Car Finance Application

Loan Details
Please fill the form out as completely as possible

* indicates a required field.
* Purchase price of vehicle $ Cash Deposit $
Trade Amount $ Owing on trade $
* Term of Loan   Current finance company on trade
Year, Make and Model of vehicle you want to buy (if known)  
 

Applicant 1

  

Applicant 2
* Title  
* Surname
* First Name  
Middle Name  
* Date of Birth 19   19
* No. of Dependents  
* Marital Status
 
      Leave blank if same
* Home Address  
Suburb  
* City  
* Residential Status  
* Rent / Mortgage Paid Per Month  
* How long have you lived here?  
Previous address
(if less than 3 years at current)		  
(if less than 3 years at current)
How long were you there for?  
 
* Home Phone (with area code)  
* Work Phone (with area code)  
* Mobile  
* Email Address  
 
* Current Occupation  
* Employed by  
Employment Address  
Employment City  
* How long have you worked here?  
Previous Occupation  
Previous Employer
(if less than 3 years at current)		  
(if less than 3 years at current)
How long did you work there?  
* Monthly Take Home Pay (net) (Proof of this is required)  
(Proof of this is required)

Asset details - please fill out as fully as possible. 
Security
 
Vehicle 1
  
Vehicle 2
Vehicle Value  
Private Vehicle Make  
Private Vehicle Model  
Year  
Financed By  
Amount Owing  
Registration Number  

Homeowners Only
Property 1
  
Property 2
Address  
Names on title of house  
Value (GV or registered value)
A copy of your rates demand is required		  
Mortgage Balance  
  Asset Details    
Vehicles $ Home Contents $ approximate or insured
Other $    
 
Liability Details		    
Vehicles $ Credit Cards $
Other Debts $    

I agree to a credit check		 Yes   No