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Buyer Information Sheet
PDIC negotiated sales form for information sheet for installment buyers
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: Philippine Deposit Insurance Corporation
Asset Administrative Services Department
ROPA DISPOSAL COMMITTEE
BUYER INFORMATION SHEET
( For Installment Buyers Only )
NAME
Family
First
Middle
Home Address
Years of Stay _______
No./Street
District
City/Province
Zip Code
Previous Home Address
No./Street
Years of Stay _______
District
City/Province
E-Mail Address
Residence Phone No.
Zip Code
Mobile Number
Ownership of Present Home
(__) Owned
(__) Rented
(__) Living w/ Relatives
(__) Others __________________________
Other Information
Sex
_____
Civil Status
__________
Age
______
B/Day
______________
B/Place
_____________________________
Citizenship
____________________
No. Of Dependents ____________________________
Dependent Children ________
Other Dependents________
No. of Working Children __________________
Receiving Support from Abroad (___) Yes (___) No Relationship _____________________
SPOUSE
Family
Age
_______
First
B/day
______________
Middle
B/Place:
_________________________________
Citizenship
________________________________
SPOUSE
BUYER
Source of Income
Source of Income
(_) Employment (_) Business (_) Professional Practice
(_) Others _________________________
(_) Employment (_) Business (_) Professional Practice
(_) Others _________________________
Employer/
Business Name
Position
Office/
Business Address
Office/
Business Phone No.
Employer/
Business Name
Position
Office/
Business Address
Office/
Business Phone No.
Nature of Business
Nature of Business
Years in Office/Business
Years in Office/Business
INCOME PROFILE
Regular Monthly Income
P _________________
Regular Monthly Income
P _________________
Monthly income derived
from other sources
__________________
Monthly income derived
from other sources
__________________
(ex. support from abroad, pension, etc.)
(ex. support from abroad, pension, etc.)
TOTAL MONTHLY INCOME
TOTAL MONTHLY INCOME
P _________________
P _________________
FAMILY EXPENSE PROFILE
House Rental / Amortization
Food
Utilities
Education
Medical
Loan /Credit Card Payments
Miscellaneous
P __________________
__________________
__________________
__________________
__________________
__________________
__________________
P __________________
TOTAL MONTHLY EXPENSES
DEPOSIT AND LOAN PROFILE
BUYER
SPOUSE
Outstanding Balance of
Savings /Current Account /
Time Deposits
P
_________________
Outstanding Balance of
Savings /Current Account /
Time Deposits
P
_________________
Outstanding Credit Card
Balance
P
_________________
Outstanding Credit Card
Balance
P
_________________
Outstanding Loan Balance
P
_________________
Outstanding Loan Balance
P
_________________
CERTIFICATION
Date: ______________________
I/We certify that all information furnished herein are true and correct to the best of my / our knowledge.
I further authorize the Philippine Deposit Insurance Corporation (PDIC) through its authorized representative
to verify and investigate from whatever sources it may deem appropriate above declarations in relation to
my intent to purchase real property on installment.
______________________________________
Buyer
Printed Name over Signature
TIN: _______________________
_______________________________________
Spouse of Buyer
Printed Name over Signature
TIN : ____________________________
CHECKLIST OF DOCUMENTARY REQUIREMENTS SUBMITTED
(___) Filled out Buyer Information Sheet (BIS)
(___) Latest ID with Photo of Buyer and
Spouse
(___) Photocopy of primary identification
Passport (___) No. ____________________________ Issued on ___________ Issued at ____________
PRC License ( ___) Profession ____________________ No. _____________________________
Company ID (___) Company _____________________ No. _____________________________
Driver’s License (___) No. ___________________ SSS ID (___) No. ___________________
GSIS E-Card (___) No. ___________________ Others (___) Specify ___________________
(___) Certificate of Service indicating length of service, position and annual salary, if employed
(___) Proof of non-salary income (Pls. specify)_____________________________________________________
(___) Certificate of Business Registration with SEC or DTI, if self-employed
(___) Proof of business income (Pls. specify) ______________________________________________________
(___) Other documents submitted as proof of paying capacity (Pls specify) _____________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
