TOYOTA SAN JOSE DEL MONTE, BULACAN

ADDRESS:
Quirino Hi-way Cor. Pleasant Hills Rd.,
San Jose Del Monte, Bulacan
Tel. No.

CREDIT APPLICATION - SERVICE ( ) PARTS ( ) VEHICLE ( )

IMPORTANT: To facilitate processing of your credit application, please fill up this form completely.

I. Name of Company :
Address:
Telephone No(s): FAX No (s):

Billing Address:

Telephone No(s): Contact Person: Fax No(s):

Date Established: Nature of Business:
Registration: S.E.C. No. Date:
II. OWNERS, PARTNERS, OFFICERS OR DIRECTORS OF THE COMPANY
Name Title Nationality

III. FINANCIAL HIGHLIGHTS FOR PAST TWO YEARS PER AUDITED FINANCIAL STATEMENTS

_______________ P_______________ P_______________ P _______________ P _______________ P _______________

_______________ P_______________ P_______________ P _______________ P _______________ P _______________

IV. CREDIT ACCOMODATION

Amount Applied For:_______________
Term:_____________
V. CREDIT REFERENCES:
BANKS/FINANCIAL INSTITUTIONS
1) Name : Telephone No.
Address: Contact Person:
2) Name : Telephone No.
Address: Contact Person:
3) Name : Telephone No.
Address: Contact Person:
MOTOR SHOPS/SUPPLIERS

1) Name : Telephone No.

Address: Contact Person:
2) Name : Telephone No.
Address: Contact Person:
3) Name : Telephone No.

Address: Contact Person:

Pls. Fill up at least three (3). Use add'l sheet if needed.
VI. REQUIREMENTS
1) Certificate of Registration with the S.E.C./DTI
2) Articles of Incorporation
3) Latest Income Tax Return and Audited Financial Statements
4) Board Resolution authorizing the signatory of this Credit Application to sign on behalf of the Co.
5) Sketch of Location
6) List of all Vehicles (km check up/maintenance)
7) List of Stockholders
8) Accredited Re-insurers
VII. TERMS AND CONDITIONS

1) I/We agree to pay Toyota San Jose Del Monte, Bulacan the corresponding service fees and other related
charges as they fall due.
2) In case any account has become due and demandable, I/We hereby authorize Toyota San Jose Del Monte,
Bulacana at its exclusive option to apply to the payment of our obligations any and all money/securities,
things of value belonging to or due us from any source which may be in Toyota San Jose Del Monte, Bulacan
custody and possession and hereby hold Toyota San Jose Del Monte, Bulacan harmless and free of such
application of payment.
3) I/We hereby agree to submit myself/ourselves to the jurisdiction of the courts of Bulacan in any legal action
arising out of this transaction. I/We further agree to pay Toyota San Jose Del Monte, Bulacan an additional sum
sum of not less than twenty percent (20%) of all unpaid accounts, but in no case less than Php 1,000.00 as and
for Attorney's fees in case of suit, in addition to costs.
4) Any account that is not paid on its due date earn a penalty fee of 2% plus an interest at the
rate of two percent (2%) per month until fully paid. If an account remains unsettled or is not fully
paid after its due date, the approved credit line will be temporarily SUSPENDED until the account
is fully paid.
5) Any breach of the terms and conditions of the credit accommodation by me/us shall auto-
matically cause all unpaid invoices/charges to become due and demandable and shall be charged
the stipulated penalty fee of two percent (2%) plus interest of two percent (2%) per month.

I/WE HEREBY CERTIFY THAT I/WE HAVE CAUSED THE PREPARATION OF THIS APPLICATION THAT THE
INFORMATION CONTAINED HEREIN ARE TRUE AND CORRECT TO THE BEST OF MY/OUR KNOWLEDGE AND
THAT I/WE AGREE TO BE BOUND BY THE TERMS AND CONDITIONS HEREOF IN ANY COURT LAW.

Authorized Signatory/Position

Printed name

Date

Recommending Approval: Recommending Approval:

MARIA LOURDES B. GERONIMO DORY A. BUTI

General Manager-TOYOTA SAN JOSE DEL MONTE, BULACAN Credit & Collection Head

JOCELYN G. RIGOR
VP Accounting

APPROVED BY: APPROVED TERM APPROVED AMOUNT

__________________________________ _________________ ___________________
DON JUAN MIGUEL A. OBEN
PRESIDENT