APPLICATION FORM

DATE: DEALER: TOYOTA SHAW, INC. MARKETING PROFESSIONAL: Yumi Takahashi 304 Shaw Boulevard, Mandaluyong City CREDIT APPLICATION FOR INDIVIDUAL & SINGLE PROPRIETORSHIP PLEASE FILL UP COMPLETELY TO FACILITATE APPROVAL I/We certify that all this information entered into this loan application are true, correct and complete. I/We authorize you to verify and investigate said information from whatever sources you may consider appropriate. I/We authorize the sources that you approach to provide information relative to this application. I agree that this application and the information derived will remain your property whether the loan is granted or not. I/We understand that any misrepresentation may adversely affect approval of this application and status of my loan if already granted. UNIT MODEL VARIANT UNIT PRICE DOWN PAYMENT AMOUNT FINANCED TERM APPLICANT/PRINCIPAL BORROWER LAST NAME FIRST NAME MIDDLE NAME DATE OF BIRTH CITIZENSHIP CIVIL STATUS NO. OF DEPENDENTS EDUCATIONAL ATTAINMENT: COMPLETE ADDRESS YEARS STAYED HOME TEL. NO. CELLPHONE NO. PROVINCIAL ADDRESS CO-BORROWER / CO-MAKER LAST NAME FIRST NAME MIDDLE NAME DATE OF BIRTH CITIZENSHIP CIVIL STATUS NO. OF DEPENDENTS COMPLETE ADDRESS YEARS STAYED HOME TEL. NO. CELLPHONE NO. PROVINCIAL ADDRESS INCOME APPLICANT'S EMPLOYER/BUSINESS NAME CO-BORROWER'S/CO-MAKER'S EMPLOYER/BUSINESS NAME BUSINESS ADDRESS BUSINESS ADDRESS TEL. NO. YRS. WITH THE COMPANY POSITION: TEL. NO. YRS. WITH THE COMPANY POSITION CASH FLOW APPLICANT'S MONTHLY SALARY CO-BUYER'S/CO-MAKER'S MONTHLY SALARY ADD. OTHER MONTHLY INCOME TOTAL MONTHLY INCOME LESS MONTHLY EXPENSES RENTALS MORTGAGES HOUSEHOLD EXPENSES OTHER EXPENSES TOTAL EXPENSES NET MO. INCOME REFERENCES MAIN BANK/BRANCH: C/A #: S/A #: PERSOMAL REFERENCE NAME ADDRESS TEL. NO. TRADE/SUPPLIER (FOR APPLICANTS WITH OWN BUSINESS OR ENTREPRENEURS) NAME ADDRESS TEL. NO. NAME OF CHILDREN AGE SCHOOL GRADE/YEAR