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D/M/Y/
No. of Dependents
Age/s of dependents
No. of Dependents
Age/s of dependents
Residential Address:Residential Address:
|
Time There:yrsmths |
Time There:yrsmths |
|
Own Home(With Home Loan) Own Home(fully paid/freehold) Renting Boarding With parents Caravan Other |
Own Home(With Home Loan) Own Home(fully paid/freehold) Renting Boarding With parents Caravan Other |
Previous Address if lived at the above address for less than 3 years Previous Address if lived at the above address for less than 3 years
|
Time There:yrsmths |
Time There:yrsmths |
Address After Settlement Address After Settlement
|
CONTACT DETAILS | |||
|
Home Phone: |
Business Phone: |
Home Phone: |
Business Phone: |
|
Fax: |
Mobile: |
Fax: |
Mobile: |
|
E-mail: |
E-mail: |
|
EMPLOYMENT DETAILS | |
|
Full-time Part-time Self-employed Contract Other |
Full-time Part-time Self-employed Contract Other |
|
Employer’s Name: |
Employer’s Name: |
|
Time There:yrsmths |
Time There:yrsmths |
|
Employer’s Address: |
Employer’s Address: |
|
Occupation: |
Occupation: |
|
Second Job – Employers Name & address
Time There:yrsmths |
Second Job – Employers Name & address Time There:yrsmths |
|
Previous Employer (if less than 3 years with current): |
Previous Employer (if less than 3 years with current): |
|
Employer Name & Address
Time There:yrsmths |
Employer Name & Address
Time There:yrsmths |
|
Occupation: |
Occupation: |
|
Statement of Position (current financial position before loan is assessed ) | ||||||
|
ASSETS - What Do You Own |
LIABILITIES - What Do You Owe | |||||
|
Estate/Property owned-address |
CURRENT VALUE (NZ$) |
LENDER |
$LIMIT |
AMOUNT OWING |
||
|
Property 1:() |
$ |
Mortgage 1. |
$ |
$ | ||
|
Property 2:() |
$ |
Mortgage 2. |
$ |
$ | ||
|
Property 3:() |
$ |
Mortgage 3. |
$ |
$ | ||
|
Bank Deposit |
$ |
Bank Overdraft |
$ |
$ | ||
|
Vehicle 1.Make & modelYear |
$ |
Credit Card /Type- |
$ |
$ | ||
|
2. Make & modelYear |
$ |
Paid off in full each month Yes No | ||||
|
Furniture and Personal Effects |
$ |
Credit Card /Type- |
$ |
$ | ||
|
Superannuation |
$ |
Paid off in full each month Yes No | ||||
|
Shares/ Bonds |
$ |
Store Card |
$ |
$ | ||
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