Finance

Purchasing Vehicle Info

Make

Model

Year

Your Trade In Info

Make

Model

Year

KMs

REGO

Upload Images Of Your Vehicle

Personal Info

Full Name

Date of Birth

Gender you identify with

Phone

Licence number

Licence expiry date

Licence version number (3 digits)

Marital status (Married, single, de facto, widowed, divorced/separated)

Number of dependents

Address Info

Current address

Time spent living at current address

Mortgage/rent amount

Previous address

Time spent living at previous address

Employment Info

Occupation

Employer

Employment address

Employment phone number

Time spent with employer

Income amount (after tax)

Previous employer

Time spent with previous employer

Assets

Total amount in bank

Home and contents estimated value

Motor vehicle/s estimated value

Tools and equipment estimated value

Kiwisaver value

Any other asset and estimated value

Liabilities (debts, overdrafts etc)

Liability #1

Name of provider

Repayment amount

Liability #2

Name of provider

Repayment amount

Liability #3

Name of provider

Repayment amount

Liability #4

Name of provider

Repayment amount

Two Next Of Kin

(Contacts must live at a different address to you and each other)

Next of kin #1 - Full name

Contact number

Relationship to you

Next of kin #2 - Full name

Contact number

Relationship to you

Upload a copy of your drivers licence

Drivers license (Front)

Drivers license (back)

Additional Comments

Simply fill in and submit the form and we’ll be in touch soon to process your finance application.

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