Finance Form

Vehicle Details

Make

Model

Year

Loan Details

Amount

Term

Payment Protection

Guaranteed Asset Protection

Mechanical Breakdown Insurance

Personal Details

Surname

First Name(s)

Gender

Date of Birth (dd/mm/yyyy)

Phone

Landline

Email

No. of dependants

Marital Status

NZ Resident (Permanent)

Address

Type

Rent/week

How long at this address?

If Less than 2 years

How long at prev address?

Employment Details

Company Name

Phone

Address

How long at job?

If Less than 2 years

How long at previous job?

Work Type

If Self Employed

Accountant phone number

Income

Take home pay after tax

Assets & Liabilities

Motor Vehicle

Credit Cards

Other Loans

Other Liabilities

Cash

Chattels/Contents

Shares

Property

Other Assets

References

Two next of kin

Secondary Applicant

Include Secondary Applicant : Yes No

Personal Details (Applicant 2)

Surname

First Name(s)

Gender

Date of Birth

Phone

Email

No. of dependants

Marital Status

NZ Resident (Permanent)

Address

Type

Rent/week

How long at this address?

If Less than 2 years

How long at prev address?

Employment Details (Applicant 2)

Company Name

Address

How long at job?

If Less than 2 years

How long at previous job?

Work Type

If Self Employed

Accountant phone number

Income

Take home pay after tax

Assets & Liabilities (Applicant 2)

Motor Vehicle

Credit Cards

Other Loans

Other Liabilities

Other Assets

References (Applicant 2)

Two next of kin

Bank Details

Payment Method

Drivers Licence Details

Upload your documents

Upload your DL

Upload your Pay slips

Upload your Address proof