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Application for Finance- Individual
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* Indicates required question
Email
*
Your email
Amount of loan sought
*
Your answer
Purpose of loan
*
Your answer
Preferred loan term
*
12 months
24 months
36 months
48 months
Product features you are interested in
Payment protection (cover in events such as redundancy, disablement, illness etc)
Comprehensive Insurance
Mechanical Breakdown Insurance
1. Full Name
*
Your answer
2. NZ Driver licence number: 5a
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Your answer
2a. NZ Driver licence number: 5b
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Your answer
3. Date of birth
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MM
/
DD
/
YYYY
4. Are you a NZ Resident
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Yes
No, if so please answer question 4a as well
4a. Temporary resident Visa expiry date
MM
/
DD
/
YYYY
5. Physical address
*
Your answer
5a. How long have you been at the address above?
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Your answer
6. Phone number
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Your answer
7. Employer & Occupation (if you are retired, beneficiary or self employed please note this)
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Your answer
7a. How long have you been at the job above?
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Your answer
7b. Are you employed Fulltime or Part time (If you are employed part time please advise your hours per week)
*
Your answer
Household Expenses
Please list your full expenses you pay. Including GST
I am listing the following expenses as..
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Weekly
Fortnightly
Monthly
My take home pay (After tax)
*
Your answer
Other income (if applicable)
*
Your answer
1. Rent or Mortgage repayments
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Your answer
2. Rates
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Your answer
3. Utilities (power, gas, water)
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Your answer
4. Vehicle costs (fuel, WOF, registration)
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Your answer
5. Insurance (house, car, contents, life)
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Your answer
6. Food/Groceries
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Your answer
7. Phone, mobile & Internet
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Your answer
8. Dining out/takeaways
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Your answer
9. School fees/childcare/child support
*
Your answer
10. Entertainment ie. Netflix, Spotify etc
*
Your answer
11. Other personal expenses ie. Gym membership etc
*
Your answer
Liabilities
Mortgages, Vehicle loans, credit cards, other HP etc
Mortgage (Lender, Balance & MONTHLY repayments)
*
Your answer
Vehicle Loans (Lender, Balance & MONTHLY repayments)
*
Your answer
Credit cards (Lender, Balance & MONTHLY repayments)
*
Your answer
Buy now Pay later (Lender, Balance & MONTHLY repayments) ie, Zip, Afterpay, Laybuy etc
*
Your answer
Other loans (Lender, Balance & MONTHLY repayments)
*
Your answer
Credit check authorisation
*
I consent to MTF Finance Nelson conducting a credit check
I acknowledge MTF Finance Nelson may require additional documentation to support my application for finance
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