This is a printable form only and to be faxed to 03-377-7117
South Island Vehicle Finance Ltd

Individual Online Credit Application

 

Full Name: *
First, Middle, Surname
Date of Birth:*
Partners Full Name:
First, Middle, Surname
Date of Birth:
Current Address:
House No, Street, Suburb
City:
Phone:
Years There:
E-mail:*
Tenancy:
Marital Status:
Previous Address:
House No, Street, City
No. of Dependents:
    
Drivers Licence No:
Insurance Company:
Occupation:
Mobile Phone No:
Employer:
Years There:
Address:
Phone No:
Partners Employer:
Work Phone No:
Work Address:
Occupation:
Years There:
   
Parents Name:
(nearest relative)
Address:
Phone No:
City:
Another Contact:
(non-relative)
Address:
Phone:
GENERAL LOAN INFORMATION
Reason for Loan and amount:
Amount:
Reason:
Name of Dealership that referrred you:*
VEHICLE BEING PURCHASED OR USED FOR SECURITY
Make:
Model:
Year:
Rego:
Vehicle Valuation:
$
Speedo/Km:
Deposit:
( if purchasing )
 $
Repayment Term:
Petrol
Diesel
cc Rating:
INCOME
  
EXPENSES
  
Weekly take home pay:
$
Mortgage/Rent:
$
Partner take home pay:
$
HP & Credit Cards:
$
Other income:
$
Loans:
$
ASSETS
  
LIABILITIES
  
Home
$
Mortgage Balance:
$
Bank
 $
Credit Accounts
 $
Vehicles
$
Other Loans:
$
Investments
$
Business Loans:
$
CREDIT REFERENCE
 (Name of Finance Company/s)
1.
    
 
2.
   
Personal Contact:
(good friend)
Address:

House No, street, city
Phone:
   
Bank Name:
Branch:
Account No:
 

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Signature: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _     Date: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Info@BorrowMoney.co.nz

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