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Information Sheet
SEC information sheet for lending company branch office
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: LENDING COMPANY – BRANCH OFFICE
INFORMATION SHEET OF THE PROPOSED
□
□
I.
□
□
BRANCH
SATELLITE
EXTENSION
UNIT
Corporate Profile:
1. Name of Corporation
:
2. Date of Incorporation
:
3. Certificate of Authority No./
Date of Approval
:
4. Principal Office Address
:
5. Contact Number
:
6. Officer of Branch1:
Name
:
Address
:
Position
:
Birth date
:
Birth Place
:
T. I. N.
:
Specimen Signature
:
Officer of Branch
Name
Address
:
Position
:
Birth date
:
Birth Place
:
T. I. N.
:
Specimen Signature
1
:
:
Include Branch Manager, Administrative Officer and Cashier. Attach additional sheet if needed.
Page 1 of 4
LENDING COMPANY – BRANCH OFFICE
Officer of Branch
Name
:
Address
:
Position
:
Birth date
:
Birth Place
:
T. I. N.
:
Specimen Signature
:
7. Capital Structure of Head Office
Class of
Shares
No. of Shares
Par/Stated
Value
(PhP)
Aggregate
Value/Amount
(PhP)
Authorized Capital
Stock
Subscribed Capital
Stock
Paid-up Capital
8. Directors and Officers
Name
Citizenship
Residence
Position
Page 2 of 4
LENDING COMPANY – BRANCH OFFICE
9. Assigned Capital of the Branch
P
10. Address of the Proposed Branch
11. Branch’s credit and collection policies*
Type of Loan
Minimum/Maximum
Loan Value
(PhP)
Rate of
Interest
Term of Loan
Mode of
Payment
12. Other Branches with Certificates of Authority (CA)*
CA No.
Address
Classification
Assigned
Capital
* Attach additional sheet if needed.
Page 3 of 4
LENDING COMPANY – BRANCH OFFICE
13. Existing Lending Companies in the Area
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
14. Sources of Income in the Locality
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
I hereby certify that all information set forth in the above report is true and correct to the best of my
knowledge and belief.
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 __________
Page 4 of 4
