HONDA CARS RIZAL PHILS

MA. CHONA GUMATAY Group Sales Manager 09178934135 / 09328456296 / 09499274374 cabasimachona@ymail.com

Honda Cars Rizal Rizal Autozone Inc. Auto Loan Application for Individual and Single Proprietorship Important Information : Please fill out all entries in the form to ensure rapid processing of your loan application. Incomplete information will cause a delay in processing.

Step 1 : Tell us about yourself

Applicant personal information

Last name

First name

Middle name

Birthday (mm/dd/yy)
Single / Annulled Married

Mobile number
Separated Widowed

Spouse / co-maker personal information

If you are an OFW and not married, please provide a close relative as co-maker:

If co-maker, relationship to applicant

Applicant marital status

Last name

First name

Middle name

Birthday (mm/dd/yy)

Mobile number

Home Address

Years at address

Home telephone number

Step 2 : Tell us about your work

Applicant employment information Employment Own business Type of income source Spouse / co-maker employment information Employment Own business Position Type of income source

Position

Employer / business name

Office telephone number

Employer / business name

Office telephone number

Office address

Office address

Step 3 : Tell us about your

Vehicle and financing information

Step 4 : Tell us about your finances

Monthly income

Unit model name and year

Dealership

Salesman

Applicant Income

Spouse income

Unit price

Downpayment

Loan amount

Term ( months)

Other income

Gross income

Step 5 : Please sign and date the application

I / We affirm that the statements made in this application and the information given by me/us are true and correct and that any material misrepresentations or galsity therein will be construde as an act to defraud HONDA CARS RIZAL ( Rizal Autozone Inc. ) for which civil and/criminal liability can be pursued against me/us. I/We agree to notify HONDA CARS RIZAL ( Rizal Autozone Inc. of any material change affecting the statements/information mentioned herein. I/We authorize you to verify and investigate such statements/information as may be required covering this application from above references or from whatever other sources you may consider appropriate, including the Bureau of Internal Revenue ( "BIR" ) in order to establish the authenticity of my/our Income Tax Return ( "ITR" ) and the accompanying financial statements which I/we submitted in connection with our loan/credit application/accommodation with the Bank. Further, I/we hereby authorize the BIR to give copies of my/our ITR and financial statements and/or disclose any information to the Bank relevant to the said verification. For this purpose, I/we hereby waive my/our rights on the confidentiality of client information. I/We agree that all statements/information obtained by HONDA CARS RIZAL ( Rizal Autozone Inc. ) shall remain our property whether our property whether the loan is granted. I/We agree that all statements/information gathered about me/us will be used to determine my/our eligibility for this loan.

Signature of applicant

Date signed

Signed of spouse / co-maker

Date signed