RURAL BANK OF LANUZA, INC.
Bo. Puyat, Carmen, Surigao del Sur
APPRAISAL REPORT
APPLICANT:__________________________
AGE:____
OCCUPATION:_______________
SPOUSE :____________________________
AGE:____
OCCUPATION:_______________
RESIDENCE:__________________________________________________________________________________
REAL ESTATE COLLATERAL
1.
Commercial/Residential/Industrial/Agricultural Land.
OCT/TCT No._______________________________
TD No.________________________________
Registered Owner: ______________________________________________________________________________
Owner's Address:_______________________________________________________________________________
Date Registered:_____________________________
Lot & Block No.__________________________
Location:______________________________________________________________________________________
Average Depth:______________________________
Average Width:___________________________
Frontage:___________________________________
Surfacing of Street:________________________
Type of Terrain:_________________________________________________________________________________
______________________________________________________________________________________________
Kind/Width of Sidewalk:___________________________________________________________________________
______________________________________________________________________________________________
Encumbrance/Annotation:_________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Boundaries:____________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Location/Description:_____________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Accessibility/Landmarks:__________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Marketability:___________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Area (hectares or square meters)
Value (per hectare or square meter)
Market Value
Appraisal Factor
Appraised Value (A)
________________
P ______________
P_______________
________________
P_______________
2.
Improvements on Land.
Nature: _____________________________________Type:__________________________________________
Erected on Lot/Block No._______________________Roofing:________________________________________
When Constructed:____________________________When Remodelled:_______________________________
Make of Surrounding
Building:_____________________________________________________________________________
Type of Neighborhood:__________________________Painting Condition:________________________________
Area of Ground and Other
Floors:___________________________________________________________________________
Others
(Specify):_______________________________________________________________________________________
_______________________________________________________________________________________________
Materials
Used:__________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Compartments/Rooms:_____________________________________________________________________________
_______________________________________________________________________________________________
_______
_______________________________________________________________________________________________
Facilities:________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Area of Ground and Other Floors (sq. meters)
Reproduction Cost/area
Reproduction Cost
Estimated Useful Life
Annual Depreciation
No. of Years Existing/Used
Total Depreciation
Present Market Value
Appraisal Factor
Net Appraised Value (B)
3.
Appraised Value of Land and Improvements (A+B)
Multiply by Loan Value Factor
P_____________
______________
TOTAL LOAN VALUE OF LAND AND IMPROVEMENTS
P_____________
_________________________
Date of Actual Inspection
Prepared:_________________
_______________________________
Name and Signature of AppraiserDate
Collateral Inspection and Appraisal authorized by:
_________________________
Manager/Loan Officer
_______________________________________________________________________________________________
Note: If collateral consists of several parcels of land or building improvements on a parcel of land, use another
appraisal report sheet.
RURAL BANK OF LANUZA, INC.
Bo. Puyat, Camen, Surigao del Sur
APPLICATION FORM (For New Applicant)
APPLICANT:________________________ AGE:____
SPOUSE:___________________________ AGE:____
RESIDENCE:______________________________________
BUSINESS ADDRESS:______________________________
I.
PURPOSE OF THE LOAN APPLIED FOR:
Specific Purpose
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
II.
CREDITORS
___________________
___________________
___________________
___________________
___________________
IV.
Date Needed
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
YEARLY INCOME AND EXPENSES:
SOURCES OF INCOME
___________________________________
___________________________________
___________________________________
___________________________________
III.
OCCUPATION:_______________________
OCCUPATION:_______________________
NO. OF DEPENDENTS:________________
Elem.___
H.S.___ Col.____
Monthly(___)
Every 3 Mos.(___)
Other Manner:
Every 2 Mos.(___)
Semi-Monthly(___)
Quarterly(___) Annual(___)
INSURANCE COMPANY
_____________________
_____________________
_____________________
_____________________
_____________________
_____________________
I, We hereby certify that all information herein and herewith furnished are in all respects true and correct and
I/we further agree that this document shall remain the property of the bank whether my/our credit request is granted
or not.
I/We authorize the bank to obtain other information as may be required in connection with this request and
I/we are aware that to use the proceeds of this loan for purpose other than those indicated herein is unlawful.
I/we hereby agree to make an advance payment of P____________to cover the cost of transportation and
other incidental expenses which shall be incurred in processing my/our loan application. Further, I/we agree to make
additional payments in case the advance is not sufficient to cover the cost of expenses incurred.
__________
Date
___________________________
Name/Signature of Applicant