Real Estate Purchase Agreement Form

Buyer Information

Last Name *

First Name *

Middle Name

Suffix

Date of Birth *

Age

Gender *

Male Female

Civil Status *

Single Married Widow/er Annulled Legally Separated

Citizenship

TIN

Home Tel. Number

Mobile Number *

Email Address *

Pag-IBIG MID No.

Address Details

Permanent Address

Unit / Building / Phase

Block / Lot

Subdivision

Street

Barangay

City / Municipality

Province / State

Country

Zip Code

Present Address

Same as Permanent Address

Unit / Building / Phase

Block / Lot

Subdivision

Street

Barangay

City / Municipality

Province / State

Country

Zip Code

Home Ownership

Owned Company Living with Relatives Mortgage Rented

Monthly Rent Amount

Occupation

Locally Employed - Private Locally Employed - Government Self Employed / Professional OFW Others

Other Occupation

Spouse Information

Personal Information

Last Name *

First Name *

Middle Name

Suffix

Citizenship

Date of Birth *

Age

TIN

No. of Dependents

Contact Details

Home Tel. Number

Mobile Number *

Email Address *

Occupation

Locally Employed - Private Locally Employed - Government Self Employed / Professional OFW Others

Other Occupation

Employer Details

Employer Name

Employer Address

Employment Details

Employment / Business Information

Present Employer / Business Name *

Nature of Business / Industry *

Unit No./Building No./Phase *

Block / Lot

Subdivision

Street

Barangay

City *

State

Country

Zip Code

Office Number

Mobile Number

Position / Department *

No. of years employed

Email address

Representative Details

Authorized Representative / Attorney-In-Fact

Does this buyer have an Authorized Representative / Attorney-In-Fact?

Yes No

Personal Details

Last Name

First Name

Middle Name

Suffix

Birthdate

Age

Home Tel. No.

Mobile No.

Email

TIN

Relationship to Buyer

Permanent Address

Unit No./Building No./Phase

Block / Lot

Subdivision

Street

Barangay

City / Municipality

Province / State

Country

Zip Code

Co-Owner / Co-Borrower / Financier

Does this transaction have a Co-Owner, Co-Borrower, or Financier?

Yes No

Co-Owner / Co-Borrower / Financier Details

Role Selection

Select Role *

Co-owner Co-borrower Financier

Personal Information

Last Name *

First Name *

Middle Name

Suffix

Date of Birth *

Age

Gender *

Male Female

Civil Status *

Single Married Widow/er Annulled Legally Separated

Citizenship

TIN

Home Telephone Number

Mobile Number *

Email Address

Pag-IBIG MID Number

Permanent Home Address

Unit / Building / Phase

Block / Lot

Subdivision

Street

Barangay

City / Municipality

Province / State

Country

Zip Code

Present Home Address

Unit / Building / Phase

Block / Lot

Subdivision

Street

Barangay

City / Municipality

Province / State

Country

Zip Code

Home Ownership

Owned Company Living with Relatives Mortgage Rented

Monthly Rental Amount

Occupation

Locally Employed - Private Locally Employed - Government Self Employed / Professional OFW Others

Other Occupation

Co-Owner Spouse, Employment & Representative

Spouse Personal Information

Last Name

First Name

Middle Name

Suffix

Citizenship

Date of Birth

Age

TIN

No. of Dependents

Home / Office Number

Mobile Number

Email Address

Spouse Occupation

Occupation

Locally Employed - Private Locally Employed - Government Self Employed / Professional OFW Others

Other Occupation

Employer Name

Employer Address

Employment Details

Present Employer / Business Name

Nature of Business / Industry

Unit / Building / Phase

Block / Lot

Subdivision

Street

Barangay

City / Municipality

Province / State

Country

Zip Code

Office Number

Mobile Number

Position / Department

No. of Years Employed

Email Address

Authorized Representative / Attorney-in-Fact

Full Name of Authorized Representative / Attorney-in-Fact

Unit / Building / Phase

Block / Lot

Subdivision

Street

Barangay

City / Municipality

Province / State

Country

Zip Code

Birthdate

Age

Home Telephone Number

Mobile Number

Email

TIN

Relationship to Buyer

Financial Information

A. Monthly Income ( Please attach any proof of income )

Sources	Borrower	Spouse	Co-Borrower / Financer	Total
Salaries / Income from Business	₱ / monthly	₱ / monthly	₱ / monthly	₱ / monthly
Commissions (Average Monthly)	₱ / monthly	₱ / monthly	₱ / monthly	₱ / monthly
Gross Monthly Income	₱	₱	₱	₱
Net Monthly Income	₱	₱	₱	₱

B. Bank Deposit Accounts / Credit Card Accounts

Bank Account Type Date Opened Average Monthly Balance

Maximum 5 entries

C. Loans

Type of Credit Bank / Financial Institution Contact Number Original Amount Outstanding Balance Monthly Amortization Collateral

Maximum 5 entries

Character References

Name Present Address Email Address Contact Numbers

Maximum 3 entries

Property Information

Property Details

Reservation Date

Project Name

Phase

Block

Lot

Lot Area (sqm)

Floor Area (sqm)

House Finish

Place of Reservation

Place (Others)

Product Type

Product Type (Others)

Payment Type

Financing

Mode of Payment

Mode of Payment (Other)

Bank Charges

Total Amount Due (₱)

Terms (years)

Monthly Due (₱)

Starts On

Ends On

Insurance

MRI (₱)

Fire Insurance (₱)

Computation

Total List Price (₱)

Total Selling Price (₱)

Less Discount on List Price

Full TCP % if paid within days

Full DP % if paid within days

Others

Misc. Fee (%)

Misc. Fee (₱)

VAT (₱)

Total Contract Price (₱)

Required Down Payment (%)

Down Payment Amount (₱)

Reservation Fee (₱)

Balance on DP (₱)

No. of Months to Pay

Monthly DP Amount (₱)

DP Starts On

DP Ends On

% Balance / Loanable

Loanable Amount (₱)

Financing

Monthly Amortization Amount (₱)

Loan Terms (years)

Interest Rate / Indicative (%)

Starts On

Salesperson Information

Sales Team

Agent Name

Manager Name

Broker Name

Remarks

Review & Confirm

Please review all information before submitting. Use the edit buttons to go back to a section if changes are needed.

Terms & Conditions

Please read the full Terms and Conditions below before submitting.

I have read and understood the Terms and Conditions above.

I confirm that all information provided is true and correct. *

Citihomes Builder and Development Inc.

Buyer Information

Address Details

Permanent Address

Present Address

Home Ownership

Occupation

Spouse Information

Personal Information

Contact Details

Occupation

Employer Details

Employment Details

Employment / Business Information

Representative Details

Authorized Representative / Attorney-In-Fact

Personal Details

Permanent Address

Co-Owner / Co-Borrower / Financier

Co-Owner / Co-Borrower / Financier Details

Role Selection

Personal Information

Permanent Home Address

Present Home Address

Home Ownership

Occupation

Co-Owner Spouse, Employment & Representative

Spouse Personal Information

Spouse Occupation

Employment Details

Authorized Representative / Attorney-in-Fact

Financial Information

A. Monthly Income ( Please attach any proof of income )

B. Bank Deposit Accounts / Credit Card Accounts

C. Loans

Character References

Property Information

Salesperson Information

Review & Confirm

Terms & Conditions