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Housing Loan Application (For Co-Borrowers)

Pag - Ibig application form for co - borrowers housing loan

Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: HQP-HLF-069
(V04, 06/2017)

HOUSING LOAN APPLICATION
(For Co-Borrower Only)
Pag-IBIG MID Number/RTN

Housing Account Number (HAN), if with existing HAN

(PRINT ALL ENTRIES IN BLOCK OR CAPITAL LETTERS)

CO-BORROWER’S DATA
LAST NAME

FIRST NAME

NAME EXTENSION

RELATIONSHIP TO THE PRINCIPAL BORROWER

MIDDLE NAME

DATE OF BIRTH (mm/dd/yy)

WITH EXISTING HOUSING APPLICATION
 YES
 NO
If yes, indicate Housing Application No.
_________________________________
SEX

M
EE SSS/GSIS ID No.

TIN

F

CITIZENSHIP

MARITAL STATUS
 Single/Unmarried
 Legally Separated
 Widow/er
NO. OF DEPENDENT/S

PERMANENT HOME ADDRESS
Unit/Room No., Floor

Building Name

Subdivision

Barangay

Lot No., Blk No., Phase No., House No.

Municipality/City

Street Name

Province and State Country (if abroad)

ZIP Code

 Married
 Annulled

CO-BORROWER’S CONTACT DETAILS

PRESENT HOME ADDRESS
Unit/Room No., Floor

ATTACH HERE
1”X1”
ID PHOTO OF
APPLICANT

Building Name

Lot No., Block No., Phase No., House No.

(Indicate country code if abroad)

Street Name

COUNTRY + AREA CODE TELEPHONE NO.
Subdivision

Barangay

Municipality/City

Province and State Country (if abroad)

 Company
 Rented at P__________/mo.

Home
Cell Phone

YEARS OF STAY IN PRESENT HOME
ADDRESS

HOME OWNERSHIP
 Owned
 Mortgaged

ZIP Code

 Living w/ relatives/parents

EMPLOYER/BUSINESS NAME (If self-employed)

Email Address

Pag-IBIG EMPLOYER ID NO.

EMPLOYER’S CONTACT DETAILS (Indicate

EMPLOYER/BUSINESS ADDRESS
Unit/Room No., Floor

Building Name

Subdivision

Barangay

Lot No., Block No., Phase No., House No.,

Street Name

country code if abroad)
COUNTRY + AREA CODE TELEPHONE NO.

YEARS IN EMPLOYMENT/
BUSINESS

Municipality/City

Province and State Country (if abroad)

OCCUPATION
 Employed
 Self-Employed

POSITION & DEPARTMENT

Business (Direct Line)

ZIP Code

PREFERRED MAILING ADDRESS
 Present Home Address
 Employer/Business Address
 Permanent Home Address

Business (Trunk Line)
Employer/Business Email Address

INDUSTRY
 Accounting
 Activities of Private Households as
Employer’s & Undifferentiated Production
Activities of Private Households
 Agriculture, Hunting, Forestry & Fishing
 Basic Materials
 Construction

 Business Process Outsourcing (BPO)
 Education & Training
 Electricity, Gas and Water Supply
 Extra-Territorial Organization &
Bodies
 Financial Services/ Intermediation
 HR/Recruitment

 Health and Social Work;
Health and Medical Services
 Life Sciences
 Management
 Manufacturing
 Media
 Mining and Quarrying








Other Community, Social & Personal Service Activities
Public Administration & Defense; Compulsory Social Security
Technology
Transport, Storage and Communications
Travel and Leisure
Wholesale & Retail Trade; Repair of Motor Vehicles,
Motorcycles, Personal & Household Goods

SPOUSE’S PERSONAL DATA
LAST NAME

FIRST NAME

DATE OF BIRTH (mm/dd/yy)

NAME EXTENSION

CITIZENSHIP

MIDDLE NAME

TIN

OCCUPATION
 Employed

EMPLOYER/BUSINESS NAME (If self-employed)

YEARS IN EMPLOYMENT/
BUSINESS

EMPLOYER/BUSINESS ADDRESS
Unit/Room No., Floor
Subdivision

Building Name

 Self-Employed

POSITION & DEPARTMENT
Lot No., Block No., Phase No., House No.

Barangay

Municipality/City

Street Name

Province and State Country (if abroad)

ZIP Code

BUSINESS TEL. NO.

INDUSTRY
 Accounting
 Activities of Private Households as
Employer’s & Undifferentiated Production
Activities of Private Households
 Agriculture, Hunting, Forestry & Fishing
 Basic Materials
 Construction

 Business Process Outsourcing (BPO)
 Education & Training
 Electricity, Gas and Water Supply
 Extra-Territorial Organization &
Bodies
 Financial Services/ Intermediation
 HR/Recruitment

 Health and Social Work;
Health and Medical Services
 Life Sciences
 Management
 Manufacturing
 Media
 Mining and Quarrying







Other Community, Social & Personal Service Activities
Public Administration & Defense; Compulsory Social Security
Technology
Transport, Storage and Communications
Travel and Leisure
 Wholesale & Retail Trade; Repair of Motor Vehicles,
Motorcycles, Personal & Household Goods

BANK ACCOUNTS (Indicate your 3 most active)
BANK

BRANCH/ADDRESS

TYPE OF ACCOUNT

ACCOUNT NO.

DATE OPENED

AVE. BALANCE

CREDIT CARDS OWNED (Indicate your 3 most active)
ISSUER NAME

CARD TYPE
(e.g. Visa/Mastercard)

CARD EXPIRY
(mm/yyyy)

CREDIT LIMIT

HQP-HLF-069
(V04, 06/2017)

REAL ESTATE OWNED
LOCATION

TYPE OF PROPERTY

ACQUISITION COST

MORTGAGE
BALANCE

MARKET VALUE

RENTAL INCOME

OUTSTANDING CREDITS/LOAN AVAILMENTS
Creditor & Address

Security

Mo. Amortization

Type

Maturity Date

Amount/Balance

Security

Maturity Date

Amount/Balance
Creditor & Address

Mo. Amortization

Type

Security

Maturity Date

Amount/Balance
Creditor & Address

Type

Mo. Amortization

MISCELLANEOUS
(Answer the following questions with YES or NO. If your answer is YES, please elaborate on the details as required)

Are there past or pending cases against you?  Yes
 No
If Yes, please indicate the nature, plaintiff, amount involved and the status.
Do you have past due obligations?  Yes
 No
If yes, please indicate the creditor’s name, nature, amount involved and due date.
Was your bank account ever closed because of mishandling or issuance of bouncing checks?  Yes
 No
If yes, please indicate the bank’s name, nature amount and date.
Have you ever been diagnosed, treated or given medical advice by a physician or other health care provider?  Yes
If yes, please indicate the condition/diagnosis.

 No

LOAN AND CREDIT REFERENCES
BANK/FINANCIAL INSTITUTION

ADDRESS

PURPOSE

SECURITY

HIGHEST
AMOUNT OWED

PRESENT
BALANCE

DATE
OBTAINED

DATE FULLY
PAID

TRADE REFERENCES (For Self-Employed Only)
NAME OF SUPPLIER

ADDRESS

TEL. NO.

CHARACTER REFERENCES
NAME

ADDRESS

TEL. NO.

SOURCE OF Pag-IBIG FUND HOUSING LOAN INFORMATION
 TV Ad

 Radio Ad

 Pag-IBIG Fund Personnel

 Flyer/Poster/Brochure

 Employer

 Newspaper/Magazine Ad

 Website

 Agency

 Pag-IBIG Fund Branch

 Real Estate Developer

 Seller of the Property

 Others (pls. specify) _____________

CERTIFICATION
I/We certify that the foregoing information/statement is to my/our knowledge, true, correct, complete, and updated. The signature/s appearing below
is/are genuine I/We authorize Pag-IBIG Fund or its duly authorized representative: 1) to verify necessary information or data (i.e., certificate of employment,
pay slips and income tax return) with the concerned government agencies, any other or third parties including banks and other financial institutions from whom
Pag-IBIG Fund had obtained information; 2) to regularly submit and disclose my/our credit data (as defined under Republic Act No. 9510 and its Implementing
Rules and Regulations) to Credit Information Corporation (CIC) as well as any updates or corrections thereof; 3) to share my/our credit data with other lenders
authorized by the CIC, and credit reporting agencies duly accredited by the CIC; and 4) to send me/us updates about my/our housing loan
application/account via SMS/text, email, mail or other available means of communication.
I/We hereby further waive confidentiality rules and laws as applicable to establish correctness, validity, and authenticity of documents that would help
facilitate the processing and evaluation of my/our application.
I/We hereby agree that any misrepresentation of a material fact is a ground for disapproval of the application, cancellation of the loan, and shall be a
cause for the total outstanding obligation to be due and demandable and shall be subject to other sanctions provided in existing Pag-IBIG guidelines. I/We
agree to notify Pag-IBIG Fund of any material change affecting the information contained herein. I/We agree that all information obtained by Pag-IBIG Fund
shall remain its property whether or not the loan is granted.
____________________________________
SIGNATURE OF CO-BORROWER

____________________________________
SIGNATURE OF SPOUSE

____________________________________
DATE

____________________________________
DATE

THIS FORM CAN BE REPRODUCED. NOT FOR SALE
 
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