AAF004 OfferPurchaseNegotiatedRetailSale V03 PDF

HQP-AAF-004
(V03, 01/2019)
Priority No.
OFFER TO PURCHASE
__________________
Date
Attention: ACQUIRED ASSET MANAGEMENT/SECTION
Sir/Madam:
Relative to the sale of Pag-IBIG Fund property/ies described below, I/We hereby submit my/our offer to purchase
the said property subject to the terms and conditions of the Guidelines Implementing the Sale of Pag-IBIG Fund
Acquired Assets Program:
1. Location of the Property: ____________________________________________________________

_________________________________________________________________________________
2. ROPA ID Number: ________________________ or Property Number: ________________________
3. Offered Price: _____________________________________________________________________
____________________________________________________________ (P__________________)
4. Mode Payment:  Cash ( to pay within the day /  to pay within 30 days)
 Short Term Installment (to pay within _______ months) (maximum of 12 months)
 Long Term Installment (to pay within _______ years) (maximum of 30 years)
Buyer Information (Please write in BLOCK LETTERS):
NAME OF BUYER DATE OF BIRTH
Last Name First Name Name Extension (e.g. Jr., III) Middle Name Maiden Name
m m d d y y y y
FORMER OWNER PAG-IBIG MEMBER GENDER MARITAL STATUS CITIZENSHIP

 Yes  Yes  Male  Single/Unmarried  Widow/er  Annulled
 No  No  Female  Married  Legally Separated
Pag-IBIG MID NUMBER/RTN SSS/GSIS ID NO. TAXPAYERS ID NO. (TIN) COMMON REFERENCE NO. (CRN)
NAME OF SPOUSE (IF MARRIED) DATE OF BIRTH

m m d d y y y y
PERMANENT HOME ADDRESS CONTACT DETAILS
Unit/Room No., Floor Building Name Lot No., Block No., Phase No. or House No. Street Name (Indicate country code if abroad)
COUNTRY + AREA CODE TELEPHONE NO.
Cellphone No.
Subdivision Barangay Municipality/City Province and State Country (if abroad) ZIP Code
PRESENT HOME ADDRESS

Unit/Room No., Floor Building Name Lot No., Block No., Phase No. or House No. Street Name
Home Tel. No.
Employer/Business Tel. No.
EMPLOYER/BUSINESS NAME
Email Address
EMPLOYER/BUSINESS ADDRESS
PREFERRED MAILING ADDRESS

Subdivision Barangay Municipality/City Province and State Country (if abroad) ZIP Code  Present Home Address
 Employer/Business Address
 Permanent Home Address
NAME OF BROKER/AGENT (IF PURCHASE IS THROUGH BROKER)
CERTIFICATION
I/We certify that the foregoing information/statement is to my knowledge, true, correct, complete and updated and I/We investigate and inspect
the said property before tendering this offer to purchase. The signature appearing below is genuine. Further, I/We hereby agree of the following: 1)
to purchase the property on “As Is, Where Is” basis on which I/we accept the physical condition of the property including whether it is occupied or
not, 2) to hold Pag-IBIG Fund free and harmless from liabilities of whatever kind and nature arising out of any legal claims which may be filed by
third persons involving the property, 3) that Pag-IBIG Fund has no commitment and makes no guaranty to approve the offer, as it is understood to
be subject to final approval by Pag-IBIG Fund’s approving authorities.
I/We understand that should my/our application be approved, notarial and all other fees pertaining to the purchase of the said property/ies
including fees or unpaid utilities for electricity or water connection, if any shall be for my/our account.
_______________________________________ _________________
OFFEROR/AUTHORIZED REPRESENTATIVE DATE
THIS FORM MAY BE REPRODUCED. NOT FOR SALE.

HQP-AAF-004
(V03, 01/2019)
Authorized Representative Information (if applicable) (Please write in BLOCK LETTERS):

NAME OF AUTHORIZED REPRESENTATIVE DATE OF BIRTH
m m d d y y y y
FORMER OWNER PAG-IBIG MEMBER GENDER MARITAL STATUS CITIZENSHIP

 Yes  Yes  Male  Single/Unmarried  Widow/er  Annulled
 No  No  Female  Married  Legally Separated
Pag-IBIG MID NUMBER/RTN SSS/GSIS ID NO. TAXPAYERS ID NO. (TIN) COMMON REFERENCE NO. (CRN)
PERMANENT HOME ADDRESS CONTACT DETAILS

Unit/Room No., Floor Building Name Lot No., Block No., Phase No. or House No. Street Name (Indicate country code if abroad)
COUNTRY + AREA CODE TELEPHONE NO.
Cellphone No.
PRESENT HOME ADDRESS

Home Tel. No.
Employer/Business Tel. No.
EMPLOYER/BUSINESS NAME
Email Address
EMPLOYER/BUSINESS ADDRESS
PREFERRED MAILING ADDRESS
 Present Home Address
Subdivision Barangay Municipality/City Province and State Country (if abroad) ZIP Code  Employer/Business Address
 Permanent Home Address
THIS PORTION IS FOR Pag-IBIG FUND USE ONLY

Received by Date Confirmed by Date Remarks
THIS FORM MAY BE REPRODUCED. NOT FOR SALE.

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HQP-AAF-004

Attention: ACQUIRED ASSET MANAGEMENT/SECTION

1. Location of the Property: ____________________________________________________________

FORMER OWNER PAG-IBIG MEMBER GENDER MARITAL STATUS CITIZENSHIP

NAME OF SPOUSE (IF MARRIED) DATE OF BIRTH

PRESENT HOME ADDRESS

PREFERRED MAILING ADDRESS

THIS FORM MAY BE REPRODUCED. NOT FOR SALE.

Authorized Representative Information (if applicable) (Please write in BLOCK LETTERS):

FORMER OWNER PAG-IBIG MEMBER GENDER MARITAL STATUS CITIZENSHIP

PERMANENT HOME ADDRESS CONTACT DETAILS

PRESENT HOME ADDRESS

THIS PORTION IS FOR Pag-IBIG FUND USE ONLY

THIS FORM MAY BE REPRODUCED. NOT FOR SALE.

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