LESSEE’S INFORMATION SHEET

A. PERSONAL INFORMATION

(First Name ) (Middle Name) (Surname)

Residences / Address

Provincial Address :

Civil Status
Single Married Separated Widowed
Home Ownership :
Owned Living with Parents
Mortgaged - Monthly Amortization ( P ____________ )
Living with Relatives Leased- Monthly Rental ( P ____________
Telephone No. (1) ____________________ Telephone No. (2) ____________________

Email Address: ___________________________________________________________

________ Employed ________ Self-employed
( indicate Business name if applicable)
___________________________________________
Employer : _______________________________________________________________
Nature of Work: __________________________________________________________
Office Address : ___________________________________________________________
Direct Line No : _______________ Office Email Address: _______________________
Source of Income / Funds __________________________________________________
Tax Identification No. __________________________ SSS/ GSIS No. _______________
Date of Birth _______________ Place of Birth_________________ Nationality _____________
Bank Reference
1. Bank Name ________________________________ Branch ______________________________
Telephone No ______________________________ Address: ____________________________
Checking Account No. _____________________ Savings Account No. __________________
2. Bank Name ________________________________ Branch ______________________________
Telephone No ______________________________ Address: ____________________________
Checking Account No. _____________________ Savings Account No. __________________
Personal Credit Reference:
1. Name : ____________________________________ Occupation: __________________________
Relationship : ______________________________ Contact No. __________________________

2. Name : ____________________________________ Occupation: __________________________

Relationship : ______________________________ Contact No. __________________________
B. SPOUSE'S INFORMATION ( IF APPLICABLE ):

(First Name ) (Middle Name) (Surname)

Telephone No. (1) ____________________ Telephone No. (2) ____________________

Email Address: ___________________________________________________________

________ Employed ________ Self-employed

( indicate Business name if applicable)
Employer : _______________________________________________________________
Nature of Work: __________________________________________________________
Office Address : ___________________________________________________________
Direct Line No : _______________ Office Email Address: _______________________
Source of Income / Funds __________________________________________________
Tax Identification No. __________________________ SSS/ GSIS No. _______________
Date of Birth _______________ Place of Birth_________________ Nationality _____________

C.DOCUMENTS SUBMITTED ( photocopy verified from the original )

______ 1. Proof of Mailing address ( PLDT , Meralco,Manila Water, Smart, Globe, Cable TV,
Credit Card)
______ 2. (2) Valid Government ID's Lessee ___________________ , __________________
Spouse ____________________, ___________________
______ 3. Marriage Certificate ( if applicable)
______ 4. Certificate of Employment ( Lessee & Spouse ) /Business Permit
______ 5. Bank Statement
______6. Income Tax Return
______7. ACR (Alien Certificate of Registration ) Required for Foreigners
The undersigned ackmowledges that the above information are true and correct , and
authorities the lessor and / or its leasing / management agents to verify same and to obtain
additional and / or continuing information from the applicant's bank, creditors and other
commercial sources , including credit reporting agencies .

Furthermore. This lessee information sheet is completely non-binding and has no

effect on either party or whatsoever until a contract of lease has been signed

______________________________ ______________________________
Signature over Printed Name Signature over Printed Name
LESSEE'S Lessor's / Agent
__________

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__________
_________

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