LOAN APPLICATION

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Loan Details
Please fill out as completely as possible
If you are having any troubles you can contact us directly on 0800 886611
* Loan Required $    
* Term of Loan  
* Purpose of Loan Details
*What repayments would you like to make? amount 

 

Applicant 1

  

Applicant 2
* Title  
* Surname
* First Name  
Middle Name  
* Date of Birth 19   19
* Marital Status
 
     
* Street Address  
* Suburb  
* Town or City  
Post Code  
* Residential Status  
* How Long (Years) Yr   Mth   Yr   Mth
* Rent/Mortgage/Board ($/mth)  
 
Previous address
(if less than 3 years at current) 		 
(if less than 3 years at current)
Previous Suburb  
Town or City
How long were you there for? Yr   Mth   Yr   Mth
 
* Email Address  
Phone - Home  
* Phone - Mobile -   -
* Phone - Work  
Ages of Dependent children (under 18)

 
* Current Employer  
* Employer Phone Number  
* Position Held  
* Length of Service? Yr  Mth   Yr   Mth
 
Previous Employer
(if less than 3 years at current) 		 
(if less than 3 years at current)
Previous Occupation  
Length of Service? Yr   Mth   Yr   Mth
Income
Income Type
Is your income:
Income
Other Income

Asset details - please fill out as best you can - if there is not enough room save any extra details for the big box at the end of the page. 






What are you offering as security?






 
Vehicle 1
  
Vehicle 2
Vehicle Value  
Vehicle Make  
Vehicle Model  
Year  
Financed By  
Amount Owing  
Registration Number  

Only fill this out if you OWN the property

Property 1
  
Property 2
Address (incl. suburb & city)  
Names on title of house  
Value (GV or registered value)
a copy of your rates demand or valuation is needed as proof		  
Valuation Type  
Mortgage Balance  

Current Finance Outgoings

 to add more rows.

Type Owed To Monthly
Payment		 Amount
Borrowed/
Card Limit		 Amount
Owing		 Will these be consolidated?

* Best time to contact me during 9-5 work hours
* I can be contacted on
* Where did you hear about us?
 

* I have read and accept the Privacy Acknowledgement?.  

Have you ever been bankrupt or had a NAP (No Asset Procedure) issued?

Comments
If you have any other important information to tell us, here is your chance. Such as any other debts, and if you have any bad credit, please tell us about it now. Let us know how much it is for and how it happened and we will take it all into consideration with your overall profile, because we are lovely like that. We will always do a credit check before a loan is approved, so a rundown of what happened will definitely speed up your loan application.