Alan Robertson
  John Chapman
  Terry Makey
 
   
   
    Tony Carson
     
   
     
 

Personal Information Application Form

Please complete this fom online or print this page

Your Personal Information
     
Title  
Surname  
First Name  
Known As  
Date of Birth   / /
 
Your Partner's Personal Information
     
Title  
Partners Name  
Partner's First Name  
Known As  
Partner's Date of Birth   / /
 
Other Information
     
Marital Status   Single Married Defacto Other
Age of Dependents  
New Zealand Residency   Yes No
Residential Address  
Previous Address  
Postal Address  
Phone (Home)  
Phone (Work)  
Fax  
Mobile  
Email  
Bank  
Branch  
Applicants Solicitor   of
Applicants Accountant   of
Your Current Employment
 
Occupation  
Employed By  
Phone No  
How Many Years   Year(s)
     
Your Previous Employment
 
Employed By  
How Many Years   Year(s)
 
Your Partner's Current Employment
 
Occupation  
Employed By  
Phone No  
How Many Years   Year(s)
 
Your Partner's Previous Employment
 
Employed By  
How Many Years   Year(s)
Financial Position (Borrower / Guarantor) - Assets
     
Property (Home)  
$
Other Property  
$
   
$
   
$
   
$
   
$
   
$
Bank Accounts
and Savings 		 
$
 
$
 
$
Life Policies - Cover  
 
Face Value  
$
Surrender Value  
$
Vehicle 1  
$
Vehicle 2  
$
All Other Assets / Investments  
$
 
$
 
$
 
$
 
$
 
$
Total Assets   $0.00
Financial Position (Borrower / Guarantor) - Liabilities
     
Property (Home)  
$
   
Other Property 1  
$
   
Other Property 2  
$
   
Other Property 3  
$
   
Other Property 4  
$
   
Other Property 5  
$
   
Other Property 6  
$
   
Bank Overdradt  
$
   
$
   
$
Other Loans /
Credit Cards 		 
$
 
$
 
$
All Other Debts  
$
   
$
   
$
   
$
   
$
   
$
Total Liabilities   $0.00
Financial Position (Borrower / Guarantor) - Income
     
Principal Earner  
$
Partner Other Income  
$
Rental(s)  
$
Self Employed Applicants After Tax profit  
$
   
Total Income   $0.00
     
Financial Position (Borrower / Guarantor) - Monthly Commitments
     
Mortgage(s)  
$
Rates - Council & Water  
$
Life Assurance  
$
Loans / HP / Credit Cards  
$
Insurance  
$
Other  
$
Total Commitments   $0.00

DECLARATION

I/We confirm that the information provided in support of this application is true and complete.

I/We authorise Strata Funding Limited (SFL) and the lending institution and mortgage insurer to gather/obtain any information from any person, company or institution that they, in their sole discretion regard as necessary for credit and/or lending enquiry purposes. I/We further authorise any person, company or institution to provide any information sought by SFL and the lending institution and mortgage insurer. I/We acknowledge that I/We are not obliged to provide the abovenamed with any information but failure to do so may affect their decision to provide funds or credit. I/We acknowledge that to facilitate the ongoing services provided by SFL to me/us, the lending institution may periodically disclose my/our loan balance and other information to SFL.

I/We understand that I/We have certain rights under the Privacy Act 1993 to have access to and if necessary correct any information held by SFL about me/us.

I/We confirm that we are aware that SFL may charge a fee for its services and/or receive a commission from the relevant lending institution. SFL will render an invoice for any fee payable to SFL which I/we agree to promptly pay upon receipt of the invoice.

I agree for the declaration above

 
     

 


  
or Click here to Download Printable application form
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