HQP-AAF-005
______________________
(Branch)
RESERVATION FORM
Date of Reservation: ________________
A. Buyer Information
Name
Address
Contract Number
Employer/Business Name
:
:
:
:
B. Property Information
Property Number
Property Location
Selling Price
Mode of Payment
:
:
:
:
Signature
TO BE FILLED OUT BY Pag-IBIG FUND
Received by:
Date:__________________
Time:__________________
____________________________
Authorized Signatory
(Signature Over Printed Name)
(July 2012)
HQP-AAF-005
______________________
(Branch)
RESERVATION FORM
Date of Reservation: ________________
A. Buyer Information
Name
Address
Contract Number
Employer/Business Name
:
:
:
:
B. Property Information
Property Number
Property Location
Selling Price
Mode of Payment
:
:
:
:
Signature
TO BE FILLED OUT BY Pag-IBIG FUND
Received by:
____________________________
Authorized Signatory
(Signature Over Printed Name)
Date:__________________
Time:__________________
(July 2012)
HQP-AAF-004
_________________
(Branch)
OFFER TO PURCHASE
__________________
Date
Attention: ACQUIRED ASSET MANAGEMENT/SECTION
Sir/Madam:
Relative to the sale of Pag-IBIG Fund property/ies described below, I/We hereby submit my/our offer to
purchase the said property subject to the terms and conditions of the Guidelines Implementing the
Pag-IBIG Fund Acquired Assets Disposal Program:
1. Location of the Property: ______________________________________________________
2. Property No. __________________________TCT/CCT No. __________________________
3. Selling Price: ________________________________________________(P_____________)
4. Mode of Payment:
Cash
Installment ( ___ months) Pag-IBIG Housing Loan
5. Former Owner:
Yes
No
6. Pag-IBIG Member:
Yes
No
I/We agree to hold Pag-IBIG Fund free and harmless from liabilities of whatever kind and nature arising out
of any legal claims which may be filed by third persons involving the property. Further, I/we also agree that
Pag-IBIG Fund has no commitment and makes no guaranty to approve the offer, as it is understood to be
subject to final approval by Pag-IBIG Funds approving authorities.
Very truly yours,
_____________________________________
OFFEROR/AUTHORIZED REPRESENTATIVE
Buyer Information:
NAME OF BUYER/AUTHORIZED REPRESENTATIVE
Last Name
First Name
DATE OF BIRTH
Name Extension (e.g. Jr., III)
Middle Name
Maiden Name
m
TAXPAYERS IDENTIFICATION NO. (TIN)
SSS/GSIS ID NO.
Pag-IBIG MID NO.
PERMANENT HOME ADDRESS
Unit/Room No., Floor
Building Name
Subdivision
Barangay
COMMON REFERENCE NO. (CRN)
CONTACT DETAILS
Lot No., Block No., Phase No. or House No.
Street Name
(Indicate country code if abroad)
COUNTRY + AREA CODE TELEPHONE NO.
Municipality/City
Province and State Country (if abroad)
ZIP Code
PRESENT HOME ADDRESS
Unit/Room No., Floor
Building Name
Subdivision
Barangay
Home Tel. No.
Cellphone No.
Lot No., Block No., Phase No. or House No.
Municipality/City
Street Name
Province and State Country (if abroad)
ZIP Code
Employer/Business Tel. No.
Email Address
EMPLOYER/BUSINESS NAME
EMPLOYER/BUSINESS ADDRESS
Unit/Room No., Floor
Building Name
Subdivision
Barangay
Lot No., Block No., Phase No. or House No.
Municipality/City
Street Name
Province and State Country (if abroad)
PREFERRED MAILING ADDRESS
ZIP Code
Present Home Address
Employer/Business Address
Permanent Home Address
- ---------------------------------------------------------------------THIS PORTION IS FOR Pag-IBIG FUND USE ONLY
ACQUIRED ASSET MANAGEMENT/SECTION
Computation of Net Purchase Price
Offered Price:
P ______________
Less: Discount (___%):
(______________)
Net Purchase Price
Computed by
Date
Approved by
Date
For sale through installment
Interest Rate ____ %
Term
____ months
P _____________
Disapproved by
Date
Monthly Installment
P _____________
Remarks
(July 2012)
HQP-HLF-070
AUTHORIZATION TO CONDUCT CREDIT/
BACKGROUND INVESTIGATION
____________________
Date
_______________________
_______________________
_______________________
Dear Sir/Madam:
I hereby authorize Pag-IBIG Fund or its duly authorized representative to
validate/check with the following institutions in connection with my/our application
for housing loan:
Company/Employer
BIR
Bank (in case income is sourced from foreign remittances, pension, etc)
Credit Cards Owned (if any)
DTI (Business Name)
LGU (Mayors Permit/Business Permit)
LTFRB (Transport Franchise)
Others: ________________
Thank you.
Very truly yours,
______________________
Signature of Borrower
Over Printed Name
(August 2012)
Republic of the Philippines
City of Mandaluyong
AFFIDAVIT OF UNDERTAKING
I, ___________________________________ of legal age, Filipino, Single/Married, with
residence address at _______________________________________________________________
After having duly sworn in accordance with law, depotes and states:
1. That I am Pag-IBIG member who wishes to purchase a residential house and lot under
the Pag-IBIG Fund Acquired Assets Disposal Program (Circular 308) which
property is described and identified as Blk___Lot___Ph_________________________
______________________________;
2. That I am buying and accepting the subject property on AS IS WHERE IS basis
knowing for a fact that the same is presently occupied by the original borrower/buyers
of rights/illegal occupants;
3. That any payment or deposit made with the Pag-IBIG Fund in connection with my
purchase of the said property, the same shall be forfeited in accordance with the
Purchase Offer Form;
4. That I fully understand the contents of the foregoing affidavit and had been explained
to me in dialect/language known to me;
5. That I am executing this affidavit to attest the truth and veracity of that foregoing and
for whatever purpose this may serve.
IN WITNESS THEREOF, I affixed my signature this ____ day of _______________, 2014
____________.
____________________________
Signature over Printed Name
HOME DEVELOPMENT MUTUAL FUND
Acquired Assets Management
7/F JELP Business Solutions Center
409 Shaw Boulevard, Mandaluyong City
I, _________________________________ hereby acknowledge that I have been duly
informed by the Fund that the RESERVATION FEE for Property No._______________
is NON - TRANSFERRABLE / NON - REFUNDABLE and that it is valid for THIRTY (30)
days from the date the reservation is made and in the event of non-compliance with the
requirements, my reservation is deemed CANCELLED without the need to be notified.
____________
Date
___________________________
Signature over Printed Name
HOME DEVELOPMENT MUTUAL FUND
Acquired Assets Management
7/F JELP Business Solutions Center
409 Shaw Boulevard, Mandaluyong City
I, _________________________________ hereby acknowledge that I have been duly
informed by the Fund that the RESERVATION FEE for Property No._______________
is NON - TRANSFERRABLE / NON - REFUNDABLE and that it is valid for THIRTY (30)
days from the date the reservation is made and in the event of non-compliance with the
requirements, my reservation is deemed CANCELLED without the need to be notified.
____________
Date
___________________________
Signature over Printed Name
HQP-HLF-063
HQP-HLF-063
MEMBERSHIP STATUS
VERIFICATION SLIP
Date Filed: __________
MEMBERSHIP STATUS
VERIFICATION SLIP
MSVS No. ___________ Date Filed: __________
MSVS No. ___________
Name of Developer (For Developers account)
Tel. No.
Name of Developer (For Developers account)
Tel. No.
Last Name
Middle Name
Last Name
Middle Name
First Name
Name Ext.
Sex
Maiden Name (For married women)
Pag-IBIG MID No.
First Name
Name Ext.
Sex
Maiden Name (For married women)
Male
Female
Marital Status
Date of Birth
Single/
Married
Widow/er
Unmarried
Company/Employer/Business Name
Legally
Separated
Pag-IBIG MID No.
Male
Female
Annulled
Company/Employer/Business Address
Marital Status
Date of Birth
Single/
Married
Widow/er
Unmarried
Company/Employer/Business Name
Tel. No.
Legally
Separated
Annulled
Company/Employer/Business Address
Tel. No.
For AFP
Employee
Branch of Service
Serial/Account No.
For AFP
Employee
Branch of Service
Serial/Account No.
For DECS
Employee
Division Code
Station Code
For DECS
Employee
Division Code
Station Code
Employee No.
EMPLOYMENT HISTORY FROM DATE OF Pag-IBIG MEMBERSHIP
NAME OF EMPLOYER/ADDRESS
FROM (Mo./Yr.)
TO (Mo./Yr.)
Members
Signature
EMPLOYMENT HISTORY FROM DATE OF Pag-IBIG MEMBERSHIP
NAME OF EMPLOYER/ADDRESS
TO (Mo./Yr.)
FOR SERVICING DEPARTMENT / HOUSING LOANS DIVISION /
Pag-IBIG INTERNATIONAL OPERATIONS GROUP
HOUSING VERIFICATION
Without With
HOUSING
LOAN
HOUSING VERIFICATION
TOD
Loan Value
HL Status
_____________
_______________
_____________________
Verified by:
Date:
Without With
TOD
HOUSING
LOAN
_____________
Verified by:
LATEST CONTRIBUTION RECORD
PFR No./Date
Amount
Without
With
CLAIMS
MPL
DV Date
Loan Value /
Amount
_____________ ________________
_____________ ________________
Loan Entitlement
Verified by:
Certified by:
Date
HL Status
_______________
_____________________
PROVIDENT VERIFICATION
Total No. of
Contributions
Claim Type /
Last Applicable Month
_____________________
_____________________
Date
Year/Month
LATEST CONTRIBUTION RECORD
PFR No./Date
Amount
Without With
CLAIMS
MPL
DV Date
Loan Value /
Amount
_____________ ________________
_____________ ________________
Loan Entitlement
Verified by:
Certified by:
Date
MSVS APPROVAL
Approved
Loan Value
Date:
PROVIDENT VERIFICATION
Total No. of
Contributions
Claim Type /
Last Applicable Month
_____________________
_____________________
Date
MSVS APPROVAL
Disapproved
Remarks
Approved
Disapproved
Remarks
FOR RE-VALIDATION OF MSVS
FOR RE-VALIDATION OF MSVS
HOUSING VERIFICATION
Without With
TOD
HOUSING
LOAN
_____________
Verified by:
Loan Value
_______________
HOUSING VERIFICATION
HL Status
_____________________
Date:
Without With
HOUSING
LOAN
LATEST CONTRIBUTION RECORD
PFR No./Date
Amount
Without
CLAIMS
MPL
With
DV Date
Loan Value /
Amount
_____________ ________________
_____________ ________________
Loan Entitlement
Verified by:
Certified by:
Date
TOD
Loan Value
HL Status
_____________
_______________
_____________________
Verified by:
Date:
PROVIDENT VERIFICATION
Year/Month
FROM (Mo./Yr.)
Members
Signature
FOR SERVICING DEPARTMENT / HOUSING LOANS DIVISION /
Pag-IBIG INTERNATIONAL OPERATIONS GROUP
Year/Month
Employee No.
PROVIDENT VERIFICATION
Total No. of
Contributions
Claim Type /
Last Applicable Month
_____________________
_____________________
Date
Year/Month
LATEST CONTRIBUTION RECORD
PFR No./Date
Amount
Without With
CLAIMS
MPL
DV Date
Loan Value /
Amount
_____________ ________________
_____________ ________________
Loan Entitlement
Verified by:
Certified by:
Date
MSVS APPROVAL
Approved
Total No. of
Contributions
Claim Type /
Last Applicable Month
_____________________
_____________________
Date
MSVS APPROVAL
Disapproved
Remarks
Approved
Disapproved
Remarks
(August 2012)
(August 2012)
