1. Will your application be individual or joint?
IndividualJoint

2. Do you currently own property/land?
YesNo

If yes, please provide details including estimated property value/s and outstanding mortgage amounts owing (if any)

3. Do you have dependent children under 18 years? If so, enter number

4. What is your annual salary/wage before tax (combined yearly income from all salary or wage sources)

5. Apart from salary/wages, do you earn any other income?
YesNo

If yes, please provide dollar values/estimates per annum below. Include shares/bonds, rental income, any other income

6. Do you have savings and assets (apart from vehicles and existing property/land)?
YesNo

If yes, please provide dollar values/estimates below. Include savings accounts, term deposits, other assets

7. Do you have Kiwisaver? If yes, enter estimate of amount/s and details

8. Do you have any other superannuation (apart from Kiwisaver)? If yes, enter estimate of amount/s and details

9. Your Debts: Please list below and provide an estimate of amounts owing (if any). Include personal loans, student loans, credit cards, hire purchases, overdrafts, other loans

10. Your Name* (Required)

11. Your Email* (Required)

12. Your Phone* (Required)

13. Your Town/Region* (Required)

14. Your Best Contact Day* (Required)

15. Your Best Contact Time* (Required)

16. Any message or questions for us?

Thank you for sending your details. We promise to keep your information absolutely confidential and we will not pass it on to any third party. You will not be spammed. Disclaimer: This is not a loan application. This information is solely for the purposes of determining loan affordability.
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