20%
MyselfWith SomeoneTrustCompany
Title —Please choose an option—MrMrsMsMiss
First Name
Middle Name
Last Name
Mobile
Email
How much would you like to borrow?
And how long? —Please choose an option—
Is this for your... —Please choose an option—Next HomeFirst HomeInvestment PropertyHoliday HouseCommercial PropertyRefinance My Mortgage
How much deposit do you have?
Where did most of the deposit come from? —Please choose an option—SavingsEquity from PropertyGiftFrom a Guarantor
Property Address (if known)
What is your current buying status? —Please choose an option—I've just started lookingI'm actively lookingI'm ready to buyjust want to know what I can borrow
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Date of Birth
Country/regions of Birth —Please choose an option—
Residency Status —Please choose an option—CitizenPermanent ResidentWorking VisaNon-Resident
Current Home Address
How long have you lived here
Employer Name
Living Situation? —Please choose an option—Own house with mortgageOwn house with no mortgageRent (through an agency)Rent (private landlord)Live with parentsFlattingOther
Previous Address
How long did you live at that address
Employment Status —Please choose an option—EmployedSelf-EmployedOn Maternity LeaveUnemployedRetired
Current Occupation
How long have you been doing this
Previous Occupation
Previous Employer Name
How long were you doing that?
Back
Annual Income for Applicant 1
Income Source ---Salary and wageBusiness/Self EmployedRentalsOvertime / Allowances / BonusBenefitsIncome in non-NZDCommissionInterestDividendsPensions / Superannuation / AnnuityBoarders / flatmatesChild Support MaintenanceOther
Annual Income for Applicant 2
Annual Income for Applicant 3
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Annual Income for Applicant 4
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Total current value of assets for Applicant 1 and Applicant 2 combined
Savings, Cash, Term Deposits
Contents
Kiwisaver / Super
Vehicles' Value
Number of Vehicles
Other Assets
Other Assets Detail
Value
Description
Do any of the applicants own other properties? —Please choose an option—NoYes
Add Property
Property Address
Property Value
How much is owing?
Who is the lender?
Rental Income P/Week?
Any Credit Cards or Loans? —Please choose an option—NoYes
Add Liability
Type ---Home LoanCredit CardStore CardOverdraftBenefitsPersonal LoanStudent LoanHire PurchaseDividendsOther
Lender
Money Owing
Limit
How is it paid? ---YearlyMonthlyFortnightlyWeeklyDaily
In the last 5 years, have you (or any applicant) had a default recorded on your credit file? —Please choose an option—NoYesUnsure
Groceries
Transport
Childcare / Education
Rent / Mortgage
Insurances
Other Expenses
How many adult(other than applicants) do all applicants have?
How many dependents under 18 do all applicants have? —Please choose an option—012345
Age (yrs)
If there is anything else you'd like to add, add it below.
