Class D

PF MVL Application Set v2.12.2018

Please write in CAPITAL LETTERS
Application No. Date:
LAND BANK OF THE PHILIPPINES
PROVIDENT FUND DEPARTMENT

APPLICATION FOR MOTOR VEHICLE LOAN / LEASE PURCHASE PLAN

Fill-out ALL the details below:
NAME OF APPLICANT: LAST NAME FIRST NAME MIDDLE NAME
Position: Civil Status : __________ Department/Unit: Mobile No.:

Officer/PG___
Email Address:
Rank & File/PG___ Personnel No: __________ Tel. No./Local No.:

Complete Office Address:

Home Address: Tel. No. (Residence)

Name of Spouse (if married) Personnel No.

Department/Unit
LAST NAME FIRST NAME MIDDLE NAME
If spouse is also a Landbanker, Officer Rank & File PG_____ Tel. No./Local No.
For SPOUSES application, sharing of Deduction: Equal (50%-50%) Others, specify __________

LOAN DETAILS
Type of Loan: Name of Dealer: Amount Applied For:
Motor Vehicle Loan
Motor Vehicle Lease PHP
Pari-Passu (Combination of Loan/Lease) Vehicle to be purchased: Term (in years):
Conversion from
LOAN to LEASE

I/We hereby authorize the Provident Fund Department, Administrative Accounting Department, Personnel
Administration Department, or any authorized unit of the Land Bank of the Philippines to deduct the corresponding
monthly amortization of the loan from my/our salary/ies every payroll period until the loan is fully paid.

________________________________ ________________________________
Signature over printed name of Signature over printed name of
Applicant-Borrower Applicant-Borrower’s Spouse

FOR APPLICANT-BORROWER BASED IN BRANCH/FIELD-UNIT (except Group Heads)

This certifies that for the past six months from date of filing of this application, the applicant-borrower is:
a. NOT on Leave of Absence Without Pay/LWOP; or
b. NOT on Absence Without Leave/AWOL
________________________________
Signature over printed name of HEAD,
Branch/Field Unit
Date: ______________
Note: ONLY APPLICATION WITH COMPLETE DOCUMENTS WILL BE PROCESSED.

Application Received on
____________________________
 Class D
PF MVL Application Set v2.12.2018

YOUR GUIDE TO YOUR LOAN/LEASE APPLICATION

What YOU will do What PFD will do #days* Expected Output
1. Fill-out the MV Application Form Filled-out MV
Application and
required documents
2. Submit to PFD together with the attached 1. Screen your MV Application and 3
documents per checklist of requirements the documents submitted
2. If everything is in order
(complete and in accordance
with the requirements),
(a) For Loan, compute for your 3 Memo re. approval
borrowing capacity, equity of loan/lease and
share and approve your loan amount of equity
application share to be paid
(b) For Lease, verify entitlement Up to
and submit to LBP Board for 20
approval days
3. Pay the equity share thru any of the 3. Prepare the Letter of Guarantee 1  LOG
following modes and submit to PF for (LOG) & MV Information Sheet  MVIS
their reference: (MVIS)
 Oncoll deposit at any LBP Branch
 LBP epayment portal
https://epaymentportal.landbank.com/
4. Sign the “Conforme” to signify conformity
as to the terms of the LOG
5. Sign and furnish the car dealer/seller the
copy of LOG and MVIS for their signature/
conformity & completion of details
6. Forward to PFD the signed LOG & filled- 4. Prepare these documents and 2  LA
out MVIS forward to the Borrower/Officer  CM
(a) For Loan - Loan Agreement  LPA
(LA) & Chattel Mortgage  PN
(CM), Promissory Note (PN)  Disclosure
& Disclosure Statement Statement
(b) For Lease – Lease Purchase
Agreement (LPA)
7. Sign the LA/CM**/LPA, PN & Disclosure 5. Coordinate with LIBI for 2 ATD
Statement (as applicable), to be attested insurance coverage
by your two witnesses and notarized.
Return to PFD after these documents 6. Prepare the Authority to
have been signed and notarized. Deliver(ATD)/ Release the motor
vehicle/Coordinate with LIBI
8. Forward the ATD to your car dealer/
seller.
9. Get your new car and get a copy of the 7. Book/Post the MVL release in 3 Loan Voucher
Delivery Receipt/Sales Invoice (DR/SI). the SAP-HRIS
Submit the DR/SI to PFD
*Average number of days and depending on the volume of applications received by PFD
**NO NEED TO REGISTER/ANNOTATE YOUR CM WITH REGISTRY OF DEEDS
 Class D
PF MVL Application Set v2.12.2018
CHECKLIST OF DOCUMENTS FOR BRAND NEW MOTOR VEHICLE (MV) LOAN/LEASE PROGRAM

Document Source Remarks

A. Pre-processing/pre-approval
1. MV Loan/Lease Application PFD Borrower/s must completely fill-out and
sign
2. Letter Request to PFD re. PFD Borrower/s must sign
 Clearance to release the MV to borrower
 Release of proceeds of MV loan/lease
pending acceptance of Mortgage
Redemption Insurance (MRI) application
by LIBI
3. PF Member-Borrower’s Data Privacy PFD Borrower/s must sign
Consent Form
4. Certification of No Other Pending Loan PFD Borrower/s must execute/sign and
Application have this notarized
5. Credit Life Insurance for MRI Application PFD Borrower/spouse must fill-out, sign,
(1 application for the borrower and 1 have it signed by witness
application for the spouse)
6. MV Dealer’s Quotation Authorized Must be duly signed by the
Car Dealer dealer/seller with details (i.e. name of
Dealer and address)
B. Pre-release of Motor Vehicle
1. Oncoll deposit slip or any evidence of Borrower
payment of equity share
2. Letter of Guarantee PFD/Borrower Borrower must return a copy as
conformed by him/her and his/her car
dealer
3. Motor Vehicle Information Sheet PFD/Dealer/ This must be signed and filled-out by
Borrower the car dealer conformed by the
borrower
4. Loan/Lease Purchase Agreement, as PFD/Borrower Borrower must execute, attested by
applicable two witnesses and have this notarized
5. Chattel Mortgage PFD/Borrower Borrower must execute, attested by
two witnesses and have this notarized
NO NEED to register/annotate
with Registry of Deeds
6. Promissory Note with Disclosure Statement PFD/Borrower Borrower must sign
7. Comprehensive Insurance (thru LIBI) PFD PFD will coordinate this with LIBI
8. MRI coverage (thru LIBI) PFD PFD will coordinate this with LIBI
9. Authority to Deliver/Release the Motor PFD
Vehicle
C. Pre-payment/pre-release of loan/lease
proceeds
1. Delivery Receipt & Vehicle Sales Invoice Car Dealer/ Original copy must be forwarded to
Borrower PFD
2. Original copy of the Certificate of LTO c/o Car Must be registered in the name of the
Registration (COR) Dealer Borrower
3. Original copy of the Official Receipt (OR) LTO c/o Car Must be registered in the name of the
Dealer Borrower
 Class D
PF MVL Application Set v2.12.2018
CHECKLIST OF DOCUMENTS FOR PRE-OWNED MOTOR VEHICLE (MV) LOAN PROGRAM
Document Source Remarks
A. Pre-processing/pre-approval
1. MV Loan Application PFD Borrower must completely fill-out
2. Letter Request to PFD re. PFD Borrower must sign
 Clearance to release the MV to borrower
 Release of proceeds of MV loan/lease
pending acceptance of Mortgage Redemption
Insurance (MRI) application by LIBI
3. PF Member-Borrower’s Data Privacy Consent PFD Borrower must sign
Form
4. Certification of No Other Pending Loan PFD Borrower must execute and have this
Application notarized
5. Credit Life Insurance for MRI Application PFD Borrower/spouse must fill-out, sign and
(1 application for the borrower and 1 have it signed by witness
application for the spouse).
6. Certified True Copy of the Certificate of Borrower/ Registered in the name of the owner/seller
Registration (COR) Seller
7. Certified True Copy of the Official Receipt (OR) Borrower/ Latest OR, registered in the name of the
Seller owner/seller
8. Appraisal Report Borrower Must be issued by licensed appraiser
9. Conditional Contract to Sell Borrower/ Must contain, among others, that the seller
Seller will allow transfer of ownership to the
borrower upon receipt of the Letter of
Guarantee.
B. Pre-release of Motor Vehicle
1. Oncoll deposit slip or any evidence of payment Borrower
of equity share
2. Letter of Guarantee PFD/Borrower Borrower must return a copy as conformed
by him/her and his/her car seller
3. Motor Vehicle Information Sheet PFD/Borrower Borrower must return with details of Motor
Vehicle (Make, Type, Year Model, Engine
No., Chassis No., Color, and Cost)
conformed by him/her and his/her car
seller.
4. Loan Agreement PFD/Borrower Borrower must execute, attested by two
witnesses and have this notarized
5. Chattel Mortgage PFD/Borrower Borrower must execute, attested by two
witnesses and have this notarized
NO NEED to register/annotate with
Registry of Deeds
6.Promissory Note with Disclosure Statement PFD/Borrower Borrower must sign
7.Comprehensive Insurance (thru LIBI) PFD PFD will coordinate this with LIBI
8.Approved MRI coverage (thru LIBI) PFD PFD will coordinate this with LIBI
9.Authority to Deliver/Release the Motor Vehicle PFD
C. Pre-payment/pre-release of loan/lease
proceeds
1. Original copy of the Certificate of Registration LTO c/o Car Must be registered in the name of the
(COR) Seller Borrower
2. Original copy of the Official Receipt LTO c/o Car Must be registered in the name of the
Seller Borrower
3. PNP or CHPG Clearance & Certificate of Macro- PNP/CHPG
Etching/Physical Examination c/o Borrower
4. Deed of Sale of Motor Vehicle Must be signed by the borrower and the
seller and notarized
5. Release of Chattel Mortgage duly PFD/Bank c/o Borrower must furnish PFD copy of this
received/stamped by the Registry of Deeds Borrower document
(RD)
 Class D
PF MVL Application Set v2.12.2018

__________________
Date

The Executive Officer

Provident Fund Department
Land Bank of the Philippines (LBP)
24/F LBP Plaza
1598 MH del Pilar cor Quintos Sts
Malate, Manila 1004

Dear Sir/Madam:

This is to request the following:

1. Clearance for the dealer/seller to release in my favor the motor vehicle subject of my
loan/lease availment with Provident Fund Department (PFD) and pending approval of the
Mortgage Redemption Insurance (MRI) application.

2. Release the proceeds of my Motor Vehicle Loan &/or Lease, as applicable, pending receipt
of LBP-PFD of the approval of the LBP Insurance Brokerage, Inc. (LIBI) of my MRI
application.

Relative to the release of my loan &/or lease proceeds, I hereby agree to the following, as may
be applicable:

1. Pay the insurer thru LBP-PFD the actual amount of premium for comprehensive car
insurance and MRI and pay LBP-PFD the deficiency if the amount deposited as part of the
equity share is lower than the actual premium paid.

2. Deduct my outstanding MV loan or lease balance from my benefits from the Land Bank of
the Philippines and/or LBP-PFD, upon separation from the Bank or in case of my death.

Thank you.

Truly yours,

_________________________
Signature over Printed Name of
Borrower/Availer
 Class D
PF MVL Application Set v2.12.2018

CERTIFICATION OF NO OTHER PENDING LOAN APPLICATION

This is to certify that I HAVE NO OTHER PENDING LOAN APPLICATION of

whatever nature with any unit of the Land Bank of the Philippines (LBP), the
Government Service Insurance System (GSIS) or any other government financial
institution at the time of filing of my loan application with LBP Provident Fund
Department (PFD).

I further certify that I will not file any loan application which, after applying all
the necessary statutory and other deductions, will result in my monthly net take home
pay going below P5,000.

Lastly, I certify that any untruthful statement or misrepresentation in this

certification and any other document or papers which I will submit to LBP-PFD gives
LBP-PFD and LBP the authority to impose the necessary legal sanctions as may be
decided by the LBP PF Board of Trustees and/or the LBP against me.

Issued this ____ day of ______________, 20___, in _______________ City.

_______________________________
Signature over Printed Name of
Borrower/Availer

SUBSCRIBED AND SWORN TO before me this ___ day of _____________, 20__,

affiant exhibiting to me his/her government-issued identification _________________
issued on ___________________ at ____________________________.

NOTARY PUBLIC

Doc. No. ____

Page No.____
Book No. ____
Series of ______
 Class D
PF MEMBER-BORROWER’S DATA PRIVACY CONSENT FORM

I hereby agree and consent that Land Bank of the Philippines through its Provident Fund
Department (“LBP-PFD”) may, in accordance with the privacy standards and security measures set forth
in its Privacy Statement, collect, store, modify, retrieve, use or, in any manner it deems appropriate,
process, my personal information and sensitive personal information including, but not limited to:
 Name, address, phone numbers, e-mail address and other contact information;
 Date of birth, civil status and other personal information for identification documentation;
 Government-issued identification numbers such as passport numbers, Social Security Number,
Taxpayer Identification Numbers and/or driver’s license numbers;
 Financial and banking details, including my financial interests and holdings;
 Other details that may impact on my eligibility for LANDBANK products and services; and
 Any further personal information required for LANDBANK to provide its products and services.

I hereby authorize LBP-PFD to process, use and disclose to third parties the foregoing
information pertaining to me to the extent necessary and adequate for any of the following purposes:
 To establish, confirm, update and review my records;
 To administer my account or the facilities or services provided to me;
 To establish my credit standing, conduct credit checks and monitor my creditworthiness at the
time of my application for credit and during regular or special review thereof;
 To determine the amounts that I owe or to collect the amounts that are due and outstanding;
 To perform internal banking operations such as credit and risk management, product
development and planning, market research, audit and administrative purposes; and
 Any other legitimate business interest or purpose that LANDBANK may deem necessary.

I agree that LBP-PFD may provide my personal information or sensitive personal information, in
the ordinary course of business, to the following parties for any of the purposes set out above:
 Any agent, contractor or third party service providers who provide relevant services to
LANDBANK;
 Credit bureaus or credit reference agencies, and in the event of default, to debt collection
agencies;
 Any regulatory, governmental, tax, law enforcement or other agencies or authorities, clearing
houses for the purpose of complying with the laws, rules and regulations.

I acknowledge that I have a right of access to my personal data, to require the correction of any
inaccurate data, or to request the destruction of personal data pertaining to me that are no longer
necessary for the purpose for which they were obtained subject to the procedures prescribed by LBP-
PFD in regard to which I may contact the PF Loan Officer/representative through +63 2 5512200 local
2143, 7754, or 4068.

_________________________________
Name & Signature of Member-Borrower
Date ________________

PF Data Privacy Consent Form 08.2018 v.2