Information Sheet: Financing Company - Head Office

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FINANCING COMPANY – HEAD OFFICE

INFORMATION SHEET

I. Organizational Profile:
1. Name of Company
2. Term of Existence
3. End of Fiscal Year
4. Date of Annual Stockholder’s Meeting
5. Type of Financing Company Activity/ies
to be Undertaken

6. Other Business Activity/ies


to be Undertaken

7. Capital Structure

Par/Stated Aggregate
Class of No. of Shares Value Value/Amount
Shares (PhP) (PhP)
Authorized Capital
Stock

Subscribed Capital
Stock

Paid-up Capital

8. Stockholders*

Shares Amount % of
Name Citizenship Residence Subscribed Paid Shareholdings

*Attach additional sheet if needed

9. Directors and Officers*

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FINANCING COMPANY – HEAD OFFICE
Name Citizenship Residence Position Specimen Signature

10. Parent Company*

Name of Entity Nature of Business Type of Sharing Owned Amount

11. Branch/Extension Office*

Name of Entity Nature of Business Type of Sharing Owned Amount

12. Subsidiary*

Name of Entity Nature of Business Type of Sharing Owned Amount

13. Affiliate*

Name of Entity Nature of Business Type of Sharing Owned Amount

_________________________
*Attach additional sheet if needed.

14. Interlocking Director/Officer*

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FINANCING COMPANY – HEAD OFFICE
Name of Entity Nature of Business Name of Common % of Shareholdings
Director/Officer

II. Company’s Plan of Operation

15. Company’s corporate goals within the next three (3) years*
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16. Company’s financial internal control procedures*

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*Attach additional sheet if needed.

17. Company’s marketing program (i.e., target market, market plan, promotion, distribution)*

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FINANCING COMPANY – HEAD OFFICE
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18. Company’s credit and collection policies*

Minimum/Maximum
Type of Loan Loan Value Rate of Term of Loan Mode of Payment
(PhP) Interest

19. Source of additional operating capital

_______________________________________________________________________________

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__________________________
*Attach additional sheet if needed.

I hereby certify that all the information set forth in the above report is true and correct of my
own knowledge and belief.
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FINANCING COMPANY – HEAD OFFICE

Signature of the President over Printed Name

REPUBLIC OF THE PHILIPPINES )


IN THE CITY OF ) S.S.

SUBSCRIBED AND SWORN TO before me this ____ day of ______________, _____ the above
affiant exhibiting to me his/her Tax Identification Number ______________ issued at
____________________ on ____________________.

NOTARY PUBLIC

Doc. No. __________


Page No. __________
Book No. __________
Series of __________

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