Annex A

No: 465440000099

Date(g): 16/5/2018 | Date(h): 2/9/1439

Status: In-Force

Translated Document

[Financing Entity Logo]

Real Estate Financing Offer Disclosure Form for Individuals

Client Information

Client Name

Offer Submission Date

National ID or Resident ID

Offer Expiry Date

Mobile Number

Reference Number (File Number)

Total Monthly Income

......... (SAR)

Net Available Monthly Income

....... (SAR)

Total Debt-to-Income Ratio (Before Financing)

....... (%)

Total Debt-to-Income Ratio (With Financing)

....... (%)

Financing Information

Financing Amount

......... (SAR)

Financing Type (Ijarah / Murabaha / Istisna / ...Other)

…………….

‎(+) Profit Amount

......... (SAR)

Annual Percentage Rate (APR)

....... (%)

Property Evaluation Fee

......... (SAR)

Down Payment Amount

......... (SAR)

Insurance*

......... (SAR)

Contract Term

..... (Month)

Any Other Fees or Costs*

......... (SAR)

Number of Installments

...... (Installment)

Administrative Fees

......... (SAR)

Monthly Payment Amount (Installment/Rent)

......... (SAR)

(=) Total Amount Payable

......... (SAR)

Type of Profit Rate (Fixed/Variable)

…………….

Variable Profit Rate* :.....(%)

Fixed Portion: ..... (%)

Variable Portion:..... (%)

Fixed Profit Rate*

....... (%)

Minimum Monthly Payment Amount Throughout the Contract Term*

......... (SAR)

First Period Duration*

..... (Month)

Maximum Monthly Payment Amount Throughout the Contract Term*

......... (SAR)

Date of First Recalculation of Contract Value/Payments*

"Client's Signature Acknowledging Understanding of the Difference Between Fixed and Variable Profit Rates"

Final Installment Amount*

......... (SAR)

Additional Notes

…………….

Key Property Details

Property Type (Apartment / Villa / Land...)

Property Value

City

Neighborhood

Title Deed Number

Title Deed Issue Date

Title Deed Issuing Authority

Property Number

Land Area

Building Area*

Property Readiness for Occupancy*

Number of Rooms*

Property Age

Developer's Warranty Period*

Note: Reviewing this form does not replace reading the entire contents of the financing contract and its attachments, and does not exempt from the obligations stated therein.

Client's signature acknowledging receipt and confirming that the credit advisor answered all of their questions

(Signature is not required to approve the financing contract)

Signature and seal of the Authorized Person of the Financing Authority

(Signature is required for financing according to the above data unless misleading information is found or there is a change in the client's circumstances)

*The phrase (not applicable) should be inserted if the relevant clause does not apply to the financing contract.

(Financing entity information and contact details)

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