Step 1 of 5 20% Which vehicle are you interested in (Year/Make/Model) Price of the vehicle you're interested in Deposit you have, or approximate Trade In value Preferred length of the Loan 1 Year 2 Years 3 Years 4 Years 5 Years Preferred Payment Schedule Weekly Fortnightly Monthly Contact InformationFull Name* Company Name (If applicable) Phone: Home* Phone: Mobile* Email* Physical Address* City* Post Code Time at Address* Physical Address (If less than 2 years at current address) City Post Code Time at Address Personal informationDate of Birth* DD slash MM slash YYYY Marital Status* Married Single Defacto Other Dependants (Number)* Dependant Ages (Example: 8,12,15) NZ Citizen* Yes No Or VISA Status Drivers Licence InformationCountry* 5a (Number from Drivers Licence)* 5b (Number from Drivers Licence)* Expiry* Personal ReferencesReference 1 - Name* Relationship to You Address Phone Reference 2 - Name Relationship to You Address Phone Accommodation InformationCurrent Situation* Renting Mortgage Boarding Other Living Situation (Please explain) Rent Details (If applicable)Agent / Landlord Name Agent / Landlord Phone Weekly Rent Amount Mortgage Details (If applicable)Bank Property Value Amount Owing Monthly Repayments Financial InformationAccountant Name and Phone Number (If you have one) EmploymentOccupation* Length of Employment* Monthly Income (After Tax)* Employer Business Name* Employer Phone Employer Address Previous Employer (If current is less than 3 years) Previous Employer Phone Previous Employer Address Other Income Source 1 (If Applicable) Monthly Income from Source 1 (After Tax) Other Income Source 2 (If Applicable) Monthly Income from Source 2 (After Tax) AssetsMotor Vehicle(s) Value Shares or Investments Value Bank Account(s) Value Equity in Investment Property(s) Address(s) of Investment Property Owned Household Expenses (Monthly)Power Phone Insurance Medical Food Other Liabilities / Debts / Credit CardsBank / Lender Name 1 Amount Owed Monthly Payments Bank / Lender Name 2 Amount Owed Monthly Payments Bank / Lender Name 3 Amount Owed Monthly Payments Documents to be supplied To speed up your application, please supply the following documents. (They can be supplied separately if you don't have them ready) Required Documents: Drivers Licence (Front and back) 3 months of Bank Statements Proof of Address (eg: Power, Gas or Internet bill with your address on it.) Optional Documents: Certificate of Incorporation (Only needed if borrowing as a Company) Trade-in Settlement (Statement from the current lender showing the final payment required to clear all money owed on your trade in.) Upload Drop files here or Select files Max. file size: 100 MB. Discosure and Consent By ticking the box below, you agree that we may collect, hold, use and disclose your information for the following purposes: 1. Obtaining from, or disclosing to, any third party (including other credit providers and motor vehicle dealers) Information about you to assess, arrange, provide, administer or manage your credit application, account, facility, any guarantee and any insurance including responding to requests from you for information or variations. This includes disclosing information about your application, account, facility, any guarantee or insurance to motor vehicle dealers or business managers so they can help us carry out these purposes. You authorise the motor vehicle dealer or business manager to make requests to us for these purposes on your behalf and you consent to us disclosing the requested information in response. 2. Meeting our legal obligations including identifying and verifying you, and monitoring and screening your, or the company's, accounts in accordance with the Anti-Money Laundering and Countering of Terrorism Financing Act 2009 (AML/CFT Act). You understand the provision of your driver licence number for disclosure to a credit reporting agency is voluntary. * I give consent. NameThis field is for validation purposes and should be left unchanged.
