Apply for credit online - vehicles finance, caravan finance, boat finance, personal finance at Autoworld

Credit Application

These fields * must be completed before this form will be accepted

Section 1 - Applicant

Drivers Lic. No:
Expires:
Applicant's Full Name: *
Applicant's E-mail Address:*
Home Address:
How Long There: yrs months
Tenancy: *
City:

Previous Address:
How Long There: yrs mos
Home Telephone:
Birth Date: *
Marital Status:
No. of Dependants & Ages: -
Reason for Loan: *
Amount: * $

Name and addresses of a Relative NOT living with you:

Name:
Address:
Relationship:
Phone Number:

Name of your Bank:
Checking No:
Savings No:

CREDIT REFERENCE

(Name of Finance Company/s) 1. 2.

ASSETS

Home (joint/JFH): $
Furnishings: $
Bank: $
Vehicles: $
Investments: $
Other:

LIABILITIES

Mortgage Balance: $
HP/Credit Accounts $
Bank O/D: $
Other Loans: $

Section 2 - Applicant

Present Employer: *
Monthly Income: Net Gross
Time at Job: yrs mos
Occupation:
Dept. or Supervisor:
Work phone number:
Previous Employer:

OTHER INCOME of Applicant

Source or kind:
Received from:
Gross:
Net:

EXPENSES (Monthly)

Mortgage/Rent: $
HP & Credit Accounts: $
Rates, Phone, Power, Insurance: $
Life Insurance/Building Society: $
Cars and other expenses: $

Section 1 - Co-Applicant

Drivers Lic. No:
Expires:
Applicant's Full Name:
Home Address:
How Long There: yrs mos
City:

Previous Address:
How Long There: yrs mos
Home Telephone:
Birth Date:
No. of Dependants & Ages: -

Name and addresses of a Relative NOT living with you:

Name:
Address:
Relationship:
Phone Number:

Name of your Bank:
Checking No:
Savings No:

Section 2 - Co-Applicant

Present Employer:
Monthly Income: Net Gross
Time at Job: yrs months
Occupation:
Dept. or Supervisor:
Work phone number:
Previous Employer:

OTHER INCOME of Applicant

Source or kind:
Received from:
Gross:
Net:

* Compulsory!

By submitting this form, I certify that the above information is complete, true and correct. I hereby agree and confirm that I have read the Autoworld Finance * Privacy Policy and will comply with all the conditions set out within.

Autoworld Richmond Ltd. Nelson, New Zealand

Credit Application

Section 1 - Applicant

Name and addresses of a Relative NOT living with you:

CREDIT REFERENCE

ASSETS

LIABILITIES

Section 2 - Applicant

OTHER INCOME of Applicant

EXPENSES (Monthly)

Section 1 - Co-Applicant

Name and addresses of a Relative NOT living with you:

Section 2 - Co-Applicant

OTHER INCOME of Applicant

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