BSP-Information Sheet Corporation
BSP-Information Sheet Corporation
BSP-Information Sheet Corporation
BUYERS DATA
Company Name:
Office Address:
Telephone No.
Fax No.:
Web Site:
Nature of Business:
Length of Business:
Country of Incorporation:
% of Filipino Ownership:
Company TIN:
Authorized Person:
Position:
Telephone No.:
Government Issued ID
Issued By and No.:
E-mail Address:
MANAGEMENT
KEY OFFICERS
POSITION
Contact No.
Email Address:
Original Amount:
Monthly Payment:
OTHER ASSETS
Outstanding Balance:
CREDIT HISTORY
Maturity Date:
Type of Property/Investment
Does the corporation/partnership have an existing loan with other banks or other financial institutions?
If yes, please give details and submit proof of last amortization payment ___________________
Location/Description
Estimated Value
Is the abovementioned property used as a
security for a loan? Yes No
If yes, please give details _______________
Yes No
Are there cases, past or pending filed against the corporation/partnership involving non-payment of obligations or mishandling or
issuance of bouncing checks? Yes No If yes, please state the nature and status of the case _____________________
CERTIFICATION
I hereby certify that the above statements are true, correct and complete to the best of my knowledge and belief and hereby agree that any misrepresentation or nondisclosure of a material fact shall be a ground for the disapproval of my offer. I agree to notify the BSP of any material change in the data stated herein. I likewise authorize the BSP
to undertake whatever investigation or verification to check the validity or information contained herein. Lastly, I understand that it may be a criminal offense punishable by fine or
imprisonment, or both, to knowingly make untruthful statements or related falsehoods upon any material matter concerning any of the above statements under the criminal laws
of the Philippines.
____________________________
Date Signed
_____________________________
Signature Over Printed Name
____________________________
Date Signed
_____________________________
Signature Over Printed Name
DOCUMENTARY REQUIREMENTS
Republic of the Philippines)
City of Manila
) S.S.
SUBSCRIBED AND SWORN TO BEFORE ME THIS ______ DAY OF _______, 2011 AT ____________ BY
___________________________
(Name of Buyer)
__________________
Com. Tax Cert. No.
___________________
Date and Place of Issue