finance

FINANCE APPLICATON FORM

   Single Application        Joint Application

Applicant Detail

Surname*
First Name(s)*
Middle Name(s)
Date of Birth*
Marital Status*
Number of Dependants*
Drivers Licence Number*
Version No*
Drivers Licence Type*

Partner Detail

Surname*
First Name(s)*
Middle Name(s)
Date of Birth*
Marital Status*
Number of Dependants*
Drivers Licence Number*
Version No*
Drivers Licence Type*

Contact Details

Tenancy Type*
Own House Renting Boarding Other
If Other, please describe
Current Address*
Suburb*
Town/City*
Years Lived At*
Previous Address (if at current less than 3yrs)
Suburb
Town/City
Years Lived At
Phone(Home)*
Mobile
Work Ph No
Email Address*

Employment Details - Applicant

Current Employer*
Occupation*
Phone*
Address*
Suburb*
Town/City*
Years Worked
Previous Employer
Occupation
Phone
Address
Suburb
Town/City
Years Worked

Employment Details - Partner

Current Employer*
Occupation*
Phone*
Address*
Suburb*
Town/City*
Years Worked
Previous Employer
Occupation
Phone
Address
Suburb
Town/City
Years Worked

Income & Expense Details of Applicant

0
Income
Primary Income Type*
Employment Type*
Amount (in the hand)*
Pay Frequency*
Other Income
Other Income Source
Expenses
Type
Rent Mortgage
Amount
Frequency
Loan Repayments
Type
Amount
Owed To
Repayments
Frequency
Still Owing

Income & Expense Details of Partner

Income
Primary Income Type*
Employment Type*
Amount (in the hand)*
Pay Frequency*
Other Income
Other Income Source
Expenses
Type
Rent Mortgage
Amount
Frequency
Loan Repayments
Type
Amount
Owed To
Repayments
Frequency
Still Owing

Loan Details

Purpose of Loan* (eg. Purchase Car)
If for a vehicle please describe (Year, Make, Model)
Amount of Loan*
Comments

Terms and Conditions

Terms and Conditions

I accepted Terms and conditions

Partner Details

Is this a joint application?* If so, please enter the joint applicants details below.
Yes No, If no please skip this section.
Surname*
First Name(s)*
Middle Name(s)
Date of Birth*
Marital Status*
Number of Dependants*
Drivers Licence Number*
Version No*
No License
Drivers Licence Type*
Phone(Home)*
Mobile
Work Ph No
Email Address*

Employment Details - Partner

Current Employer*
Occupation*
Phone*
Address*
Suburb*
Town/City*
Years Worked
Previous Employer
Occupation
Phone
Address
Suburb
Town/City
Years Worked

Next of Kin Details (NB - Must not live at the same address as you)

Name*
Relationship*
Phone*
Address*
Suburb*
Town/City*
Applicant 2
Primary Income Type
Employment Type
Amount (in the hand)*
Pay Frequency*
Other Income
Other Income Source

Assets (ie. Approx value of the possessions YOU own)

Own a Property
Yes No
Address
Value (RV or GV)
Names on Title
Mortgage Bal.
Mortgage Repay. (mthly)
Rent Income (mthly)
Is Rental?
Own a Vehicle
Yes No
Year
Make
Model
Registration No.
Current Value
Financed By
Amount Still Owing
Monthly Repayments

Outgoings (ie. Your expenses and repayments)

Other Information

Do you have any previous credit related issues that may need to be addressed prior to a successful application?*
Yes No
If yes, please explain below
Are you a NZ citizen/NZ born?*
Yes No
If no, please detail your visa type
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