(FILLABLE) Home Loan Application Form 2020

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CHECKLIST OF REQUIREMENTS UNDERTAKING

Employment / Business Documents: CERTIFICATION AND AUTHORIZATION


By signing this form, I/we hereby certify that the information provided herein are true, accurate, and
If Locally Employed complete in connection with my/our Home Loan (the “Product”) with Robinsons Bank Corporation
(the “Bank”).
Photocopy of latest Income Tax Return (ITR)
Certificate of Employment with compensation (Original or Photocopy) I/We agree to notify/update the Bank of any change in any of the information supplied in this form.
GROWING OPPORTUNITIES
Photocopy of at least 2 valid primary / government issued IDs I/We hereby authorize the Bank to disclose and report to the U.S. Internal Revenue Service (IRS)/
(e.g. Driver’s License, Passport, SSS / GSIS) Bureau of Internal Revenue (BIR) the relevant information as required under FATCA, if applicable.

I/We acknowledge to have read, understood and agreed to be bound by all the terms and conditions
If Self-Employed governing the Product of the Bank which I/we opened or availed, and which were provided to me/
us, received by me/us, and/or available to me/us via www.robinsonsbank.com.ph, as the same may
ITR and financial statements for the last 3 years be amended from time to time.
Certificate of business registration with DTI / SEC
I/We agree to comply with any and all rules, regulations, and laws pertaining to Anti-Money
Bank statements for the past 6 months Laundering measures, laws, and regulations and hereby unconditionally agree to hold the Bank free
Photocopy of at least 2 valid primary / government issued IDs and harmless from any and all damages, suits, costs, and expenses related directly or indirectly, with
your compliance with such laws and/or regulations.
(e.g. Driver’s License, Passport, SSS / GSIS)
Photocopy of General Information Sheet (for corporations) I/We hereby expressly agree, consent, and authorize the Bank and/or its agents, whether manually
or via electronic channels, to process, obtain, collect, record, organize, store, update, modify, use,
Articles of Incorporation / Partnership (if applicable) access, share, and/or disclose (collectively “Process”), without need of prior notice to me/us, any and/
or all information relating to my/our account in order to (a) facilitate, monitor, improve the quality
If Overseas Filipino Worker (OFW) of, or otherwise service my/our account and such product availed of by me/us, and (b) to comply
with legal, regulatory, or other obligations of the Bank under applicable local or foreign laws, rules
Latest employment contract or Certificate of Employment with and regulations that impact the Bank; such processing may be conducted for the duration, and even
after the termination of my/our availment of the Bank’s product. As used herein, the term “Bank”
compensation shall include the Bank’s branches, its parent company including its shareholders, subsidiaries,
Special Power of Attorney* affiliates, agents, and third-party service providers. Without limiting the generality of the foregoing
consent and authorization, I/we hereby grant the Bank the permission to process information
Photocopy of at least 2 valid IDs (e.g. Driver’s License, Passport, SSS / GSIS) pertaining to my/our accounts as maybe required under such other rules and regulations which may
be issued by the Bangko Sentral ng Pilipinas (BSP), Philippine Deposit Insurance Corporation (PDIC),
If Non-Filipino or Non-Immigrant, for submission of qualified Filipino co-borrower Philippine Clearing House Corporation (PCHC), Credit Information Corporation (CIC), TransUnion
Information Solutions, Inc., National Privacy Commission (NPC), BancNet, Bankers Association of
If employed, Certificate of Employment with Compensation the Philippines (BAP), Credit Card Association of the Philippines (CCAP), Securities and Exchange
Commission (SEC), Bureau of Internal Revenue (BIR), Anti-Money Laundering Council (AMLC) and
If self-employed, bank statements for the past 6 months Professional Regulations Commission (PRC), or any other credit bureau or regulatory body.
and other applicable business documents
I/We signify our interest in receiving invites to the marketing initiatives, campaigns, and programs
Photocopy of Alien Certificate of Registrations of the Bank, its parent company including its shareholders, subsidiaries, affiliates, agents and
Photocopy of at least 2 valid primary / government issued IDs third-party service providers regarding its/their other products and services. In this regard, I/we
hereby authorize the Bank to share my/our personal information to its parent company including
(e.g. Driver’s License, Passport) its shareholders, subsidiaries, affiliates, agents and third-party service providers in order to
facilitate the sending of invites to me/us. I/We expressly authorize the Bank to send SMS and e-mail
* Consularized copy may be required if executed abroad. notification related to my/our accounts, and other promotional messages.

This certification and authorization remains valid, effective, and subsisting until otherwise revoked
Collateral Documents: or cancelled in writing by me/us.

Standard
Signature of Client Over Printed Name Signature of Client Over Printed Name
Photocopy of the title
Tax declaration on land and improvement (if applicable) CREDIT CARD APPLICATION
By signing the space provided below, I/we hereby apply for Robinsons Bank (RBank) Credit
Lot plan and vicinity map certified by a geodetic engineer Card and I/we undertake to submit documents as may be deemed necessary by the Bank.
I/We authorize the Bank to conduct random verification with government agencies or third
For Construction parties to establish the authenticity of the information declared and/or documents submitted
and I/we hereby waive the confidentiality of the rules and laws as applicable in order to
Building plan or floor plan facilitate the random verification. I/We further understand that the issuance of RBank Credit
Building specification Card shall be subject to credit evaluation and discretion of the Bank and terms and conditions
Bill of materials applicable to RBank Credit Card. I/We likewise agree to be bound by the terms and conditions
of the Undertaking.
Other Documents (if applicable): Credit Card UNO Credit Card DOS Others :

If Married
Signature of Client Over Printed Name Signature of Client Over Printed Name
Photocopy of marriage contract
If spouse is employed, original Certificate of Employment
with compensation, photocopy of latest ITR and photocopy
of at least 2 valid primary / government issued IDs
Apply for a Home Loan now!
Customer Care Center 8637-CARE (2273) or Consumer Finance Group
REAL PLANS,
If with Attorney-In-Fact, 1 valid primary / government issued ID is required
GREAT BEGINNINGS
domestic toll-free 1-800-10-637-CARE (2273) Housing Loan Department:
[email protected] Tel. No.: 8702-9500 Locals: 272, 273, 354, 356
For Refinancing www.robinsonsbank.com.ph [email protected]

Statement of account from mortgagee bank / institution


Latest 3-6 months proof of payments
FOR BANK’S USE ONLY Home is where the heart is and where
Referred / Endorsed by Position
your family’s future begins. Get the
For Other Sources of Income
key to your dream house with the
For rental income, photocopy of lease contract and photocopy
of TCTs of the leased properties Signature over Printed Name / Date Unit / Branch help of our Home Loan.
Please note that additional documents may be required to facilitate the Special Instructions
Robinsons Bank Corporation is regulated by the Bangko Sentral ng Pilipinas (BSP).
For any concerns, you may contact us at: (02) 8637-CARE (2273)
processing of the loan application. Processing will only commence upon and [email protected].
Contact BSP Financial Consumer Protection Department at: (02) 8708-7087
submission of complete requirements. Other post approval documents
For Processing Deferred Approved Disapproved and [email protected].
shall be required prior to loan release.
LOAN DETAILS INCOME DETAILS SPOUSE / CO-BORROWER

Loan Amount ( Php ) Term of Loan ( No. of Years ) Income Source Position / Rank Employer / Business Tel. No.
Employed - Private Self-employed with Business

Employed - Government Self-employed Professional


Property Address Nature of Work / Business Years in Work / Business Monthly Income
Employed - OFW / Immigrant Others : ______________

Present Employer / Business

OTHER INFORMATION
Loan Purpose Credit Cards
Employer / Business Address
Purchase Construction Home Renovation Refinancing
Bank Card Validity / Expiry Credit Limit Card Number

Property Type
Condo House & Lot Residential Lot Townhouse

Others :
Position Employer / Business Tel. No.
Seller / Developer / Broker Contact Number
Existing Loans
Nature of Work / Business Years in Work / Business Monthly Income
Bank Loan Type Loan Amount Mo. Payment Outstanding Bal. Maturity Date Status
Contract price

Allowances Commissions / Other Income

APPLICANT INFORMATION
Deposit Accounts / Placements
Full Name ( Last, First, Middle )
Bank Account Number Account Type Date Opened Average Balance
SPOUSE / CO-BORROWER

Full Name ( Last, First, Middle )


Date of Birth Place of Birth Age Citizenship
( MM / DD / YYYY )

Date of Birth Place of Birth Age Citizenship


Sex Civil Status ( MM / DD / YYYY )

Male Female Single Married Widowed Separated ATTORNEY-IN-FACT DETAILS

TIN SSS / GSIS No. of Dependents Age of Dependent / s Sex Male Female TIN SSS / GSIS Full Name ( Last, First, Middle )
(Optional)

Present Address
Present Address Permanent Address

Permanent Address ( If different from Present Address )


Permanent Address ( If different from Present Address ) Date of Birth Relationship to Borrower Email Address
( MM / DD / YYYY )

Contact Number TIN SSS / GSIS


Contact Numbers
Home Mobile Email
Owned Yes, no. of years No

Living with Relatives Yes, no. of years No


No Broker / Agent
Rented Yes, no. of years Employer / Business
Referred by Broker / Agent? Yes No
Contact Numbers If Yes, please ask Broker / Agent to accomplish details below.
Home Office Fax If No, please place N / A in the field below.

Employer / Business Address Broker / Agent Contact Numbers Borrower’s Signature Broker’s / Agent’s Signature
Mobile E-mail

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