Sit & Blake



LOAN APPLICATION FORMPERSONAL DETAILSJOIN APPLICANTJOIN APPLICANTTitleFamily NameTitleFamily Name Choose an item. Choose an item. First NameMiddle NameFirst NameMiddle Name Day of BirthSexDay of BirthSex ? Male ? Female ? Male ? FemaleMarital StatusNumber of DependentsMarital StatusNumber of DependentsChoose.Choose.Choose.Choose.Identification 1Identification 2Identification 1Identification 2 Current AccommodationCurrent Accommodation? Own? Board? Own? With relatives? Own? Board? Own? With relativesCurrent AddressCurrent AddressNO. Street: NO. Street: Suburb: City: Suburb: City: Home Phone: Mobile: Home Phone: Mobile: Email Address: Email Address: Previous Address (if at current address less than 3 years)Previous Address (if at current address less than 3 years)NO. Street: NO. Street: Suburb: No. of Year: Suburb: No. of Year: OCCUPATIONCurrent Occupation: Current Occupation: Current Employer (if applicable)Current Employer (if applicable)Position:Time TherePositionTime There Previous Employer (if applicable)Previous Employer (if applicable)Position:Time TherePositionTime There Annual Gross IncomeMonthly ExpenditureApplicantJoint ApplicantGross Salary/Wages$ $ This Loan$ Overtime$ $ Other Mortgage Payments$ Second Job$ $ Hire Purchase Payments$ Rentals$ $ Other Loan Repayments$ Other$ $ Credit Cards/Store Accounts$ Sub Total (Annual)$ $ Child Maintenance/Child Care$ Total$ =sum(above) \# "#,##0.00" 0.00 $ =SUM(above) \# "#,##0.00" 0.00 Motor Vehicle Expenses$ Monthly Net IncomeLife/Medical Insurance$ Applicant$ $ Superannuation$ Joint Applicant$ $ Rates$ Welfare Benefits$ $ House and Contents Insurance$ Rentals$ $ Other Households Expenses$ Other Income (specify)$ $ Living Expenses$ Other Income (specify)$ $ Other (specify)$ TOTAL MONTHLY INCOME (A) =SUM(ABOVE) $0.00 =SUM(above) $0.00TOTAL MONTHLY EXPENSES (B)$ =sum(above) \# "#,##0.00" 0.00NET MONTHLY SURPLUS (A - B)$ $ .Security DetailsAddressType* S&P GVRVRent Choose$ $ $ $ Choose$ $ $ $ Choose$ $ $ $ Relevant Comments:1 2 3 Financial PositionLiabilitiesAssetsProperty Related LoansAmount OwingPropertyAmount Owing1. $ 1. $ 2. $ 2. $ 3. $ 3. $ 4. $ 4. $ Hire PurchaseAmount OwingSavings and InvestmentsCurrent Balance $ $ $ $ Other LoanAmount Owing $ $ . $ Credit CardsCredit LimitAmount Owing $ $ $ Life Assurance/Superannuation $ $ $ $ Store A/C CardsCredit LimitAmount Owing $ $ Vehicles, BoatsM/V $ $ $ $ OverdraftAmount OwingFurniture/Personal EffectsM/V $ Total LiabilitiesTotal Assets$ $ Total Assets - Total Liabilities =$ Solicitor DetailsAccountant DetailsNameFirmNameFirm AddressAddress Loan Purpose? Purchase of First Home? Loan Restructuring? Purchase of Rental Property? Other - Declaration and AuthorityDeclarationI/We authorise that the information contained in the application form may be used by and relied on by the lending institutions listed below. This will include the lender's respective Mortgage Guarantee Insurance Company and credit reference agencies.Authorised Lending Institutions include:·ANZ·ASB·BNZ·The National Bank of New Zealand·Westpac Trust·HSBC·Sovereign·Other ………………………...Privacy ActPursuant to the PRIVACY ACT 1993, I/we acknowledge that the following has been brought to my/our attention:-1.This application form collects personal information about me/us.2.The information is collected to determine the eligibility for the credit I/we seek; the intended “recipients” of the information are any of the lenders listed above, providers of credit, credit reference agencies and previous and current employers;3.The information is being collected and held by Sit & Blake Ltd. Failure to provide this information or provision of incorrect information may result in my/our application for credit being declined;4.I/We do have the rights of access to, and correction of this information to the extent that I/We are not entitled or obliged to withhold that information pursuant to S.29 of Privacy Act 1993;5.If the above information is provided by someone other than me/us, they are authorised to provide information on behalf of me/us and evidence of this authority is provided;6.In making this application, I/We authorise: · The use of personal information held for the purpose of advising me/us of any other products and services managed and promoted by the recipients · The release at anytime of all personal information held by:- - any other credit providers and credit reference agencies. - any previous or current employer/s regarding my employment history and income. - any other person or body in order to verify the details contained in the application and to check my/our credit status.· The recipients to disclose their credit reference agencies or any other agency or party, at any time personal information relevant to credit enquiries held by the recipients. · Any of the recipients and any other organizations to collect from the lender, information about me/us which is connected with and necessary for the evaluation by such party of my/our borrowing or any security or insurance risk. · The recipients to supply at their discretion, details of this application or loan details to a guarantor or proposed guarantor.I/We declare as follows:a) The information contained in this application is true and correctb) I/We have not withheld any information on my/our financial position, commitments, income, employment history or credit history that might affect the lender’s decision on this applicationc) I/We have not been declared bankrupt of had any judgments entered against me/usd) I/We undertake to pay all costs in connection with the execution and registration of any security required by the lender in the event of this application being approved and the release of security when the loan is repaide) I/We will pay the lender’s fee for valuation report on the property if required and this valuation report the property of the lenderf) I/We undertake to pay the lender’s fee for processing the mission DisclosureI/We acknowledge that I/We have appointed Sit & Blake Ltd. to act on my/our behalf in obtaining mortgage finance.I/We understand that the lending institution will pay Sit & Blake Ltd. a fee and that part of this fee may be passed on to the office of Sit & Blake Ltd. and or sub-agent, subject to finance being approved. No part of this fee will be payable by us.I/We authorise the finance approval to be forwarded to Sit & Blake Ltd. and my/our solicitor.OthersI/We would like information about the following:o Mortgage Insuranceo Income Protection Insuranceo House and Contents InsuranceSignature of ApplicantSignature of Joint ApplicantDate Click to enter a date.Date Click to enter a date. ................
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