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Document Sample
DETAILS REQUIRED FOR HOME LOAN APPLICATION eMail
oudshoring@loansacceptable.co.za
VERY IMPORTANT - PLEASE COMPLETE EACH QUESTION! Fax 086
693 6604
CONSULTANT NAME: SOURCE:
CONSULTANT PHONE NUMBER:
TYPE OF LOAN: New Loan Building Loan Further Loan Switch Re-advance
APPLICATION TYPE: Single Joint With Surety CC/Trust/CO Foreign Nat
IF CC/TRUST/CO:
NAME OF ENTITY:
WHAT TYPE OF BUSINESS:
REGISTRATION NUMBER:
DATE OF REGISTRATION:
BOND TO BE REGISTERED
IN NAME OF:
BOND ATTORNEY: TRANSFER ATTORNEY:
PHONE NUMBER: PHONE NUMBER:
PANEL CODE: PANEL CODE:
Home
BANK: ABSA FNB NEDBANK STANDARD
Base
SA HOME
ITHALA INTEGER SANLAM
LOANS
MOTIVATION:
Page 2 MAIN APPLICANT DETAILS:
SURNAME:
FULL NAMES (As per ID):
TITLE:
IDENTITY NUMBER:
ETHNIC GROUP: Asian Black Coloured White
SOUTH AFRICAN CITIZEN: Yes No
NATIONALITY:
IF A NON SA CITIZEN PASSPORT EXPIRY
COUNTRY
NUMBER: DATE
ARE YOU A PERMANENT RESIDENT? Yes No
COUNTRY OF PERMANENT RESIDENCE: NUMBER:
GENDER: Male Female
LANGUAGE PREFERENCE: Afrikaans English Other
MARITAL STATUS: Single ANC-With ANC-Without COP Divorced
NUMBER OF DEPENDANTS:
PRESENT PHYSICAL ADDRESS: PRESENT POSTAL ADDRESS: FUTURE POSTAL ADDRESS:
PERIOD AT PRESENT ADDRESS:
RESIDENTIAL STATUS: Owner Tenant Boarder Renting Living With Pa
CONTACT PHONE NUMBERS: WORK HOME:
FAX: CELL:
E-MAIL ADDRESS:
EMPLOYMENT DETAILS:
ARE YOU SELF-EMPLOYED? Yes No
ARE YOU A COMMISSION EARNER? Yes No
OCCUPATION:
OCCUPATION LEVEL: Senior Management Management Supervisor Skilled
Semi-skilled worker Unskilled worker Junior
INCOME TAX NUMBER:
PRESENT EMPLOYER: PREVIOUS EMPLOYER:
NAME OF EMPLOYER:
PERIOD WITH EMPLOYER:
PHYSICAL WORK ADDRESS:
CODE:
QUALIFICATIONS:
HAVE YOU EVER BEEN DECLARED INSOLVENT: Yes No
IF YES: DATE REHABILITATED:
BANKING DETAILS:
CURRENT
ACCOUNT TYPE INSTITUTION BRANCH NAME ACC NUMBER ACC HOLDER
BALANCE
CHEQUE
PERSONAL LOAN
FIXED DEPOSIT
TRANS / SAVINGS
CREDIT CARD 1
CREDIT CARD 2
INVESTMENTS
MORTGAGE LOANS
VEHICLE 1
VEHICLE 2
RETAILS (ISA)
OTHER
HOW WILL THE INTSTALMENT BE MADE? DEBIT ORDER WHICH ACCOUNT NUMBER:
SALARY STOP ORDER
Page 3
INCOME AND EXPENDITURES:
INCOME:
Cost to Company / Basic Salary
Gross Housing Subsidy
Commission
Overtime
Income after Deductions
Other Income
Dividend Income
Rental Income
Other 1:
Other 2:
Fringe Benefits
Car Allowance
Other 1:
Other 2:
NED Specific (Business use only)
Cash Flow
Net Profit
Disposable Cash
Total Income:
EXPENSES:
Bond Repayments / Rental
Other Loan Instalments
Credit Card Minimum Payment
Water and Lights
Rates and Taxes
Insurance – Short Time
Insurance - Life
Petrol / Vehicle Maintenance
Clothing
Telephone
TV / Rental / MNET
Vehicle Instalment
Second Vehicle
Pension
Medical Aid
PAYE Contribution
UIF
Food / Groceries / Liquor / Cigarettes
Repair and Maintenance – Household
Domestic Wages
Medical Costs
Education
Entertainment / Sport / Subscriptions
Alimony / Maintenance
Monthly Asset Finance
Cell phone
Levies
Investments (Unit / Trust & Endowments)
Other 1:
Other 2:
Total Expenses:
Total Income: R - Total Expenses: R =
Affordability R
Client Signature: Date:
Page 4
SPECIFIC EXPENSES:
Credit Card Exposure
Retail Card Exposure
Retail Card Minimum Payment
Overdraft Exposure
Overdraft Minimum Payment
Other Revolving Debt Exposure
*Other Revolving Debt Minimum Payment
*Vested Surety Monthly Obligation
*Overdraft Minimum Payments
Reduction In Credit Card Exposure
Reduction in Retail Card Exposure
Reduction in Other Revolving Debt Exposure
Reduction in Personal Loan Instalment
Reduction in Vested Surety Monthly Obligation
Reduction in Mortgage Instalments
Reduction in Motor Finance Instalment
Reduction in Other Monthly Instalments
ASSETS AND LIABILITIES:
ASSETS
District Present
Fixed Property ERF No: Purchase Date Amount
Suburb Value
Vehicle
Furniture / Fitting
Life Assurance
Policies
Investments COMPANY
LIABILITIES
Name of Bond Amount
Mortgage Bonds ERF No: Bond Acc No
Holder Owing
HP / Instalment Type of Amount
Date Repayable Instalment Amount
Agreement Loan Owing
Owing to Financial Type of Amount
Date Repayable Instalment Amount
Institution Loan Owing
Client Signature:
Date:
MAIN APPLICANT DECLARATION:
INDEPENDENT BOND ORIGINATORS CONSENT DECLARATION:
Is the applicant Under Administration Review? Yes / No
Is the applicant Under Debt Review? Yes / No
Re Arrangement? Yes / No
Administration order? Yes / No
Bureau Dispute Yes / No
Telemarketing ? Yes / No
Marketing List Sales Yes / No
Mass SMS or E-Mailing: Yes / No
Preferred delivery mechanism: Mail / E-Mail / SMS / All
I give permission / do not give permission to provide information relating to my credit score or
creditworthiness to third parties who may request this information.
I warrant that all the information I supplied is to the best of my knowledge and belief, true and
correct in all material respects and I am not aware of any other information which, should it
become known to the Bank, would affect the consideration of my application in any way.
I hereby appoint Independent Bond Originators as my sole agent to obtain mortgage loan
finance for this property on my behalf.
I agree that the Bank can provide any information pertaining to the Loan applied for, sharing
positive and negative information to Independent Bond Originator during the application
process.
I hereby authorise the Bank to have access to my credit bureau records, and to furnish or to
disclose any information arising from any agreement entered into with the Bank to any such
credit bureaus.
I confirm that I am not currently under debt review and am not subject to any debt
rearrangement orders.
I hereby authorise Independent Bond Originators to supply my details to their exclusive
business partners to enable them to provide me with tailored quotes for products to suit my
circumstances. My details will not be shared with any other external parties.
Name:
____________________________________________________________________
________________
Signature: _________________________________ Date:
_______________________________________
Pages 6
CO-APPLICANT/SPOUSE/SURETY DETAILS:
APPLICABLE: Co-Applicant Spouse Surety
SURNAME:
FULL NAMES (As per ID):
TITLE:
IDENTITY NUMBER:
ETHNIC GROUP: Asian Black Coloured White O
SOUTH AFRICAN CITIZEN: Yes No NATIONALITY:
IF A NON SA CITIZEN PASSPORT EXPIRY
COUNTRY:
NUMBER: DATE:
ARE YOU A PERMANENT RESIDENT? Yes No
COUNTRY OF PERMANENT RESIDENCE: NUMBER:
PERMANENT RESIDENCE NUMBER:
PERMIT NUMBER:
GENDER: Male Female
LANGUAGE PREFERENCE: Afrikaans English Other
MARITAL STATUS: Single ANC - With ANC - Without COP Divorced
NUMBER OF DEPENDANTS:
PRESENT PHYSICAL ADDRESS: PRESENT POSTAL ADDRESS: FUTURE POSTAL ADDRESS:
PERIOD AT PRESENT ADDRESS:
RESIDENTIAL STATUS: Owner Tenant Boarder Renting Living With Pa
CONTACT PHONE NUMBERS: WORK: HOME:
FAX: CELL:
E-MAIL ADDRESS:
EMPLOYMENT DETAILS:
ARE YOU SELF-EMPLOYED? Yes No
ARE YOU A COMMISSION EARNER? Yes No
OCCUPATION:
OCCUPATION LEVEL: Senior Management Management Supervisor Skilled
Semi-skilled worker Unskilled worker Junior
INCOME TAX NUMBER:
PRESENT EMPLOYER: PREVIOUS EMPLOYER:
NAME OF EMPLOYER:
PERIOD WITH EMPLOYER:
PHYSICAL WORK ADDRESS:
CODE:
QUALIFICATIONS:
HAVE YOU EVER BEEN DECLARED INSOLVENT: Yes No
IF YES: DATE REHABILITATED:
BANKING DETAILS:
ACCOUNT TYPE INSTITUTION BRANCH NAME ACC NUMBER ACC HOLDER CURRENT BA
CHEQUE
PERSONAL LOAN
FIXED DEPOSIT
TRANS / SAVINGS
CREDIT CARD 1
CREDIT CARD 2
INVESTMENTS
MORTGAGE LOAN
VEHICLE 1
VEHICLE 2
RETAILS (ISA)
OTHER
Client Signature Date
Page 7
INCOME AND EXPENDITURES:
INCOME:
Cost to Company / Basic Salary
Gross Housing Subsidy
Commission
Overtime
Income after Deductions
Other Income
Dividend Income
Rental Income
Other 1:
Other 2:
Fringe Benefits
Car Allowance
Other 1:
Other 2:
NED Specific (Business use only)
Cash Flow
Net Profit
Disposable Cash
Total Income:
EXPENSES:
Bond Repayments / Rental
Other Loan Instalments
Credit Card Minimum Payment
Water and Lights
Rates and Taxes
Insurance – Short Time
Insurance - Life
Petrol / Vehicle Maintenance
Clothing
Telephone
TV / Rental / MNET
Vehicle Instalment
Second Vehicle
Pension
Medical Aid
PAYE Contribution
UIF
Food / Groceries / Liquor / Cigarettes
Repair and Maintenance – Household
Domestic Wages
Medical Costs
Education
Entertainment / Sport / Subscriptions
Alimony / Maintenance
Monthly Asset Finance
Cell phone
Levies
Investments (Unit / Trust & Endowments)
Other 1:
Other 2:
Total Expenses:
Total Income: R - Total Expenses: R =
Affordability R
Client Signature: Date:
Page 8
SPECIFIC EXPENSES:
Credit Card Exposure
Retail Card Exposure
Retail Card Minimum Payment
Overdraft Exposure
Overdraft Minimum Payment
Other Revolving Debt Exposure
*Other Revolving Debt Minimum Payment
*Vested Surety Monthly Obligation
*Overdraft Minimum Payments
Reduction In Credit Card Exposure
Reduction in Retail Card Exposure
Reduction in Other Revolving Debt Exposure
Reduction in Personal Loan Instalment
Reduction in Vested Surety Monthly Obligation
Reduction in Mortgage Instalments
Reduction in Motor Finance Instalment
Reduction in Other Monthly Instalments
ASSETS AND LIABILITIES:
ASSETS
District Present
Fixed Property ERF No: Purchase Date Amount
Suburb Value
Vehicle
Furniture / Fitting
Life Assurance
Policies
Investments COMPANY
LIABILITIES
Name of Bond Amount
Mortgage Bonds ERF No: Bond Acc No
Holder Owing
HP / Instalment Type of Amount
Date Repayable Instalment Amount
Agreement Loan Owing
Owing to Financial Type of Amount
Date Repayable Instalment Amount
Institution Loan Owing
Client Signature: Date:
Page 9
CO-APPLICANT/SPOUSE/SURETY DECLARATION:
APPLICABLE: Co-Applicant Spouse Surety
INDEPENDENT BOND ORIGINATORS CONSENT DECLARATION:
Is the applicant Under Administration Review? Yes / No
Is the applicant Under Debt Review? Yes / No
Re Arrangement? Yes / No
Administration order? Yes / No
Bureau Dispute Yes / No
Telemarketing ? Yes / No
Marketing List Sales Yes / No
Mass SMS or E-Mailing: Yes / No
Preferred delivery mechanism: Mail / E-Mail / SMS / All
I give permission / do not give permission to provide information relating to my credit score or
creditworthiness to third parties who may request this information.
I warrant that all the information I supplied is to the best of my knowledge and belief, true and
correct in all material respects and I am not aware of any other information which, should it
become known to the Bank, would affect the consideration of my application in any way.
I hereby appoint Independent Bond Originators as my sole agent to obtain mortgage loan
finance for this property on my behalf.
I agree that the Bank can provide any information pertaining to the Loan applied for, sharing
positive and negative information to Independent Bond Originator during the application
process.
I hereby authorise the Bank to have access to my credit bureau records, and to furnish or to
disclose any information arising from any agreement entered into with the Bank to any such
credit bureaus.
I confirm that I am not currently under debt review and am not subject to any debt
rearrangement orders.
I hereby authorise Independent Bond Originators to supply my details to their exclusive
business partners to enable them to provide me with tailored quotes for products to suit my
circumstances. My details will not be shared with any other external parties.
Name:
____________________________________________________________________
________________
Signature: _________________________________ Date:
_______________________________________
