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Finance Application Form

Please complete the following application form to apply for finance through Arundel Motor Company.
All fields marked with an asterisk (*) are required to be completed.


Your Vehicle

Selling Price: $21,990 +$300 ORC View this vehicle 2012 Mazda CX-5 XD 2.2 Diesel 2WD

2012 Mazda CX-5 XD 2.2 Diesel 2WD

Body
RV-SUV
Odometer
110,338 km
Ext Colour
Silver
Engine
2200cc, Diesel
Transmission
Auto

+ Applicant Details

Surname*
Marital Status*
First Name(s)*
Middle Name(s)
Number of Dependants*
Date of Birth*
Drivers Licence Number*
Version No*
Drivers Licence Type*
Drivers Licence Expiry*
Home Phone*
Mobile Phone
Work Number
*Email Address:

+ Partner Details

Is this a joint application?* If so, please enter the joint applicants details below.
Surname
Marital Status
First Name(s)
Middle Name(s)
Number of Dependants
Drivers Licence Type*
Date of Birth*
Drivers Licence No
Version No
No license
Home Phone
Mobile Phone

+ Previous Finance Details

Finance Reference 1 (eg Hire Purchase etc):
Finance Reference 2:
Bank Name:
Bank Account Number:

+ Address Details

Tenancy Type*
If Other, please describe:
Current Address*
Suburb*
Town/City*
Years Lived At*
Previous Address (if at current less than 3yrs)
Suburb
Town/City
Years Lived At

+ Employment Details - Applicant

Current Employer*
Occupation*
Phone*
Address*
Suburb*
Town/City*
Years Worked
Previous Employer
Occupation
Phone
Address
Suburb
Town/City
Years Worked

+ Employment Details - Partner

Current Employer*
Occupation*
Phone*
Address*
Suburb*
Town/City*
Years Worked
Previous Employer
Occupation
Phone
Address
Suburb
Town/City
Years Worked

+ Next of Kin Details (NB - Must not live at the same address as you)

Name*
Relationship*
Phone*
Address*
Suburb*
Town/City*

+ Another Contacts Details (eg. Friend, Workmate etc)

Name*
Relationship*
Phone*
Address*
Suburb*
Town/City*

+ Income (NB. Verification may be necessary)

Applicant 1
Applicant 2 / Partner
Primary Income Type*
Employment Type*
Amount (in the hand)*
Pay Frequency*
Other Income
Other Income Source
Primary Income Type
Employment Type
Amount (in the hand)
Pay Frequency
Other Income
Other Income Source

+ Assets (ie. Approx value of the possessions YOU own)

Property 1
Property 2
Address
Value (RV or GV)
Names on Title
Mortgage Bal.
Mortgage Repay. (mthly)
Is Rental?
Rent Income (mthly)
Address
Value (RV or GV)
Names on Title
Mortgage Bal.
Mortgage Repay. (mthly)
Is Rental?
Rent Income (mthly)
Vehicle 1
Vehicle 2
Year
Make
Model
Registration No.
Current Value
Financed By
Amount Still Owing
Monthly Repayments
Year
Make
Model
Registration No.
Current Value
Financed By
Amount Still Owing
Monthly Repayments
Other Assets
Description
Market Value
Description
Market Value
Description
Market Value
Description
Market Value

+ Outgoings (ie. Your expenses and repayments)

Expenses
Type
Other Expense 1
Amount
Paid To
Frequency
Other Expense 1
Amount
Paid To
Frequency
Other Expense 2
Amount
Paid To
Frequency
Other Expense 3
Amount
Paid To
Frequency
Loan Repayments
Type
Amount
Owed To
Repayments
Frequency
Still Owing
#2 - Type
Amount
Owed To
Repayments
Frequency
Still Owing
#3 - Type
Amount
Owed To
Repayments
Frequency
Still Owing
#4 - Type
Amount
Owed To
Repayments
Frequency
Still Owing

+ Loan Details

Purpose of Loan* (eg. Purchase Car)
If for a vehicle please describe (Year, Make, Model)
Amount of Loan*
Comments
Preferred Term
What is a comfortable payment for you to make?
 

+ Other Information

Do you have any previous credit related issues that may need to be addressed prior to a successful application?*
If yes, please explain below
Are you a NZ citizen/NZ born?*
If no, please detail your visa type
 
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