Finance Form

Step 1 of 5 - Personal Details

First Name: * * Please complete Last Name: * * Please complete Gender: * * Please select Mobile Phone: * * Please complete Home Phone: Email Address: * * Please complete Address: * * Please complete Suburb: * * Please complete Town/City: * * Please complete Residential Status: * * Please complete How long have you lived there? Years: * * Please complete Months: * * Please complete Rent/Mortgage? * * Please complete Frequency? * * Please select Birth Date: * * Please complete Marital Status: * * Please select Vehicle interested in:

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Step 2 of 5 - Employment Information

Occupation Type: * * Please select Occupation Industry: Employer Name: How long have you been there? Years: Months: Pay after tax: * * Please complete Frequency? * * Please select How long were you at your previous job?

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Step 3 of 5 - Licence Details

Licence Number (5a): * * Please complete Version Number (5b): * * Please complete Expiry Date: * * Please complete Drivers Licence Type: * * Please select Are you a NZ Resident? * * Please select

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Step 4 of 5 - Assets (Property, cars, investments)

Please add all Assets including any Property, Cars, Cash, Home Contents, Shares, Other, including a short description and value.

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Step 5 of 5 - Liabilities - other debts

Please add all Loans and obligations including any Mortgages, Credit Cards, Hire Purchases, Personal Loans, Other, including the details and value.

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Confirmation

I agree to a Credit Check: *
I Agree I Disagree *Please select By clicking Submit, below, I confirm that all information provided, is accurate, up to date, complete, relevant and not misleading and that I am not an undischarged bankrupt, understand and agree to the terms and conditions, and that I will be contacted by phone or email from one of your business managers.

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Apply for finance