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PSBank Home Loan Application Form

Thank you for choosing PSBank Home Loan. We would like to know more about you. Please check the appropriate boxes and print your answers using black ink only.
Existing PSBank client? If yes, what product: Yes No
Deposit Auto Loan Home Loan Personal Loan Business Loan Borrower Co-borrower/Co-maker

Mr.

Mrs.

ABOUT YOURSELF Others (Atty./Dr.) _______

ABOUT YOUR/SPOUSES EMPLOYMENT/BUSINESS Jr. Sr. Others _____

Employment Status
Locally Employed Overseas Filipino (non-immigrant) Overseas Filipino (immigrant) Unemployed

First Name Middle Name Last Name Other Name _________________________________________________________ Mothers Maiden Name ________________________________________________ Birth Date (mm/dd/yyyy) Age _________ Gender _____ Place of Birth ____________________________ Religion ___________________ Nationality _________________________ Citizenship ______________________ Present Address
Condo Unit/Apart./ Bldg. No. & Name House/Block/Lot/ Phase No. Street/Village Barangay P.O. Box Municipality/City/ Province Zip Code Length of Stay Home Ownership

APPLICANT

SPOUSE

Employment Sub Status


Private Government Self-Employed

For this loan application, I am the: Home Loan Product

ABOUT THE LOAN YOU WISH TO AVAIL

Permanent Address

If unemployed
Allotee Not Working Pensioner/Retired Student

Home Loan No. of Years ________ Rate Fixing* ________ Buy a lot (acqui) Buy a lot with improvement (acqui) Buy a PSBank acquired property (acqui) Buy a property that is currently mortgaged (acqui/ref ) Buy a lot and build a house on it (acqui/cons) Transfer my existing housing loan (ref ) Construct a house on own lot that is currently mortgaged (ref/cons) Get extra cash (equity) for Renovation Others _________________ Home Credit Line Home Construction Loan If Home Construction Loan, choose a payment scheme after the 1st year. Principal and Interest - No. of Years ________ Rate Fixing* ________ Interest only - Line renewable yearly Loan Amount Php _______________________________
*No of years you want a fixed rate.

Years

Months

Years

Months

Owned Rented Living with relatives Mortgaged with _________ Remaining years _________

Owned Rented Living with relatives Mortgaged with _________ Remaining years _________

If your present and permanent address are one and the same, please fill out the present column and indicate N/A in the permanent column.

ABOUT YOUR COLLATERAL

Permanent Address Office Address Present Address Preferred Mailing Address: Mobile No. Landline No. Email Address ______________________________________________________ Civil Status Legally Separated Single Married Widow/Widower

Employer/Business Name Office/Business Address Unit/Apart./Bldg. No. and Name House/Block/Lot/Phase No. Street/Village Barangay Municipality/City/Province Zip Code P.O. Box Office/Business Phone No. Job Title Position 1
Clerical/Non-Professional Staff/Professional Manager/Head Owner/President/Chairman

Tel. No. Location Unit/Apart./Bldg. No. and Name ______________________________________ House/Block/Lot/Phase No. ________Street/Village _______________________ Barangay __________________________________P.O. Box ________________ Municipality/City/Province _______________________ Zip Code ___________ Intended use
(To be occupied by owner)

Classification Residential Others _______________ TCT/CCT No. _________________ Survey Control No. _______ Registered Owner/Developer ______________________________________ If from a developer, Project Name _______________________ Net Selling Price Php___________ Contact Person ___________________________________________________

Education

Not Legally Separated Elementary High School College Post-graduate

Vocational

Undergraduate

Position 2
Non-Officer Jr. Officer/Supervisor Middle Manager Sr. Officer

TIN SSS/GSIS No. Do you or your spouse have a relative working at PSBank? Yes No If yes, Name _____________________________ Relationship _________________
Mr. Mrs. ABOUT YOUR SPOUSE Others (Atty./Dr.) _______ Jr. Sr. Others _____

Work Status
Permanent Probationary Contractual Casual

For owner occupancy

(Currently occupied by owner)

Owner-occupied

Not for occupancy

Beneficiary (if applicable) Name ___________________________________________________________ Birth Date (mm/dd/yyyy) Place of Birth ___________ Present Address ___________________________________________________ Nature of Work ___________________ Source of Funds ___________________ TIN

First Name Middle Name Last Name Other Name _________________________________________________________ Mothers Maiden Name ________________________________________________ Age _________ Birth Date (mm/dd/yyyy) Place of Birth ____________________________ Gender ____________________ Nationality _________________________ Citizenship ______________________ Mobile No. Landline No. Elementary High School Vocational Undergraduate Education
College Post-graduate

Office/Business Phone No. Nature of Work/Business Industry Length of Stay (years) If Overseas Filipino, Country of Destination Employment Base Other Source of Funds
Land Sea Air Land Sea Air

SSS/GSIS No.

PREVIOUS EMPLOYMENT Employer/Business Name Office/Business Address Unit/Apart./Bldg. No. and Name House/Block/Lot/Phase No. Street/Village Barangay Municipality/City/Province Zip Code P.O. Box Office/Business Phone No. Length of Stay (years) Monthly Salary

APPLICANT

SPOUSE

STATEMENT OF ASSETS AND LIABILITIES*

ASSETS Cash Bank ________________________ Acct. Type ________ Amount ______________ Bank ________________________ Acct. Type ________ Amount ______________ Real Estate How many? ____________ Est. Value _____________________________________ Motor Vehicle How many? ____________ Est. Value _____________________________________ Others __________________________ Est. Value ____________________________ TOTAL LIABILITIES Personal Loan Auto Loan Home Loan Business Loan Credit Cards TOTAL NET WORTH
* as required by Bangko Sentral ng Pilipinas under BSP Circular 622

WORK/BUSINESS/PERSONAL REFERENCES

Work/Business Name ___________________ Phone No. ___________ Relationship _________ Personal Name ___________________ Phone No. ___________ Relationship _________
ABOUT YOUR DEPENDENTS

SOURCE OF PRODUCT INFORMATION PSBank Employee ____________________ TV Magazine PSBank Client _______________________ Radio Email Accredited Developer _________________ Website SMS Billboard Flyer/Poster/Streamer Others _____________________________ Newspaper CONDITIONS OF THE CONSOLIDATED AGREEMENT FOR MORTGAGE LOANS
I/We hereby certify that all information in this application form and all supporting documents, are true and correct. I/We authorize PSBank to verify all such information and obtain additional information about me/us, including previous credit with other institutions. In this connection, I/we expressly waive any and all statutory provisions governing confidentiality of such information if applicable. I/we fully understand that any misrepresentation or failure to disclose information on my/our part as required herein, may cause the disapproval of my/our application. I/We agree that the application remains PSBanks property and the same may be used on their discretion whether the credit is granted or not. I/We agree that this loan application shall be subject to Bangko Sentral ng Pilipinas circulars, rules, regulations, and policies of the Bank and hereby undertake to comply with/submit all of the loan requirements. Under acceptance of my/our application, I/we bind myself/ourselves to the Terms and Conditions of the Consolidated Agreement for Mortgage Loans including, but not limited to, joint and several liability for all charges, fees, and other obligations necessary in processing my/our housing loan application. I/We authorize PSBank to conduct random verification with the BIR to establish authenticity of my/our ITR and other submitted financial statements and hereby waive the confidentiality of any personal information obtained in the course of verification. I/We hereby agree that the data/figures in the ITR consistent with the financial statement shall be considered in evaluating my/our financial capacity and credit-worthiness of my/our application. Should the document(s) submitted prove to be spurious or incorrect in material detail, the Bank may terminate any loan or other credit accommodation granted on the basis of the said documents(s) and shall have the right to demand immediate repayment or liquidation of the obligation. Moreover, the Bank may seek redress from the court for any harm done by the borrowers submission of spurios document(s). In case of disapproval of this application, I/we understand the the Bank is not obliged to disclose the reason for such disapproval. I/We also authorize PSBank to conduct, through its representative accredited appraisers, an appraisal of any or all of the collateral to be used for my/our housing loan application. I/We also agree that the Appraisal Report will be forwarded directly to the PSBank for its sole use only. In the event of future deliquency, I/we hereby authorize the Bank to report and include my/our name(s) in the negative listing of any credit bureau or institution. I/We authorize PSBank to send me/us updates anout my/our loan via SMS/text, email, mail, and other means of communication. I/We voluntarily agree that PSBank has the sole option to debit/credit any of my/our PSBank deposit account(s) to cover the payment in full any loan obligation due or all such other accounts at the time of the same is due including, but not limited to, penalty charges, insurance, interests, and other fees overdue amounts provided for in this Agreement and such other documents executed that are relevant and connected therewith. I/We authorize the Bank to include my/or names, and other pertinent information about my/our loan history in any credit bureau or insitution as required by law. In case this loan application is approved, and upon release of the loan proceeds to me/us, I/we hereby authorize PSBank to automatically enroll my/our Home Loan Account in PSBank Remote Banking for the use of its available functionalities subject to PSBanks Terms and Conditions. I/We hereby waive any rights under the provisions of A.M. No. 08-1-16-SC issued by the Supreme Court on the Rule on The Writ of Habeas Data. It is further understood that the Bank may decline or revoke the loan application in its sole discretion.

No. of Children _______

No. of Dependents _______

Name __________________________ Age _______ Relationship _____________ Name __________________________ Age _______ Relationship _____________ Name __________________________ Age _______ Relationship _____________ Name __________________________ Age _______ Relationship _____________
STATEMENT OF INCOME AND EXPENSES

GROSS MONTHLY INCOME Basic Salary Overtime Pay Professional/Service Fee Allowance Commission/Incentive Others TOTAL GROSS MONTHLY EXPENSES House Rent/Amortization Living Expenses (e.g. food, etc.) Utilities (e.g. electricity, etc.) School Expenses (e.g. tuition, etc.) Payment for Loan/Credit Cards Others TOTAL NET MONTHLY INCOME

APPLICANT

SPOUSE

For construction and renovation needs, Home Construction Loan and Home Credit Line are also available.

Signature of Applicant Date ____________________

Signature of Spouse/Co-Maker Date ____________________

FOR PSBANKS USE ONLY

Sales Channel Branch Direct Developer Sales Desk Others If branch-referred: Branch Name _________________ Branch Head ___________ If from Developer: Agent/Broker ____________________ % of NSP/TAV _______ MBD/Sales Desk Account Officer _______________________________________ Interest Rate ________%

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