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Time There:yrsmths

Second Job ¨C Employers Name & address

Time There:yrsmths

Previous Employer (if less than 3 years with current):

Previous Employer (if less than 3 years with current):

Employer Name & Address

Time There:yrsmths

Employer Name & Address

Time There:yrsmths

Occupation:

Occupation:

 

Statement of Position (current financial position before loan is assessed )

ASSETS - What Do You Own

 

LIABILITIES - What Do You Owe

Estate/Property owned-address

CURRENT VALUE (NZ$)

   

LENDER

$LIMIT

AMOUNT OWING

Property 1:()

$

 

Mortgage 1.

$

$

Property 2:()

$

 

Mortgage 2.

$

$

Property 3:()

$

 

Mortgage 3.

$

$

Bank Deposit

$

 

Bank Overdraft

$

$

Vehicle 1.Make & modelYear

$

 

Credit Card /Type-

$

$

2. Make & modelYear

$

 

Paid off in full each month Yes No

Furniture and Personal Effects

$

 

Credit Card /Type-

$

$

Superannuation

$

 

Paid off in full each month Yes No

Shares/ Bonds

$

 

Store Card

$

$

Boat/Caravan

$

 

Paid off in full each month Yes No

Business Value(Net)

$

 

Hire Purchase

$

$

Other (e.g. Investments, Antiques)

$

 

Hire Purchase

$

$

1.

$

 

Govt. Student Loan

$

$

2.

$

 

Personal Loan

$

$

3.

$

 

Other -

$

$

Total Assets (A)

$

 

Other -

$

Less Total Liabilities (B)

$

 

Total Liabilities (B)

$

Surplus Assets over Liabilities (A£­B)

$

 

Are you a Guarantor for finance taken out by anyone else Yes No

 

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