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TOYOTA BICUTAN PARAAQUE

CLIENT INFORMATION MARKETNG PROFESSIONAL: GIAN PAOLO A. DE VERA APPLICANT INFORMATION Name: Date of birth: Complete address: Home Tel. #: E-mail Address: Marital Status: Name: Date of birth: Complete address: Home Tel. #: E-mail Address: INCOME Employer / Business Name / Source of Income : Employer / Business address: Phone: Position / Title: SPOUSE / CO-APPLICANT INCOME Employer / Business Name / Source of Income : Employer / Business address: Phone: Position / Title: CASH FLOW Estimated monthly take home pay: Spouses monthly take home pay: Other source of income: LESS: Total expenses: TOTAL: FINANCIAL REFERENCES Bank: Branch: Bank: Branch: UNIT DETAILS Model: Unit Price: Down Paymet: Amount Financed: Variant: Terms: Phone: Phone: E-mail: How long? Fax: ZIP Code: E-mail: How long? Fax: ZIP Code: Mobile #: Mobile # 2: TIN#: Place of birth: Citizenship: How long? SPOUSE / CO-APPLICANT INFORMATION Mobile #: Mobile # 2: TIN#: Place of birth: Citizenship:

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