C O N F I R M A T I O N
of Employment Income
Loan Applicant
Co-Debtor
Guarantor
BASIC DATA OF APPLICANT
Name and Surname, Title:
...............................................................................................................................
Permanent Residence Address:
...............................................................................................................................
Birth Registration No.:
...............................................................................................................................
Family Status:
...............................................................................................................................
Number of Unprovided Children up to 26 Years Old:
...............................................................................................................................
Education:
...............................................................................................................................
1. Employer
Precise Name:
...............................................................................................................................
Date of Company Establishment:
...............................................................................................................................
Address/Company Registration No.:
...............................................................................................................................
Employer's Telephone No.:
...............................................................................................................................
Job Title:
...............................................................................................................................
Employment Start Date:
................................................................................................................................
2. Confirmation of Income
Select currency:
EUR
GBP
USD
Net annual income per the last 12
months:
in words:
..............................................................................
Net average monthly income per the last 12
months
in words:
..............................................................................
Whereof: maternity benefit
in words:
..............................................................................
Gross average monthly income per the
previous calendar year:*
in words:
..............................................................................
If the employment lasts for less than 12 months, the confirmed net income refers to the period:
from:
to:
The salary is paid in cash
/
to the account no.:
Regular payroll deductions from the net monthly income:
Amount:
purpose: ....................................................................................................................
Amount:
purpose: ....................................................................................................................
Employee having been employed for a period:
indefinite:
definite until:
.........................
We confirm the employee is not in a trial period, neither subject to proceedings on employment termination.
Processed by:...............................................
Telephone No.:.............................................
............................................................
P l a c e , Da te
.............................................................................................
........................................................
Employer's Stamp
Required with Application for Mortgage Loan where state contribution for the young is claimed.
*Required
The confirmation is valid for 30 days as of the issue date thereof
Employer's Signature