rev 7/1/2009
1. Non-refundable PROCESSING fee of $150.00 / $200.00 for construction loans
2. APPRAISAL FEE of $150.00 (refundable only, if no appraisal was made) / For CONSTRUCTION LOAN: $300.00
3. Photocopy of Personal Income Tax Returns (ITR) for the last 2 years PLUS W-2 forms or Forms 1099 for the last 2 years
4. IF EMPLOYED: Copies of pay-stubs for the latest 2 consecutive months
5. IF SELF-EMPLOYED: Audited Financial Statements of the business for the last 3 years
6. Bank statements for the latest 2 consecutive months (checking and savings) - same months as pay stubs
7. Legible photocopy of owner/seller's title to the property: Original Certificate of Title (OCT); Transfer Certificate of Title (TCT); OR Condominium Certificate of Title (CCT)
8. Tax Declaration on the Property: (a) on the land; and, (b) building/improvement, if any
9. Approved survey/lot plan (signed by geodetic engineer)/location plan with vicinity map (not applicable for condo units)
10. Current Real Estate Tax Receipt
11. Real Estate Tax Clearance from the city/municipality where property is located
12. Credit and Financial Authorization Form (attached PNB form)
13. Collateral Appraisal/Appraisal Authorization (attached PNB form)
ADDITIONAL DOCUMENTS REQUIRED FOR HOUSE CONSTRUCTION FINANCING: (must be signed/approved by property owner)
14. Complete architect's plans/specifications of the proposed house
15. Cost estimate of the proposed construction (the bill of materials) with detailed quantity take-off of each structure from footing to roofing.
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Office and mailing address:
PHILIPPINE NATIONAL BANK 561 7th Avenue, 2nd Floor
New York Branch New York, NY 10018
Tel. No. (212) 790-9600/Fax No. (212) 382-2238
COLLATERAL APPRAISAL/REAPPRAISAL AUTHORIZATION
(Note: one authorization form per property to be inspected/appraised)
Date:
"In relation to my/our loan application(s) and/or existing credit facility(ies) and the property described below,
the UNDERSIGNED hereby authorize(s) the PHILIPPINE NATIONAL BANK and its designated representative(s)
to conduct the following:
1) verify/validate/obtain documents/data from various government offices/agencies,
2) conduct inspection/re-inspection & appraisal/re-appraisal; and,
3) take photographs of the real estate property(ies), the exterior and interior views/portions of the improvement(s)
thereon subject of Real Estate Mortgages (REMs) and other properties subject of Chattel Mortgages (CMs)."
DESCRIPTION OF PROPERTY
Vacant Lot Lot with proposed/ongoing construction
House and Lot Condominium/Townhouse unit
Others:
Location of Property:
OCT/TCT/CCT No.: in the name/s of
Lot No.: Block No.: Area (in sqm):
BUILDING/IMPROVEMENTS: Year Constructed -
Name of Tenant(s)/Occupant(s) if any:
CONTACT PERSON IN THE PHILIPPINES - who will guide the bank appraiser & permit access to subject property
Name:
Relation to Borrower:
Address:
Tel./celphone no.:
Property Owner's Signature over Printed Name Borrower's Signature over Printed Name
NOTED BY:
Account Officer / Lending Unit
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Office and mailing address:
PHILIPPINE NATIONAL BANK 561 7th Avenue, 2nd Floor
New York Branch
New York, NY 10018
Tel. No. (212) 790-9600/Fax No. (212) 382-2238
CREDIT AND FINANCIAL INFORMATION AUTHORIZATION
Date:
TO WHOM IT MAY CONCERN:
I/WE hereby authorize you to release to PHILIPPINE NATIONAL BANK or any approved credit reporting agency,
for verification purposes, information concerning:
a. Employment history, dates, title, income, hours worked, etc.
b. Banking and deposit accounts of record
c. Loan/credit accommodations rating (opening date, high credit, payment amount, loan balance and
payment record
d. Any other information deemed necessary in connection with a credit report.
A photocopy or carbon copy of this authorization (being a photocopy or carbon copy of the signature(s) of the
undersigned) may be deemed to be the equivalent of the originial and may be used as a duplicate original.
This information is for confidential use in compiling a loan credit report for PHILIPPINE NATIONAL BANK.
Please respond as soon as possible to facilitate the processing of my loan application.
Thank you.
Borrower's Signature Co-Borrower's Signature
Full Name:
Street Address:
City, State & ZIP Code:
Social Security No.:
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