CAR AND MARINE FINANCE APPLICATION

Click here for the Personal and Debt Consolidation Application Form.

* indicates a required field.

Loan Details Please fill out as completely as possible If you are having any troubles you can contact us directly on 0800 886611
* Purchase price of car/boat	$	Cash Deposit	$
Trade Amount	$	Owing on trade	$
* Term of Loan		Current finance company on trade
Year, Make and Model of car/boat you want to buy (if known)

	Applicant 1	Applicant 2
* Title
* Surname
* First Name
Middle Name
* Date of Birth	19	19
* No. of Dependents
* Marital Status

		Leave blank if same
* Home Address
Suburb
* City
* Residential Status
* Rent / Mortgage Paid Per Month
* How long have you lived here?
Previous address	(if less than 3 years at current)	(if less than 3 years at current)
How long were you there for?

* Home Phone (with area code)
* Work Phone (with area code)
* Mobile
* Email Address

* Current Occupation
* Employed by
Employment Address
Employment City
* How long have you worked here?
Previous Occupation
Previous Employer	(if less than 3 years at current)	(if less than 3 years at current)
How long did you work there?
* Monthly Take Home Pay (net)	proof of this is required	proof of this is required

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
Private Vehicle Make
Private Vehicle Model
Year
Financed By
Amount Owing
Registration Number
Only fill this out if you OWN the property :)
	Property 1		Property 2
Address
Names on title of house
Value (GV or registered value)	a copy of your rates demand or valuation is needed as proof
Mortgage Balance

	Asset Details
Vehicles	$	Home Contents	$ approximate or insured
Other	$

Current Finance Outgoings - please fill out at least one line to carry on - if there is not enough room put the extras in the comments box at the end - we will find out you know! :)
Type	Owed To	Monthly Payment	Amount Borrowed/ Card Limit	Amount Owing	Will these be consolidated?

(Please specify)

(Please specify)

(Please specify)

(Please specify)

Reference - nearest relative not living with you - these people are not contacted

* Name

* Address

* Phone

* Best time to contact me during 9-5 work hours

* I can be contacted on

* Where did you hear about us?

You understand that you are not required to provide any personal information to the broker & lender that you are applying for a loan through, but failure to do so may prejudice your chances of obtaining finance. You are aware that the information you have just provided is collected initially for the purpose of considering your application for finance and may be given to a number of lenders at the discretion of the broker & lender. If this application is approved you understand that the information will be used by the broker & lender for the purpose of administering the loan. By completing this application over the phone you authorize the broker & lender: To collect personal and commercial information about you from various sources and companies for the benefit of processing this loan application and for those third parties to disclose information to the broker & lender. To disclose information about you to credit reporting and debt collection agencies in the event of any default in any sum owing to the lender and also to any third party making an authorized enquiry about you. You understand that pursuant to the Privacy Act 1993, you have the right to request access to and the correction of any personal information held by the broker & lender.

* I have read and accept the Privacy Acknowledgement?.

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.