Navigating through the intricacies of financial adjustments can often lead one to encounter various forms and procedures that are crucial for making informed decisions. Among these, the Risk Based Pricing Model form stands out as a pivotal document for individuals seeking to adjust their financial arrangements, specifically pertaining to loans. This comprehensive form, labelled HQP-HLF-182, serves as an application for converting to a full Risk-Based Pricing Model, aiming at refining the terms of loan repayment based on the risk associated with the borrower. Details required in the form encompass a wide array of information, from personal data such as citizenship, marital status, and contact details, to financial particulars including loan specifics, desired re-pricing period, property location, and employment information. Moreover, it delves into financial aspects like gross monthly income, bank accounts, real estate owned, and outstanding credits or loan availments. A distinctive feature of the form is its thoroughness in ensuring that all entries are printed in block or capital letters, emphasizing the formal nature of the application process. To solidify the application, both the borrower and, if applicable, the spouse must certify the accuracy of the information provided under the threat of legal repercussions for false statements, thereby underlining the seriousness of the agreement. The form also outlines the fees associated with processing and the potential financial responsibilities that may arise upon approval of the application, ensuring that applicants are well-informed of the implications of their submission.
| Question | Answer |
|---|---|
| Form Name | Risk Based Pricing Model Form |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | pag ibig full risk based pricing, risk based pricing form pdf fillable, full risk based pricing framework, full risk based pricing model |
APPLICATION FOR CONVERSION
TO FULL
(PRINT ALL ENTRIES IN BLOCK OR CAPITAL LETTERS.)
LOAN PARTICULARS
HL ACCOUNT NUMBER |
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WITH ADDITIONAL LOAN? |
IF WITH ADDITIONAL LOAN, |
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Yes No |
APPLIED ON? |
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AVAILED OF RESTRUCTURING? |
Original Loan only |
Both loans |
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DESIRED |
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WITH PDC WITHOUT PDC |
Yes No |
Additional Loan only |
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3 |
5 |
10 |
15 |
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PROPERTY LOCATION |
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MODE OF PAYMENT |
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Unit/Room No., Floor |
Building Name |
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Lot No., Blk No., Phase No., House No. |
Street Name |
Salary Deduction |
Collecting Agent |
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Bank |
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Cash/Check |
Developer |
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Subdivision |
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Barangay |
Municipality/City |
Province and State Country (if abroad) |
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Remittance |
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Center |
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BORROWER’S DATA
LAST NAME |
FIRST NAME |
NAME EXTENSION |
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MIDDLE NAME |
CITIZENSHIP |
DATE OF BIRTH (mm/dd/yy) |
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SEX |
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M F |
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PERMANENT HOME ADDRESS |
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MARITAL STATUS |
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Unit/Room No., Floor |
Building Name |
Lot No., Blk No., Phase No., House No. |
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Street Name |
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Single/ |
Legally |
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Unmarried |
Separated |
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Married |
Annulled |
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Widow/er |
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Subdivision |
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Barangay |
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Municipality/City |
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Province and State Country (if abroad) |
Zip Code |
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CONTACT DETAILS (Indicate country code if |
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abroad) |
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COUNTRY + AREA CODE TELEPHONE NO. |
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PRESENT HOME ADDRESS |
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Home |
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Unit/Room No., Floor |
Building Name |
Lot No., Block No., Phase No., House No. |
Street Name |
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Cell Phone |
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Subdivision |
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Barangay |
Municipality/City |
Province and State Country (if |
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Zip Code |
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abroad) |
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Email Address |
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HOME OWNERSHIP |
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YEARS OF STAY IN PRESENT |
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EE SSS/GSIS ID No. |
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Owned |
Company Living w/ relatives/parents |
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HOME ADDRESS |
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Mortgaged |
Rented at P__________/mo. |
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CONTACT DETAILS (Indicate country code if |
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EMPLOYER/BUSINESS NAME (If |
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TIN |
abroad) |
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COUNTRY + AREA CODE TELEPHONE NO. |
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Business (Direct Line) |
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EMPLOYER/BUSINESS ADDRESS |
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OCCUPATION |
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Unit/Room No., Floor |
Building Name |
Lot No., Block No., Phase No., House No |
Street Name. |
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Employed |
Business (Trunk Line) |
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Employer/Business Email Address |
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Subdivision |
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Barangay |
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Municipality/City |
Province and State Country (if abroad) |
Zip Code |
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INDUSTRY
Accounting |
Construction |
Life Sciences |
Public Administration & Defense; |
Activities of Private Households as |
Education & Training |
Management |
Compulsory Social Security |
Employer’s & Undifferentiated |
Electricity, Gas and Water Supply |
Manufacturing |
Technology |
Production Activities of Private |
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Media |
Transport, Storage and Communications |
Households |
Financial Services/ Intermediation |
Mining and Quarrying |
Travel and Leisure |
Agriculture, Hunting, Forestry & |
HR/Recruitment |
Other Community, Social & Personal Service |
Wholesale & Retail Trade; Repair of Motor |
Fishing |
Health and Social Work; |
Activities |
Vehicles, Motorcycles, Personal & |
Basic MaterialsHealth and Medical ServicesHousehold Goods
SPOUSE’S PERSONAL DATA
LAST NAME |
FIRST NAME |
NAME EXTENSION |
MIDDLE NAME |
CITIZENSHIP |
DATE OF BIRTH (mm/dd/yy) |
TIN |
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EMPLOYER/BUSINESS NAME (If |
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YEARS IN EMPLOYMENT/ |
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BUSINESS |
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EMPLOYER/BUSINESS ADDRESS |
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OCCUPATION |
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POSITION & DEPARTMENT |
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Unit/Room No., Floor |
Building Name |
Lot No., Block No., Phase No., House No. |
Street Name |
Employed |
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Subdivision |
Barangay |
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Municipality/City |
Province and State Country (if abroad) |
Zip Code |
BUSINESS TEL. NO. |
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INDUSTRY |
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Accounting |
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Construction |
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Life Sciences |
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Technology |
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Activities of Private Households as |
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Education & Training |
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Management |
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Transport, Storage and Communications |
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Employer’s & Undifferentiated |
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Electricity, Gas and Water Supply |
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Manufacturing |
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Travel and Leisure |
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Production Activities of Private |
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Media |
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Wholesale & Retail Trade; Repair of Motor |
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Households |
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Financial Services/ Intermediation |
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Mining and Quarrying |
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Vehicles, Motorcycles, Personal & |
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Agriculture, Hunting, Forestry & |
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HR/Recruitment |
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Other Community, Social & Personal |
Household Goods |
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Fishing |
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Health and Social Work; |
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Service Activities |
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Basic Materials |
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Health and Medical Services |
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Public Administration & Defense; |
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Compulsory Social Security |
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GROSS MONTHLY INCOME |
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PARTICULARS |
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PRINCIPAL BORROWER |
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SPOUSE |
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BASIC MONTHLY COMPENSATION |
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COST OF LIVING ALLOWANCE |
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OTHER SOURCE/S |
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TOTAL |
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INCOME DOCUMENT/S SUBMITTED UPON LOAN APPLICATION: ________________________________________________________________________________________ |
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(October 2012) |
BANK ACCOUNTS
(Indicate your 3 most active)
BANK
BRANCH/ADDRESS
TYPE OF
ACCOUNT
ACCOUNT NO.
DATE OPENED
AVE. BALANCE
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CREDIT CARDS OWNED |
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(August 2012) |
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(Indicate your 3 most active) |
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ISSUER NAME |
CARD TYPE |
CARD EXPIRY |
CREDIT LIMIT |
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(e.g. Visa/Mastercard) |
(mm/yyyy) |
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REAL ESTATE OWNED
LOCATION
TYPE OF
PROPERTY
TCT NO.
ACQUISITION
COST
MARKET VALUE
MORTGAGE
BALANCE
RENTAL INCOME
OUTSTANDING CREDITS/LOAN AVAILMENTS
Creditor & Address
Security
Type |
Maturity Date |
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Amount/Balance |
Mo. Amortization |
Creditor & Address
Security
Type
Maturity Date
Amount/Balance
Mo. Amortization
Creditor & Address
Security
Type
Maturity Date
Amount/Balance
Mo. Amortization
CERTIFICATION
I/We hereby certify, under pain of perjury that the information given and any or all statements made herein are true and correct to the best of my knowledge and belief and my/our signature/s appearing herein is/are genuine and authentic.;
In case of falsification, misrepresentation or any similar acts committed by me,
I/We further agree to pay
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SIGNATURE OF BORROWER |
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SIGNATURE OF SPOUSE |
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____________________________________ |
____________________________________ |
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DATE |
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DATE |
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FOR |
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For Billing and Collection Department/Loans and Contributions Management and Recovery Division use only |
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REPT RECEIPT |
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MEMBERSHIP STATUS |
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HL ACCOUNT STATUS |
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UPDATED |
WITH FINDINGS |
UPDATED |
NOT UPDATED |
UPDATED |
IN ARREARS |
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ACCOUNT TAKEN OUT UNDER CIRCULAR 247? |
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YES |
NO |
FOR CIRCULAR 300, WITH PERFECT REPAYMENT HISTORY? YES NO
For accounts taken out under Circular 247 for less than one (1) year
OUTSTANDING BALANCE AS OF ______________ |
REMARKS |
VERIFIED BY |
DATE |
APPROVED/DISAPPROVED BY |
DATE |
For Loans Evaluation Department/Housing Loans Division use only
LOAN AMOUNT |
APPRAISED VALUE |
APPLICABLE LTA RATIO UNDER CIRCULAR 310
BES RESULT
ADJUSTED LTA RATIO BASED ON BES RESULT
VERIFIED BY |
DATE |
REVIEWED BY |
DATE |
REMARKS
THIS FORM CAN BE REPRODUCED. NOT FOR SALE.