AUTO LOAN INDIVIDUAL_front

Auto Loan
Application Form for Individual Borrowers
Thank you for taking interest in PSBank’s Auto Loan. Please completely fill out this application form or put N/A on fields that are not applicable to you. All fields marked with asterisk
(*) should be answered completely to ensure validity of entry. Application with incomplete information will not be processed. Please print your answers using BLACK ink only.
Date of Application
Dealer
Brand
Year Model
Model
Type of Vehicle
Brand New
Sales Agent
Branch
Application No.
Cash Price
Downpayment
Term (in months)
Amount Financed
Add-on Rate (AOR)
Used
Reconditioned
PURPOSE OF LOAN
Personal
Business
Public Use
INFORMATION OF
*Name (Last name, First name, Middle name)
*Nationality
Filipino
Others
Ms.
Mr.
Mrs.
Others, pls. specify
BORROWER
Sr.
Jr.
CO-MAKER
Gender
Male
Female
Others
Residency
Resident (e.g. Filipinos, sea-based OFWs, Aliens with ACR or Special Retirement Visa ID, etc.)
*Birthdate (mm/dd/yy)
Age
*Birthplace
Non-Resident (e.g. Aliens, Filipino immigrants, land-based OFWs with contract to work abroad for more than a year, etc.)
Educational Attainment
Elementary
High School
College
Undergraduate
Vocational
Postgraduate
Civil Status
Single
Married
Legally Separated
Widow / Widower
*Tax identification No.
SSS / GSIS No.
If co-maker, pls. specify relation to
Principal Applicant
*Present Address (House No./ Floor/ Unit No./ Block No./ Lot No./ P.O. Box No./ Bldg./ Apartment Name/ Street Name/ Village/ Subdivision/ Phase/ Barangay/ Barrio/ Municipality/ Province/ City/ Zip Code/ Country)
*Previous Address (House No./ Floor/ Unit No./ Block No./ Lot No./ P.O. Box No./ Bldg./ Apartment Name/ Street Name/ Village/ Subdivision/ Phase/ Barangay/ Barrio/ Municipality/ Province/ City/ Zip Code/ Country)
Home Ownership
Owned
Mortgaged to
Term
(Bank or Financial Institution)
Rented from
Living with Parents / Relatives
Length of Stay
Amort./Mo. PhP
(Landlord’s Name and Contact No.)
(Names)
Rent / Mo. Php
Years
Relationship
Months
*Residential Telephone No.
*Cellphone No.
*Email Address
Your preferred mailing address:
(For non-Metro Manila, please indicate the area code)
Office Address
Residence
Business Address
Employment
Source of Income
Locally Employed
Private
Government
Self-employed
OFW Immigrant
Private
Government
Self-employed
OFW Non-Immigrant
Private
Government
Self-employed
Unemployed
Remittance / Allottee
Pension / Retired
Student
If employed, please state:
Company Name
Contractual
Business Name
Position in the Company
Non-Officer
Company Website Address
Jr. Officer
Nature of Business
Supervisor
Job Title
Years
Months
Business Address
Business Website Address
Nature of Business / Work
Middle Manager
Length of Operation
Sr. Officer
Office Phone / Fax No.
Years
Months
Name of Previous Employer / Business
Office Phone / Fax No.
If OFW, please state:
Probationary
If in business or in practice of profession, please state:
Office Address
Length of Stay
Status of Employment
Permanent
Others
Employment base:
Country of destination
Land
Sea
Air
Dependents
1. Name
Age
School
Level
Type of School
2. Name
Public
Age
School
Exclusive
Private Coed
Level
Type of School
Public
Exclusive
Private Coed
INFORMATION OF SPOUSE
*Name (Last name, First name, Middle name)
Mr.
Ms.
Mrs.
Sr.
Vocational
Postgraduate
Gender
Male
Female
Others
*Nationality
Filipino
Others
*Maiden Name (Last name, First name, Middle name)
Educational Attainment
Elementary
High School
College
Undergraduate
Jr.
Civil Status
Single
Married
*Birthdate (mm/dd/yy)
Age
*Birthplace
SSS / GSIS No.
*Tax identification No.
Legally Separated
Widow / Widower
Employment
Source of Income
Locally Employed
Private
Government
Self-employed
OFW Immigrant
Private
Government
Self-employed
OFW Non-Immigrant
Private
Government
Self-employed
If employed, please state:
Company Name
Status of Employment
Permanent
Probationary
Contractual
Business Name
Position in the Company
Non-Officer
Company Website Address
Jr. Officer
Nature of Business
Supervisor
Job Title
Middle Manager
Office Phone / Fax No.
Others
If in business or in practice of profession, please state:
Office Address
Length of Stay
Unemployed
Remittance / Allottee
Pension / Retired
Student
Years
Months
Sr. Officer
Business Address
Business Website Address
Nature of Business / Work
Length of Operation
Office Phone / Fax No.
Name of Previous Employer / Business
Years
Months
STATEMENT OF INCOME AND EXPENSES*
Borrower
Spouse
Total
Gross Monthly Income
PhP
PhP
PhP
Gross Monthly Expenses
PhP
PhP
PhP
Net Monthly Income
PhP
PhP
PhP
STATEMENT OF ASSETS AND LIABILITIES*
ASSETS
Details (Name of Bank, Etc.) / Type / Description
Amount / Estimated Value
Cash on Hand & with Banks
PhP
Real Estate Property/ies
PhP
Motor Vehicle/s
PhP
TOTAL ASSETS
LESS: LIABILITIES
Type
Loans
Bank
PhP
Amortization
Outstanding Balance
Personal / Salary Loan
PhP
PhP
Car Loan
PhP
PhP
Housing Loan
Credit Card
Company
PhP
PhP
Credit Card Number
Credit Limit
Expiry Date
Credit Card
Outstanding Balance
PhP
PhP
PhP
PhP
TOTAL LIABILITIES
PhP
NET WORTH
PhP
*as required by the Bangko Sentral ng Pilipinas under BSP Circular 622
PERSONAL REFERENCES
Name
Address
Contact Number
CREDIT / BANK REFERENCES
Bank
Type
Account No.
Monthly Amortization
Website
PSBank Personnel
Flyer / Poster / Streamer
Maturity Date
DO YOU HAVE A RELATIVE WORKING IN PSBANK?
SOURCE OF PRODUCT INFORMATION
How did you learn about PSBank Auto Loan?
TV / Radio
Outstanding Balance
Yes
Newspaper / Magazine
Direct Mail
No
If yes, please state:
Name
PSBank Client
Name
Agency
Name
Name
Relation
Others, pls. Specify
HIGHLIGHTS OF TERMS AND CONDITIONS
Product Features - PSBank Auto Loan with Prime Rebate is a Term Loan facility.
Loan Range: Minimum of PhP100,000 for brand new cars / Minimum of PhP300,000 for 2nd hand units.
Terms: 12 to 60 months
Interest Rate: Based on prevailing interest rate at time of loan booking.
Prime Rebate Feature: Allows clients to get a “discount” on his/her loan when he/she makes advance or
excess payments on his/her monthly due.
Examples:
Advance Payment - When client pays five days before his/her loan’s monthly due date, he/she earns a
rebate on a daily basis from the day his/her payment was posted to the day before his/her loan’s due
date.
Excess Payment - When a client pays in excess of the amount required on his/her due date, he/she will
earn a rebate on a daily basis from the date of posting.
Events of Default – Each or any of the following shall constitute an event of default.
a.) Client fails to pay the amortization amount and interest due;
b.) Client violates any of the T&C of the agreement;
c.) Client refuses to deliver the foreclosed property to the Bank;
d.) Client fails to register the motor vehicle with the LTO;
e.) Lost, destroyed, damaged or change in form and use of mortgaged property.
The property/ies mortgaged shall be deemed lost if Client fails to give additional
security (in lieu of the damages, etc. on the property/ies) to the Bank.
Consequences of Default – In case of default, the Bank may, without need of notice or demand, exercise
any or all of the following remedies.
a.) Cancellation of the Contract of Sale;
b.) The whole amount remaining unpaid including (interest, fees and charges)
shall immediately become due and payable;
c.) Extrajudicial /Judicial foreclosure;
d.) Exercise the right to offset and/or legal compensation;
e.) Deliver the mortgaged property to the Bank, at Client’s own expense;
f.) In case of breach of the Terms & Conditions client expressly waives the term of 30 days
as the period which must elapse before the Bank shall foreclose the mortgage.
Customer Complaints, Concerns and Other Queries - In case of complaints, concerns and other
queries regarding PSBank Auto Loan with Prime Rebate, the Client may contact the Bank's 24/7
Customer Experience Hotline at (02)845-8888; text (63)998-8458888; or e-mail at
[email protected]. The Client can also get in touch with the Bank via the
PSBank LiveChat by visiting www.psbank.com.ph.
FEES AND CHARGES
A.) BOOKING FEES AND CHARGES:
CHATTEL MORTGAGE FEES + INSURANCE + OTHER CHARGES (RD Registration (out of town) fee + LTO
Encumbrance (out of town) fee)
B.) POST-BOOKING FEES AND CHARGES:
DUE DATE EXTENSION FEE
(accrued interest from old due date to new due date)
Due date extension fee is computed as:
Outstanding Balance x Rate x number of days / 360
SERVICE FEE FOR CERTIFICATE OF
ENCUMBRANCE FOR LTO REGISTRATION
A certification fee of PhP50 shall be charged plus a notary
fee of PhP300 if Certificate of Encumbrance for LTO
registration is notarized.
PROCESSING FEES FOR CHANGE OF
COLLATERAL AND CONVERSION OF
UNIT TO PUV
LATE SUBMISSION FEE OF INSURANCE
POLICY RENEWAL
COLLECTION FEE IN CASE OF DEFAULT
LATE PAYMENT PENALTY FEE
ATTORNEY'S FEES AND LIQUIDATED
DAMAGES
NOTARY FEE FOR RELEASE OF CHATTEL
MORTGAGE
PRE-TERMINATION CHARGES /
EARLY SETTLEMENT FEE
-PhP5,000 shall be charged for amendments or change of
collateral.
-PhP10,000 shall be charged for conversion of unit to PUV.
PhP1,000 shall be charged for late submission of
insurance policy renewal documents
A collection fee amounting to 3% of the monthly
installment or amount due shall also be charged in case of
default.
5% per month or a fraction thereof shall be added on each
unpaid installment from its due date until fully paid.
In case of default and no legal action is filed, borrower shall
pay an additional sum equal to 10% of the amount due as
attorney’s fees. In case of litigation, borrower shall pay an
additional sum equal to 25% of all amount outstanding as
attorney’s fees and the further sum of 20% as liquidated
damages, in addition to cost and other expenses of
litigation.
A notary fee of PhP300 shall be charged for the release of
Chattel Mortgage.
FREE OF CHARGE
Note: All aforesaid fees and charges will take effect immediately and may be cancelled or modified anytime at the Bank’s sole
discretion without any prior notice.
CORRECTNESS, WAIVER OF CONFIDENTIALITY OF PERSONAL AND FINANCIAL INFORMATION, AND TERMS AND CONDITIONS OF LOAN APPROVAL
1. The undersigned loan applicant/borrower (hereinafter the “Borrower” regardless of number)
understands that the personal and financial information (hereinafter “Information”) supplied by
him in the Auto Loan Application Form on the reverse side and on this page, and those which may
be obtained from his income tax returns, financial statements, credit transactions and all other
documents submitted to the Bank in support of his loan application (“Supporting Documents”) shall
be used by Philippine Savings Bank (the “Bank”) as basis for the approval of his said loan application.
2. In connection with the above, the Borrower:
a) Certifies the correctness of all his Information;
b) Authorizes the Bank to verify his Information and Supporting Documents with the pertinent
government or private institutions;
c) Waives all provisions of Republic Act 1405 ( Law on Secrecy of Deposits), Republic Act 6426
(The Foreign Currency Deposit Act), Republic Act 8791(General Banking Law of 2000),
Republic Act 10173 ( Data Privacy Act of 2012), their amendatory laws if any, and all other
laws now existing or may hereafter exist protecting the confidentiality of the Borrower’s
Information.
d) Acknowledges that pursuant to Republic Act 9510, the Bank is required to regularly submit
and disclose the Borrower’s basic credit data (as defined under Republic Act No. 9510 and its
Implementing Rules and Regulations) to the Credit Information Corporation (CIC) as well as any
updates or corrections thereof; and to share the Borrower’s said basic credit data with other
lenders authorized by the CIC, and credit reporting agencies duly accredited by the CIC.
3. The Borrower understands that the Bank may disapprove his loan application, revoke prior loan
approvals, or terminate existing loan availments on the ground of misrepresentation and/or
concealment of the Borrower’s Information, whether intended or not, without prejudice to any
other legal remedies that the Bank may take.
Signature of Principal Borrower / Co-Maker
Date
4. The Borrower understands that the approval of his loan application shall be at the sole
discretion of the Bank, subject to:
a) The Bank’s existing credit policies and procedures on its Auto Loan Facility;
b) Existing rules and regulations of the Bangko Sentral ng Pilipinas;
c) Payment by the Borrower of all fees and charges relative to the processing of his loan
application;
d) Submission by the Borrower of all documentary requirements and compliance with all
other conditions imposed by the Bank for the approval of his loan application as
prescribed under existing Bank credit policies or those that may be prescribed by the
Bank’s Legal Department;
e) Agreement by the Borrower to all terms and conditions of the Loan.
In case of disapproval of the Borrower’s loan application, the Bank shall not be obliged to
disclose the reason/s for such disapproval.
5. The Borrower authorizes the Bank to send updates about the Borrower’s loan application via
SMS/text, email, mail or other means of communication.
6. The Borrower‘s loan application may be withdrawn or cancelled at any time prior to
booking, without incurring additional charges. The Borrower shall course all complaints or
concerns, if any, at the Bank’s Customer Experience Division or Indirect Auto Loan Channel
Department.
7. The Loan Application Form and all Supporting Documents shall remain the Bank’s property
and the same may be used at the Bank’s discretion whether the loan is granted or not.
Automatic Debit Arrangement Account Number
Signature Verified, Authenticated, Approved by:
Signature of Spouse
Date