Crown Money Logo Crown Money 0800 Number
Home page About Us Our People Services Applications Frequently Asked Questions Your Privacy Crown APG Contact Us
Application Form
 

Please complete this application form for all property finance loans.

 

 
Loan Details
Purchase Price $
Section Cost $
Building Cost $
Refinance Mortgage $
Repay Hire Purchases $
Repay Credit Cards $
Other $
Costs/Fees $
Subtotal
 $
   
Less Cash (if applicable) $
Other Loans $
Other Funds (eg gifts) $
Finance Required $
   


Personal Details
 

Applicant 1

  

Applicant 2
Title  
Surname  
First Name  
Middle Name  
Date of Birth (dd/mm/yyyy)      
Country of Birth  
NZ Residency Held?  
No. of Dependents

 

    
Marital Status

 

  
Drivers Licence Number

Drivers Licence Expiry      
 
      Leave blank if same
Home Address      
Suburb      
City      
Residential Status      
How Long Have You Lived Here?      
Previous Address
(if less than 2 years at current)		  
(if less than 2 years at current)
How long were you there for?  
 
Home Phone
(with area code) 		     
Work Phone      
Mobile      
Email Address      


Security
  Address 1   Address 2
Address  
Current Ownership  
Status      
Intention      
Type of Property      
Zoning  
Tenure  
Legal Description  
Value (complete more than one if applicable)
Purchase Price $   $
Total Project Cost (if building) $   $
Gov. Valuation $   $
Valuation by Valuer $   $
Estimated $   $


Employment Details
  Applicant 1   Applicant 2
Type of Employment  
Current Occupation  
Employed by      
Employment Address      
How Long Have You Worked Here?      
Previous occupation (if less than two years)  
Previous Employer  
How long were you there for?  



Financial Details
Take Home Income per month (after tax & excluding overtime)
Do not include commas.
 Fixed Commitments per month.
Do not include commas.
Salary/Wage 1
$
Rental Property Mortgages 1
$
  2
$
  2
$
Business 1
$
Other Mortgages 1
$
  2
$
  2
$
Benefits 1
$ Student Loans $
  2
$
Hire Purchase 1
$
  3
$
  2
$
Rental Income 1
$
Other Loans 1
$
  2
$
  2
$
Boarder $ Credit/Charge Cards $
Interest/Dividends $ Store Cards $
Other $ Rent $
    Child Support $
    Superannuation $
    Life Insurance $
    House & Contents Insurance $
    Medical Insurance $
    Motor Vehicle Insurances $
    Motor Vehicle Running Costs $
    Power/Telephone/Gas $
    Food/Clothing/General $
Total $ Total $
SURPLUS $    
Please give details of other income:
 Please give details of other fixed commitments:


Assets and Liabilities
Assets - Description (I/we own)
Do not include commas.
 Liabilities - Description (I/we owe)
Do not include commas.
Main Bank/Branch     
Money @ Bank 1
$
Bank Overdraft 1
$
  2
$
  2
$
Property 1
$
Mortgages 1
$
  2
$
  2
$
  3
$
  3
$
Shares $
Personal Loans 1
$
Vehicles 1
$
  2
$
  2
$
Hire Purchase 1
$
  3
$
  2
$
Superannuation 1
$
Credit Cards 1
$
  2
$
  2
$
Life Insurance 1
$ Store Cards $
  2
$ Student Loans $
  3
$ Other $
Business Value (Net) $    
Boat $    
Other 1
$    
  2
$    
Total Assets $ Total Liabilities $
SURPLUS ASSETS $    
   

References - nearest relative not living with you
name address
phone relationship

Another reference from a non-relative
name address phone
 

I have read and accept the Privacy Statement and Declaration  
Best time to contact me  
I can be contacted on  

Other Information which might assist us with your application

 



 

Copyright © Crown Money 2005-2006
Personal Finance
Property Finance
Commercial Finance