Gender Male Female Gender Male Female *Birthdate (mm/dd/yy) *Birthplace Age Civil Status Married Single Legally Separated Widow / Widower Educational Attainment Elementary College High School Undergraduate Vocational Postgraduate *Nationality Residency Filipino Others Resident (e.g. Filipinos, sea-based OFWs, Aliens with ACR or Special Retirement Visa ID, etc.) Non-Resident (e.g. Aliens, Filipino immigrants, land-based OFWs with contract to work abroad for more than a year, etc.) *Tax identification No. SSS / GSIS No. If co-maker, pls. specify relation to Principal Applicant *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) *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 Home Ownership (Bank or Financial Institution) Owned Mortgaged to Rented from Living with Parents / Relatives Term (Landlord’s Name and Contact No.) (Names) Amort./Mo. PhP Rent / Mo. Php Relationship Years Length of Stay Months Type of Vehicle Brand New Used Reconditioned Amount Financed Add-on Rate (AOR) Application Form for Individual Borrowers Personal Business Public Use Others, pls. specify Term (in months) Dealer Sales Agent Branch Application No. Brand Year Model Model Cash Price Downpayment Date of Application PURPOSE OF LOAN INFORMATION OF BORROWER CO-MAKER Source of Income Locally Employed OFW Immigrant Private Government Self-employed Private Government Self-employed OFW Non-Immigrant Private Government Self-employed Unemployed Others Permanent Status of Employment Contractual Probationary Remittance / Allottee Pension / Retired Student Source of Income Locally Employed OFW Immigrant Private Government Self-employed Private Government Self-employed OFW Non-Immigrant Private Government Self-employed Unemployed Others Permanent Status of Employment Contractual Probationary Remittance / Allottee Pension / Retired Student If employed, please state: Company Name Office Address Nature of Business Job Title Years Position in the Company Length of Stay Office Phone / Fax No. Non-Officer Jr. Officer Supervisor Middle Manager Sr. Officer Company Website Address Business Website Address Months Name of Previous Employer / Business If in business or in practice of profession, please state: Business Name Business Address Nature of Business / Work Years Length of Operation Office Phone / Fax No. Months If employed, please state: Company Name Office Address Nature of Business Job Title Years Position in the Company Length of Stay Office Phone / Fax No. Non-Officer Jr. Officer Supervisor Middle Manager Sr. Officer Company Website Address Business Website Address Months Name of Previous Employer / Business If in business or in practice of profession, please state: Business Name Business Address Nature of Business / Work Years Length of Operation Office Phone / Fax No. Months Age Level Name 1. School Type of School Public Exclusive Private Coed Age Level Name 2. School Type of School Public Exclusive Private Coed INFORMATION OF SPOUSE Dependents Employment Auto Loan 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. *Birthdate (mm/dd/yy) *Birthplace Age Civil Status Married Single Legally Separated Widow / Widower Educational Attainment Elementary College High School Undergraduate Vocational Postgraduate *Nationality Filipino Others *Tax identification No. SSS / GSIS No. *Name (Last name, First name, Middle name) Mr. Ms. Mrs. Sr. Jr. Others *Name (Last name, First name, Middle name) *Maiden Name (Last name, First name, Middle name) Mr. Ms. Mrs. Sr. Jr. Others Employment Air Land Sea Country of destination Employment base: If OFW, please state:
Transcript
GenderMaleFemale
GenderMaleFemale
*Birthdate (mm/dd/yy) *BirthplaceAge
Civil Status
MarriedSingle Legally Separated
Widow / Widower
Educational AttainmentElementaryCollege
High SchoolUndergraduate
VocationalPostgraduate
*Nationality ResidencyFilipinoOthers
Resident (e.g. Filipinos, sea-based OFWs, Aliens with ACR or Special Retirement Visa ID, etc.)
Non-Resident (e.g. Aliens, Filipino immigrants, land-based OFWs with contract to work abroad for more than a year, etc.)
*Tax identi�cation No. SSS / GSIS No. If co-maker, pls. specify relation to Principal Applicant
*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)
*Residential Telephone No. *Cellphone No.(For non-Metro Manila, please indicate the area code)
*Email Address Your preferred mailing address: Residence O�ce Address Business Address
If in business or in practice of profession, please state:
Business Name
Business Address
Nature of Business / Work
YearsLength of Operation
O�ce Phone / Fax No.
Months
If employed, please state:Company Name
O�ce Address
Nature of Business
Job Title
Years
Position in the Company
Length of Stay
O�ce Phone / Fax No.
Non-O�cer
Jr. O�cer
Supervisor
Middle Manager
Sr. O�cer
Company Website AddressBusiness Website Address
Months
Name of Previous Employer / Business
If in business or in practice of profession, please state:
Business Name
Business Address
Nature of Business / Work
YearsLength of Operation
O�ce Phone / Fax No.
Months
Age LevelName1.
School Type of School Public Exclusive Private Coed
Age LevelName2.
School Type of School Public Exclusive Private Coed
INFORMATION OF SPOUSE
Dependents
Employment
Auto Loan
Thank you for taking interest in PSBank’s Auto Loan. Please completely �ll out this application form or put N/A on �elds that are not applicable to you. All �elds 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.
*Birthdate (mm/dd/yy) *BirthplaceAge
Civil Status
MarriedSingle Legally Separated
Widow / Widower
Educational AttainmentElementaryCollege
High SchoolUndergraduate
VocationalPostgraduate
*NationalityFilipinoOthers
*Tax identi�cation No. SSS / GSIS No.
*Name (Last name, First name, Middle name) Mr. Ms. Mrs. Sr. Jr. Others
*Name (Last name, First name, Middle name)
*Maiden Name (Last name, First name, Middle name)
Mr. Ms. Mrs. Sr. Jr. Others
Employment
AirLand SeaCountry of destination Employment base:If OFW, please state:
Name Address Contact Number
CORRECTNESS, WAIVER OF CONFIDENTIALITY OF PERSONAL AND FINANCIAL INFORMATION, AND TERMS AND CONDITIONS OF LOAN APPROVAL
Signature of Principal Borrower / Co-Maker
Signature of Spouse
Date
Date
Automatic Debit Arrangement Account Number
Signature Veri�ed, Authenticated, Approved by:
Product Features - PSBank Auto Loan with Prime Rebate is a Term Loan facility. Loan Range: Minimum of PhP100,000 for brand new cars / Minimum of PhP300,000 for 2nd hand units.Terms: 12 to 60 monthsInterest Rate: Based on prevailing interest rate at time of loan booking.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.
Examples: Advance Payment - When client pays �ve days before his/her loan’s monthly due date, he/she earns a rebate on a daily basis from the day his/her payment was posted to the day before his/her loan’s due date.
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.
Events of Default – Each or any of the following shall constitute an event of default. a.) Client fails to pay the amortization amount and interest due; b.) Client violates any of the T&C of the agreement; c.) Client refuses to deliver the foreclosed property to the Bank; d.) Client fails to register the motor vehicle with the LTO; e.) Lost, destroyed, damaged or change in form and use of mortgaged property. The property/ies mortgaged shall be deemed lost if Client fails to give additional security (in lieu of the damages, etc. on the property/ies) to the Bank.
Consequences of Default – In case of default, the Bank may, without need of notice or demand, exercise any or all of the following remedies. a.) Cancellation of the Contract of Sale; b.) The whole amount remaining unpaid including (interest, fees and charges) shall immediately become due and payable; c.) Extrajudicial /Judicial foreclosure; d.) Exercise the right to o�set and/or legal compensation; e.) Deliver the mortgaged property to the Bank, at Client’s own expense; f.) In case of breach of the Terms & Conditions client expressly waives the term of 30 days as the period which must elapse before the Bank shall foreclose the mortgage.
Customer Complaints, Concerns and Other Queries - In case of complaints, concerns and other 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 [email protected]. The Client can also get in touch with the Bank via the PSBank LiveChat by visiting www.psbank.com.ph.
FEES AND CHARGES A.) BOOKING FEES AND CHARGES: CHATTEL MORTGAGE FEES + INSURANCE + OTHER CHARGES (RD Registration (out of town) fee + LTO Encumbrance (out of town) fee) B.) POST-BOOKING FEES AND CHARGES:
Due date extension fee is computed as: Outstanding Balance x Rate x number of days / 360
A certi�cation fee of PhP50 shall be charged plus a notary fee of PhP300 if Certi�cate of Encumbrance for LTO registration is notarized.
SERVICE FEE FOR CERTIFICATE OF ENCUMBRANCE FOR LTO REGISTRATION
PROCESSING FEES FOR CHANGE OF COLLATERAL AND CONVERSION OF UNIT TO PUV
-PhP5,000 shall be charged for amendments or change of collateral.
-PhP10,000 shall be charged for conversion of unit to PUV.
LATE SUBMISSION FEE OF INSURANCE POLICY RENEWAL
PhP1,000 shall be charged for late submission of insurance policy renewal documents
COLLECTION FEE IN CASE OF DEFAULTA collection fee amounting to 3% of the monthly installment or amount due shall also be charged in case of default.
LATE PAYMENT PENALTY FEE 5% per month or a fraction thereof shall be added on each unpaid installment from its due date until fully paid.
ATTORNEY'S FEES AND LIQUIDATED DAMAGES
In case of default and no legal action is �led, borrower shall pay an additional sum equal to 10% of the amount due as attorney’s fees. In case of litigation, borrower shall pay an additional sum equal to 25% of all amount outstanding as attorney’s fees and the further sum of 20% as liquidated damages, in addition to cost and other expenses of litigation.
NOTARY FEE FOR RELEASE OF CHATTEL MORTGAGE
A notary fee of PhP300 shall be charged for the release of Chattel Mortgage.
PRE-TERMINATION CHARGES /EARLY SETTLEMENT FEE
FREE OF CHARGE
Note: All aforesaid fees and charges will take e�ect immediately and may be cancelled or modi�ed anytime at the Bank’s sole discretion without any prior notice.
STATEMENT OF INCOME AND EXPENSES*
STATEMENT OF ASSETS AND LIABILITIES*
*as required by the Bangko Sentral ng Pilipinas under BSP Circular 622
Cash on Hand & with Banks
Motor Vehicle/s
Real Estate Property/ies
TOTAL ASSETS
Amount / Estimated ValueASSETS Details (Name of Bank, Etc.) / Type / Description
Loans
Credit Card
Credit Card Number Expiry DateCredit CardCompany
Personal / Salary Loan
Car Loan
Housing Loan
BankTypeLESS: LIABILITIES
Credit Limit Outstanding Balance
Amortization Outstanding Balance
TOTAL LIABILITIES
NET WORTH
Gross Monthly Income
Net Monthly Income
Gross Monthly Expenses
PhP
PhP
PhP
PhP
PhP
PhP
PhP
PhP
PhP
PhP
PhP
PhP
PhP
PhP
PhP
PhP
PhP
PhP
PhP
PhP
PhP
PhP
PhP
PhP
PhP
Borrower Spouse Total
DUE DATE EXTENSION FEE(accrued interest from old due date to new due date)
PERSONAL REFERENCES
Bank Type Monthly AmortizationAccount No. Maturity DateOutstanding Balance
CREDIT / BANK REFERENCES
SOURCE OF PRODUCT INFORMATION DO YOU HAVE A RELATIVE WORKING IN PSBANK?
Yes No
If yes, please state:
Relation
HIGHLIGHTS OF TERMS AND CONDITIONS
How did you learn about PSBank Auto Loan?
TV / Radio Newspaper / MagazineWebsite Flyer / Poster / Streamer Direct Mail
PSBank Personnel
PSBank Client
Agency Name
Others, pls. Specify
Name
NameName
1. The undersigned loan applicant/borrower (hereinafter the “Borrower” regardless of number) understands that the personal and �nancial 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, �nancial 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) Certi�es 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 con�dentiality 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 de�ned 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.
