Auto Loan

Application Form for Individual Borrowers

Thank you for taking interest in PSBank’s Auto Loan. Please completely fill out this application form or put N/A on fields that are not applicable to you. All fields marked with asterisk
(*) should be answered completely to ensure validity of entry. Application with incomplete information will not be processed. Please print your answers using BLACK ink only.
Date of Application Dealer Sales Agent Branch Application No.

Brand Year Model Cash Price Downpayment Term (in months)

Model Type of Vehicle Amount Financed Add-on Rate (AOR)

Brand New Used Reconditioned

PURPOSE OF LOAN
Personal Business Public Use Others, pls. specify

INFORMATION OF BORROWER CO-MAKER

*Name (Last name, First name, Middle name) Mr. Ms. Mrs. Sr. Jr. Others Gender
Male
Female
*Nationality Residency *Birthdate (mm/dd/yy) Age *Birthplace
Filipino Resident (e.g. Filipinos, sea-based OFWs, Aliens with ACR or Special Retirement Visa ID, etc.)
Others Non-Resident (e.g. Aliens, Filipino immigrants, land-based OFWs with contract to work abroad for more than a year, etc.)
Educational Attainment Civil Status *Tax identification No. SSS / GSIS No. If co-maker, pls. specify relation to
Elementary High School Vocational Single Legally Separated Principal Applicant
College Undergraduate Postgraduate Married Widow / Widower
*Present Address (House No./ Floor/ Unit No./ Block No./ Lot No./ P.O. Box No./ Bldg./ Apartment Name/ Street Name/ Village/ Subdivision/ Phase/ Barangay/ Barrio/ Municipality/ Province/ City/ Zip Code/ Country)

*Previous Address (House No./ Floor/ Unit No./ Block No./ Lot No./ P.O. Box No./ Bldg./ Apartment Name/ Street Name/ Village/ Subdivision/ Phase/ Barangay/ Barrio/ Municipality/ Province/ City/ Zip Code/ Country)

Home Ownership
Owned
Mortgaged to Term Amort./Mo. PhP Length of Stay
(Bank or Financial Institution)
Rented from Rent / Mo. Php Years
(Landlord’s Name and Contact No.)
Living with Parents / Relatives Relationship Months
(Names)
*Residential Telephone No. *Cellphone No.
(For non-Metro Manila, please indicate the area code)

*Email Address Your preferred mailing address: Residence Office Address Business Address

Employment
Source of Income Status of Employment
Locally Employed OFW Immigrant OFW Non-Immigrant Unemployed Others Permanent
Private Private Private Remittance / Allottee
Probationary
Government Government Government Pension / Retired
Self-employed Self-employed Self-employed Student Contractual

If employed, please state: If in business or in practice of profession, please state:

Company Name Business Name
Office Address Position in the Company Business Address
Non-Officer
Business Website Address
Company Website Address Jr. Officer
Nature of Business / Work
Nature of Business Supervisor
Job Title Middle Manager Length of Operation Years Months

Length of Stay Years Months Sr. Officer Office Phone / Fax No.

Office Phone / Fax No. Name of Previous Employer / Business

If OFW, please state: Country of destination Employment base: Land Sea Air

Dependents

1. Name Age Level

School Type of School Public Exclusive Private Coed

2. Name Age Level

School Type of School Public Exclusive Private Coed

INFORMATION OF SPOUSE
*Name (Last name, First name, Middle name) Mr. Ms. Mrs. Sr. Jr. Others Gender
Male
Female
*Maiden Name (Last name, First name, Middle name) *Nationality *Birthdate (mm/dd/yy) Age *Birthplace
Filipino
Others
Educational Attainment Civil Status *Tax identification No. SSS / GSIS No.
Elementary High School Vocational Single Legally Separated
College Undergraduate Postgraduate Married Widow / Widower

Employment
Source of Income Status of Employment
Locally Employed OFW Immigrant OFW Non-Immigrant Unemployed Others Permanent
Private Private Private Remittance / Allottee
Probationary
Government Government Government Pension / Retired
Self-employed Self-employed Self-employed Student Contractual

If employed, please state: If in business or in practice of profession, please state:

Company Name Business Name
Office Address Position in the Company Business Address
Non-Officer
Business Website Address
Company Website Address Jr. Officer
Nature of Business / Work
Nature of Business Supervisor
Job Title Middle Manager Length of Operation Years Months

Length of Stay Years Months Sr. Officer Office Phone / Fax No.

Office Phone / Fax No. Name of Previous Employer / Business

 STATEMENT OF INCOME AND EXPENSES*
Borrower Spouse Total
Gross Monthly Income PhP PhP PhP
Gross Monthly Expenses PhP PhP PhP
Net Monthly Income PhP PhP PhP

STATEMENT OF ASSETS AND LIABILITIES*

ASSETS Details (Name of Bank, Etc.) / Type / Description Amount / Estimated Value
Cash on Hand & with Banks PhP
Real Estate Property/ies PhP
Motor Vehicle/s PhP
TOTAL ASSETS PhP

LESS: LIABILITIES Type Bank Amortization Outstanding Balance

Personal / Salary Loan PhP PhP
Loans Car Loan PhP PhP
Housing Loan PhP PhP
Credit Card Credit Card Number Expiry Date Credit Limit Outstanding Balance
Company
Credit Card PhP PhP
PhP PhP
TOTAL LIABILITIES PhP
NET WORTH PhP
*as required by the Bangko Sentral ng Pilipinas under BSP Circular 622
PERSONAL REFERENCES
Name Address Contact Number

CREDIT / BANK REFERENCES

Bank Type Account No. Monthly Amortization Outstanding Balance Maturity Date

SOURCE OF PRODUCT INFORMATION DO YOU HAVE A RELATIVE WORKING IN PSBANK?

How did you learn about PSBank Auto Loan? Yes No
TV / Radio Website Flyer / Poster / Streamer Newspaper / Magazine Direct Mail If yes, please state:
PSBank Personnel Name
PSBank Client Name Name
Agency Name
Relation
Others, pls. Specify

HIGHLIGHTS OF TERMS AND CONDITIONS

Product Features - PSBank Auto Loan with Prime Rebate is a Term Loan facility. FEES AND CHARGES
Loan Range: Minimum of PhP100,000 for brand new cars / Minimum of PhP300,000 for 2nd hand units.
Terms: 12 to 60 months A.) BOOKING FEES AND CHARGES:
Interest Rate: Based on prevailing interest rate at time of loan booking. CHATTEL MORTGAGE FEES + INSURANCE + OTHER CHARGES (RD Registration (out of town) fee + LTO
Encumbrance (out of town) fee)
Prime Rebate Feature: Allows clients to get a “discount” on his/her loan when he/she makes advance or
excess payments on his/her monthly due. B.) POST-BOOKING FEES AND CHARGES:
Examples: DUE DATE EXTENSION FEE Due date extension fee is computed as:
Advance Payment - When client pays five days before his/her loan’s monthly due date, he/she earns a (accrued interest from old due date to new due date) Outstanding Balance x Rate x number of days / 360
rebate on a daily basis from the day his/her payment was posted to the day before his/her loan’s due A certification fee of PhP50 shall be charged plus a notary
date. SERVICE FEE FOR CERTIFICATE OF
ENCUMBRANCE FOR LTO REGISTRATION fee of PhP300 if Certificate of Encumbrance for LTO
registration is notarized.
Excess Payment - When a client pays in excess of the amount required on his/her due date, he/she will
earn a rebate on a daily basis from the date of posting. PROCESSING FEES FOR CHANGE OF
-PhP5,000 shall be charged for amendments or change of
collateral.
Events of Default – Each or any of the following shall constitute an event of default. COLLATERAL AND CONVERSION OF
a.) Client fails to pay the amortization amount and interest due; UNIT TO PUV -PhP10,000 shall be charged for conversion of unit to PUV.
b.) Client violates any of the T&C of the agreement;
c.) Client refuses to deliver the foreclosed property to the Bank; LATE SUBMISSION FEE OF INSURANCE PhP1,000 shall be charged for late submission of
d.) Client fails to register the motor vehicle with the LTO; POLICY RENEWAL insurance policy renewal documents
e.) Lost, destroyed, damaged or change in form and use of mortgaged property. A collection fee amounting to 3% of the monthly
The property/ies mortgaged shall be deemed lost if Client fails to give additional COLLECTION FEE IN CASE OF DEFAULT installment or amount due shall also be charged in case of
security (in lieu of the damages, etc. on the property/ies) to the Bank. default.
Consequences of Default – In case of default, the Bank may, without need of notice or demand, exercise LATE PAYMENT PENALTY FEE 5% per month or a fraction thereof shall be added on each
any or all of the following remedies. unpaid installment from its due date until fully paid.
a.) Cancellation of the Contract of Sale;
b.) The whole amount remaining unpaid including (interest, fees and charges) In case of default and no legal action is filed, borrower shall
shall immediately become due and payable; pay an additional sum equal to 10% of the amount due as
c.) Extrajudicial /Judicial foreclosure; ATTORNEY'S FEES AND LIQUIDATED attorney’s fees. In case of litigation, borrower shall pay an
d.) Exercise the right to offset and/or legal compensation; DAMAGES additional sum equal to 25% of all amount outstanding as
e.) Deliver the mortgaged property to the Bank, at Client’s own expense; attorney’s fees and the further sum of 20% as liquidated
f.) In case of breach of the Terms & Conditions client expressly waives the term of 30 days damages, in addition to cost and other expenses of
litigation.
as the period which must elapse before the Bank shall foreclose the mortgage.
NOTARY FEE FOR RELEASE OF CHATTEL A notary fee of PhP300 shall be charged for the release of
Customer Complaints, Concerns and Other Queries - In case of complaints, concerns and other MORTGAGE Chattel Mortgage.
queries regarding PSBank Auto Loan with Prime Rebate, the Client may contact the Bank's 24/7
Customer Experience Hotline at (02)845-8888; text (63)998-8458888; or e-mail at PRE-TERMINATION CHARGES / FREE OF CHARGE
customerexperience@psbank.com.ph. The Client can also get in touch with the Bank via the EARLY SETTLEMENT FEE
PSBank LiveChat by visiting www.psbank.com.ph. Note: All aforesaid fees and charges will take effect immediately and may be cancelled or modified anytime at the Bank’s sole
discretion without any prior notice.

CORRECTNESS, WAIVER OF CONFIDENTIALITY OF PERSONAL AND FINANCIAL INFORMATION, AND TERMS AND CONDITIONS OF LOAN APPROVAL
1. The undersigned loan applicant/borrower (hereinafter the “Borrower” regardless of number)
understands that the personal and financial information (hereinafter “Information”) supplied by
him in the Auto Loan Application Form on the reverse side and on this page, and those which may
be obtained from his income tax returns, financial statements, credit transactions and all other
documents submitted to the Bank in support of his loan application (“Supporting Documents”) shall
be used by Philippine Savings Bank (the “Bank”) as basis for the approval of his said loan application.
2. In connection with the above, the Borrower:
a) Certifies the correctness of all his Information;
b) Authorizes the Bank to verify his Information and Supporting Documents with the pertinent
government or private institutions;
c) Waives all provisions of Republic Act 1405 ( Law on Secrecy of Deposits), Republic Act 6426
(The Foreign Currency Deposit Act), Republic Act 8791(General Banking Law of 2000),
Republic Act 10173 ( Data Privacy Act of 2012), their amendatory laws if any, and all other
laws now existing or may hereafter exist protecting the confidentiality of the Borrower’s
Information.
d) Acknowledges that pursuant to Republic Act 9510, the Bank is required to regularly submit
and disclose the Borrower’s basic credit data (as defined under Republic Act No. 9510 and its
Implementing Rules and Regulations) to the Credit Information Corporation (CIC) as well as any
updates or corrections thereof; and to share the Borrower’s said basic credit data with other
lenders authorized by the CIC, and credit reporting agencies duly accredited by the CIC.
3. The Borrower understands that the Bank may disapprove his loan application, revoke prior loan
approvals, or terminate existing loan availments on the ground of misrepresentation and/or
concealment of the Borrower’s Information, whether intended or not, without prejudice to any
other legal remedies that the Bank may take.
4. The Borrower understands that the approval of his loan application shall be at the sole
discretion of the Bank, subject to:
a) The Bank’s existing credit policies and procedures on its Auto Loan Facility;
b) Existing rules and regulations of the Bangko Sentral ng Pilipinas;
c) Payment by the Borrower of all fees and charges relative to the processing of his loan
application;
d) Submission by the Borrower of all documentary requirements and compliance with all
other conditions imposed by the Bank for the approval of his loan application as
prescribed under existing Bank credit policies or those that may be prescribed by the
Bank’s Legal Department;
e) Agreement by the Borrower to all terms and conditions of the Loan.
In case of disapproval of the Borrower’s loan application, the Bank shall not be obliged to
disclose the reason/s for such disapproval.
5. The Borrower authorizes the Bank to send updates about the Borrower’s loan application via
SMS/text, email, mail or other means of communication.
6. The Borrower‘s loan application may be withdrawn or cancelled at any time prior to
booking, without incurring additional charges. The Borrower shall course all complaints or
concerns, if any, at the Bank’s Customer Experience Division or Indirect Auto Loan Channel
Department.
7. The Loan Application Form and all Supporting Documents shall remain the Bank’s property
and the same may be used at the Bank’s discretion whether the loan is granted or not.

Signature of Principal Borrower / Co-Maker Date Automatic Debit Arrangement Account Number
Signature Verified, Authenticated, Approved by:
Signature of Spouse Date