Name of Client: / SURNAME / GIVEN NAME / MIDDLE NAME / Birthdate (mm/dd/yyyy): / Age:
Address: / Own / Rent / Living with parents/ others
Telephone Number/ Fax Number: / TIN No.: / GSIS/ SSS No.: / E-mail Address/ Mobile number
Civil Status: Single Married Separated/Divorced Widowed
Employer’s Name/ Business Name: ______ / For Philippine residents: Citizenship/ Place of Origin
Filipino (Specify Place of Origin Foreign (Please Specify)
Address and Telephone Number: ______ / Benguet / Pangasinan / ______
Position: ______ / Ilocos / Pampanga / Others: ______
Years of Employment/ Business: ______ / La Union / Manila
SPOUSE DATA
Name of Spouse: / Birthdate (mm/dd/yyyy): / Age:
Address: / Own / Rent / Living with parents/ others
Telephone Number/ Fax Number: / TIN No.: / GSIS/ SSS No.: / E-mail Address/ Mobile number
Civil Status: Single Married Separated/Divorced Widowed
Employer’s Name/ Business Name: ______ / For Philippine residents: Citizenship/ Place of Origin
Filipino (Specify Place of Origin Foreign (Please Specify)
Address and Telephone Number: ______ / Benguet / Pangasinan / ______
Position: ______ / Ilocos / Pampanga / Others: ______
Years of Employment/ Business: ______ / La Union / Manila
CLIENT PROFILE
Occupation / Monthly Household Income
Businessman / Doctor / Others (Please Specify) / 20,000 and below / 80,001-120,000
Senior Executive / Governmment Employee / ______/ 20,001-30,000 / 120,001-150,000
Manager / Retiree / 30,001-40,000 / 150,001-180,000
Staff/Employee / Homemaker / 40,001-50,000 / 180,001 and above
Lawyer / OFW from: ______ / 50,001-80,000 / (please specify) / ______
Number of children living with you (please indicate number) / Ages of children (please indicate)
Pre-School / ______ / College / ______ / 4 - 6 / 17 - 20
Elementary / ______ / Post- Graduate / ______ / 7 - 12 / 21 - 30
High School / ______ / 13 - 16
Reason for Buying / Time Frame / Price Range / Desired Property / No. of Bedrooms
Primary Home / Vacation Home / Immediate / 0.5 M below / 5.0 M 7.5 M / Lot Only / Studio
Investment (rent) / Others:______ / 3 - 6 mos / 0.5 M - 1.0 M / 7.5 M above / House and Lot / 1 Bedroom
Investment (business) ______ / 6 - 12mos / 1.0 M - 2.5 M / Condominium / 2 Bedrooms
Investment (2nd/3rd Acquisition) / 1 – 2 yrs / 2.5 M - 3.5 M / Others: / 3 Bedrooms
Inheritance/Gift to children / 2 yrs and above / 3.5 M - 5.0 M / ______ / 4 Bedrooms and above
Source of Awareness (Pls check all that apply)
Site Walk-in: ______ / Goshen Websites / Print Ads (please specify) / Referral
Event Walk-in:______ / Internet / ______ / Agent/Broker
Booth/Exhibit:______ / Poster / Press Release/News Articles / Agents Personal Ads
Billboard (where?):______ / Direct Mail / ______ / Agents Website
Streamer (where?):______ / Television / Magazine Ads/Article / Sales Call
Road Signage (where?):______ / Roadshow (local) / Friend of Agent / Others: ______
Flyers/Brochure:______ / Roadshow (international) / Relative of Agent / ______
Date: ______
I acknowledge that (Name of Seller) ______, authorized seller of Goshen Land Capital, Inc.
has given me a comprehensive presentation of the project/s identified below:
The Courtyards / North Cambridge / Others, please specify:______Summerfields / The Highlands
I hereby authorize him/her as my seller of choice for the next 30 days. No other seller should be recognized and/or credited by Goshen Land Capital, Inc. should decide to make a reservation deposit for a property in any of the above project/s for a period of 30 calendar days from the signing of this Buyer Information Sheet.
Authorize by: / Conforme:CLIENT (Print Name & Signature) / Date & Time / SELLER (Print Name & Signature) / Date & Time