FINANCE MADE EASY
FOR EVERYONE IN
NEW ZEALAND!

Cash Price

Finance Term
12 Months24 Months36 Months48 Months60 Months

Dealer Extras

Payment Frequency
WeeklyFortnightlyMonthly

Less Deposit

Payment Day
MondayTuesdayWednesdayThursdayFriday

Finance Amount

Bank Name

Account Name

Account Number

Make

Model

Vehicle Year

Title
MrMsMrsDrProfOther

First Name

Middle Name

Last Name

Marital Status
MarriedSingle

Does Your Partner Work
YesNo

Number of Dependants

Residential Status
NZ CitizenNZ ResidentVisa Holder

Type of Visa

Visa Start Date

Visa Expiry Date

Driver’s License
New ZealandOverseas

Type
LearnerRestrictedFullNone

License Number

Version

License Expiry Date

Home Phone

Mobile

Work

Email Details

Street Name & Number

Suburb

Residential Status
Home OwnerRentingBoardingCompany HousingOther

City/Town

Code

Employer

Occupation

Employment Type
FullTimePartTimeBeneficiaryCasualSeasonalSelf-Employed

Time at Current Job

Time in Industry

Income After Tax

Frequency
MonthlyFortnightlyWeekly

Other Income

Frequency
MonthlyFortnightlyWeekly

Specify Other Income

Mortgage / Rent / Board

Frequency
MonthlyFortnightlyWeekly

Living Expenses

Frequency
MonthlyFortnightlyWeekly

Credit Card Limit

Credit Card Balance

Credit Card Re-payments

Frequency
MonthlyFortnightlyWeekly

Type Of Loan

Re-payments Amount

Frequency
MonthlyFortnightlyWeekly

First Name

First Name

Last Name

Last Name

Phone/Mobile

Phone/Mobile

Relation

Relation

Drivers License (Front)

Drivers License (Back)

Confirmation of Bank Account (PDF File)

Proof of Address (Not older than 3 Months)

Latest Payslip

Latest 3 months bank statements

Passport (only for non residence)

Passport entry stamp

Work Visa (only for non residence)

Additional Supporting Documents

Are you aware of any reason your income may be adversely affected during the loan term?
YesNo