Name of Borrower:

To: United Overseas Bank Limited Declaration of Gross Monthly Income and Credit Facilities Pursuant to MAS Notice 645 PART 1 – GROSS MONTHLY INCOME I hereby confirm and declare that all my sources of gross monthly income earned in Singapore and overseas in the 12 months preceding the date of this declaration are set out below:Source of Gross Monthly Income

Amount

Other Details

PART 2 – CREDIT FACILITIES For the purpose of the declaration under Part 2, I have read the Important Notes below. Important Notes Credit Facility referred to under Part 2 below means any credit facility applied by me:• WHETHER solely (under my individual name or in the name of the vehicle set up by me solely to purchase property or in the name of the sole proprietorship formed or established by me) OR jointly with any other party(ies); and • from the HDB or a financial institution in Singapore or overseas (including the UOB Banking Group) or a moneylender. I hereby declare and confirm that all existing credit facilities (including credit facilities that I am applying for or have applied for in the past 6 months and such credit facilities applied for are unlikely to materialize), that are in my name or jointly with any person(s) or entity(ties) or where I act as guarantor as of the date of this declaration are set out below:-

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Name of Borrower:

A. Details of Outstanding Relevant Credit Facilities where I am the Borrower 1

Please fill up details of all your credit facilities including credit cards, motor vehicle loans and share financing loans that: (a) have been granted but not disbursed / utilised; or (b) have been disbursed / utilised. Financier

Type of Facility

Original Tenure

Loan Amount / Credit Limit (state currency)

Monthly Instalment / Minimum Sum (state currency)

Interest Rate (% pa)

Name of Borrower(s)

Collateral Details

1

To indicate ‘NIL’ if there is no such outstanding relevant credit facility. To indicate ‘NIL’ where information required is not applicable.

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Name of Borrower:

B. Details of Relevant Credit Facilities Applied For In Past 6 Months where I am the Borrower and such Credit Facilities are Unlikely to Materialize 2

Please fill up details of all your credit facilities including credit cards, motor vehicle loans and share financing loans that are: (a) pending approval; or (b) not approved; or (c) approved and not accepted. Financier

Type of Facility

Date Applied

Original Tenure

Loan Amount / Credit Limit (state currency)

Monthly Instalment / Minimum Sum (state currency)

Interest Rate (% pa)

Name of Borrower(s)

2

To indicate ‘NIL’ if there is no such relevant credit facility. To indicate ‘NIL’ where information required is not applicable or not available.

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Name of Borrower:

C. Details of Outstanding Relevant Credit Facilities where I am the Guarantor 3

Please fill up details of all credit facilities including credit cards, motor vehicle loans and share financing loans that: (a) have been granted but not disbursed / utilised; or (b) have been disbursed / utilised. Financier

Type of Facility

Original Tenure

Loan Amount / Credit Limit (state currency)

Monthly Instalment / Minimum Sum (state currency)

Interest Rate (% pa)

Name of Borrower(s)

Collateral Details

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To indicate ‘NIL’ where there is no such outstanding relevant credit facility. To indicate ‘NIL’ where information required is not applicable.

I represent and warrant that all information provided herein in is accurate, complete and not misleading. I agree that the Bank may in its absolute discretion exercise its right to revise, reduce or cancel any credit facility granted if any of the information or declarations above is false or misleading or is subsequently becomes inaccurate.

_________________________________________________ Signature of Applicant / Date Name of Borrower: NRIC / Passport No. of Applicant:

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