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Dealer Finance Application

Dealers Information

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Contact Client Directly?(*)
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IMPORTANT - ALL SECTIONS MUST BE COMPLETED. To enable our staff to provide a prompt decision please complete all sections clearly. Each applicant must provide their current full name as it appears on an official document such as a birth certificate, passport or drivers license.

Have you applied with us before?

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Is this a joint application

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Type of Application

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To complete a business application with us all directors of the company must fill in a copy of this form personally. If it is easier you may download the form below to fill in manually and fax or email to us.

 

Personal Information

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Date of Birth(*)
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Marital Status
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NZ Citizen

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Permanent NZ Resident(*)

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Residence Information

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Residence(*)

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Contact Information

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Employment Information

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Partner's Personal Information

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Date of Birth
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Marital Status
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NZ Citizen

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Permanent NZ Resident

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Partner's Employment Information

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Nearest Contacts Information

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Income Information

(Monthly Figures Only)

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Income Total
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Expense Information

(Monthly Figures Only)

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Expenses Total
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Net Surplus (Income - Expenses)
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Assets Information

Please identify all assets which are jointly owned with their market Value.

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Assets Total
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Liabilities Information

Please identify all liabilities with their current outstanding balance.

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Liabilities Total
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Net Worth
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