委托擔(dān)保申請(qǐng)書(shū)

委托擔(dān)保申請(qǐng)書(shū)一、申請(qǐng)人基本情況姓名：XXX性別：男/女出生日期：XXXX年XX月XX日身份證件類(lèi)型：身份證/護(hù)照/其他身份證件號(hào)碼：XXXXXXXXXXXXXXXXXX聯(lián)系地址：XXXXXXXXXXXXX聯(lián)系電話(huà)：XXXXXXXXXXX二、委托擔(dān)保申請(qǐng)事項(xiàng)1.被擔(dān)保人基本情況被擔(dān)保人姓名：XXX被擔(dān)保人身份證件類(lèi)型：身份證/護(hù)照/其他被擔(dān)保人身份證件號(hào)碼：XXXXXXXXXXXXXXXXXX聯(lián)系地址：XXXXXXXXXXXXX聯(lián)系電話(huà)：XXXXXXXXXXX2.擔(dān)保金額及期限擔(dān)保金額：XXXX元擔(dān)保期限：XX個(gè)月3.委托擔(dān)保的原因XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX4.提供擔(dān)保的方式選擇一種擔(dān)保方式：保證人方式（請(qǐng)?zhí)顚?xiě)擔(dān)保人信息）擔(dān)保人1：姓名：XXX性別：男/女出生日期：XXXX年XX月XX日身份證件類(lèi)型：身份證/護(hù)照/其他身份證件號(hào)碼：XXXXXXXXXXXXXXXXXX聯(lián)系地址：XXXXXXXXXXXXX聯(lián)系電話(huà)：XXXXXXXXXXX擔(dān)保人2：姓名：XXX性別：男/女出生日期：XXXX年XX月XX日身份證件類(lèi)型：身份證/護(hù)照/其他身份證件號(hào)碼：XXXXXXXXXXXXXXXXXX聯(lián)系地址：XXXXXXXXXXXXX聯(lián)系電話(huà)：XXXXXXXXXXX抵押物擔(dān)保方式（請(qǐng)?jiān)敿?xì)描述抵押物信息）抵押物名稱(chēng)：抵押物價(jià)值：抵押物所在地：抵押物權(quán)屬證明：抵押物狀況描述：5.簽署方式申請(qǐng)人簽名：_____________________________日期：________________________6.其他說(shuō)明XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX三、法律聲明本委托擔(dān)保申請(qǐng)書(shū)系本人根據(jù)實(shí)際情況和真實(shí)意愿填寫(xiě)，未涉及任何虛假情況和不實(shí)內(nèi)容。本人完全理解并接