Buyer S Information Sheet

BUYER’S INFORMATION SHEET

Project Name Block Lot

GENERAL INFORMATION CONTACTS Surname First Name Middle Name TIN Buyer’s Mobile No.

Sex Date of Birth Civil Status Res. Cert. No. Buyer’s Res. No. Male Female Present Home Address Place of issue Date of issue Parent’s Mobile No. ______Spouse Full Name Parent’s Res. No.

Employer/Business Name Date of Birth Employer’s Contact No

Employer/Business Address Employer/Business Name Spouse Mobile No.

Other contact person aside from spouse(Name & Contact No.) Employer/Business Address

Parents/Provincial Address Other Contact No.

PAYMENT TERMS ELIGIBILITY AFFORDABILITY

Type of Purchase Do you have a current housing loan? Gross Salary ______Less: Cash Deferred Cash Yes No Gross Deduction ______Bank If yes, from which financing Net Take Home Pay = ______PagIBIG institution? ______Less: Loan Term ______Living Expenses ______Do you have a current multipurpose Less: Price ______loan with Pag-Ibig Fund? Debt Payments Amount Less: Discount ______Net ______Yes No Add: Processing Cost ______Total ______If yes, is your loan updated? Add: Less: Reservation Fee ______Yes No Other sources of income Amount Outright Cash ______What is the status of your current ______address? Owned Renting Amount for Financing ______Living with Parents/Relatives

Sketch of Buyer’s present home address: TOTAL AMOUNT FOR HOUSING

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CERTIFICATION

I/We certify that the foregoing information/statement are to the best of my/our knowledge; true, correct and complete; and I/We hereby agree that any misrepresentation of a material fact is a ground for cancellation of the transaction, or payment of penalties as the case may be. I/We agree to notify 77 Living Spaces Inc. of any material change affecting the information contain herein. I/We agree that all information obtained by 77 Livings Spaces Inc. shall remain its property whether or not the purchase of the house and lot is consummated. This signature(s) appearing below is genuine. Upon your application with 77 Living Spaces Inc., you automatically agree to receive SMS messages from the developer.

______PRINTED NAME AND SIGNATURE OF BUYER PRINTED NAME AND SIGNATURE OF SPOUSE

______DATE DATE FOR 77 LSI USE ONLY Approved by:

77 LSI REPRESENTATIVE AGENT UNIT MANAGER DATE RECEIVED