Fax Cover Page To The Bond Originator Fax Number No

Fax Cover Page To : The Bond Originator Fax Number : 086 682 5425 No of pages incl cover page : ____________________ Date : ______________________________________ From : ______________________________________ Fax Number : ________________________________ Phone Number : ______________________________ RE : Bond Application Form Urgent For Your Review Reply ASAP Please Comment Required Documents Checklist Marital Status ....................................................................................... Proof of Identification ........................................................................... Proof of Iincome ..................................................................................... 3 -6 Months Bank Statements .............................................................. Offer to purchase .................................................................................... 12 Month Bond Statement ...................................................................... Completed Application Form ................................................................. Company / Trust / CC ............................................................................. Self Employed FICA .......................................................................................... ........................................................................................................... APPLICATION FORM Application Details Registration Attorney Application Type New Switch Further Consultant Building Name in which Bond is to be registered Are all participants part of a single household? Is your spouse's a participant? Is your spouse's income required to qualify? Will surety be signed? If property registered in applicants name, state year of purchase Yes Yes Yes Yes No No No No Client Details Title Surname Co-habitants Tribal Marriage Married Status Maiden Name Education Level Are you a South African Citizen? Yes Type of Identification ID Number Income tax number Residential Address Suburb Postal Address Suburb Tel No. Home ( Fax Resided at current address since Residential Status Boarder Caravan With Parents Owner Rented Flat Tenant ) Cell City Tel No. Work ( Email ) Postal Code City Postal Code No First Name Divorced Widowed ANC with Accrual COP Other Married Seperated Single Marital Status ANC If not SA citizen, the bond originator consultant will contact you SA Passport Other SA ID Book 1 Employment Details Occupation/Business Name of Employer Address Suburb Start date at current employer? Source of income Employer Phone ( ) Previous Employer's Name Day City Month Salary Frequency Employer Fax ( ) Months Year Employer No. Postal Code Period with previous employer Years Yes No Does the applicant own the company the he/she works for? Banking Details Account Type Bank Branch Name Acc Holder Name Account No Balance Instalments to be paid using this Account (Specify) Income Description Gross Salary Housing Allowance Commissions Overtime Investments Rental Fringe Benefits Other (Specify) TOTAL INCOME R R R R R R R R R Expenses Amount Description Bond Repayments HP/Loans Instalments Credit Cards Water & Lights Rates & Taxes Insurance - Short Term Insurance - Life PAYE Pension Petrol/Vehicle Maintenance Clothing Telephone TV Rental /MNET Medical Aid Food/Groceries Education Entertainment/Sport Other (Specify) R R R R R R R R R R R R R R R R R R Amount TOTAL EXPENSES R 2 Assets & Liabilities ASSETS Fixed Property Vehicle Current Acc Investment Other (Specify) Other (Specify) Total DESCRIPTION R R R R R R R AMOUNT LIABILITIES Mortage HP Facility Overdraft Retail Account Other (Specify) Other (Specify) Total DESCRIPTION R R R R R R R AMOUNT I/We declare that to the best of my/our knowledge and belief the particulars set out in this application are true andcorrect and that no information which might affect the decision of the Bank has been withheld. I/We acknowledge that I/We shall be liable for the administration fees and wasted costs incurred by the Bank and attorneys in the event of me/us withdrawing from the loan granted. I/We acknowledge that some of the information furnished by me/us in this form within the course of granting the loan or registration of any bond in connection therewith, may be disclosed to persons who are not in the employ of the Bank but whose services will be utilised by the Bank and I/we therefore consent to the Bank disclosing such information to any such persons. I/We hereby authorise the Bank to furnish or to disclose any information arising from any agreement entered into with the Bank to any credit bureau. I/We hereby appoint the bond originator as my/our sole agent to obtain mortage loan finance for this property on my/our behalf. Name Signature Date Co-Applicant/Consenting Spouse (CoP marriage) Name Signature Date 3 Co-Applicant Client Details (If Applicable) Title Surname Marital Status Married Status Maiden Name Education Level Are you a South African Citizen? Yes Type of Identification ID Number Income tax number No First Name Co-habitants Tribal Marriage ANC Divorced Widowed ANC with Accrual COP Other Married Seperated Single SA ID Book SA Passport Other Co-Applicant Client Details (If Applicable) Residential Address Suburb Postal Address Suburb Tel No. Home ( Fax Resided at current address since Residential Status Boarder Caravan With Parents Owner Rented Flat Tenant ) Cell City Tel No. Work ( Email ) Postal Code City Postal Code Co-Applicant Client Details Employment Occupation/Business Name of Employer Employer Address Address Suburb Start date at current employer? Source of income Employer Phone ( ) Previous Employer's Name Day City Month Salary Frequency Employer Fax ( ) Months 4 Postal Code Year Employer No. Period with previous employer Years Yes No Does the applicant own the company the he/she works for? Banking Details Account Type Bank Branch Name Acc Holder Name Account No Balance Instalments to be paid using this Account (Specify) Income Description Gross Salary Housing Allowance Commissions Overtime Investments Rental Fringe Benefits Other (Specify) TOTAL INCOME R R R R R R R R R Expenses Amount Description Bond Repayments HP/Loans Instalments Credit Cards Water & Lights Rates & Taxes Insurance - Short Term Insurance - Life PAYE Pension Petrol/Vehicle Maintenance Clothing Telephone TV Rental /MNET Medical Aid Food/Groceries Education Entertainment/Sport Other (Specify) R R R R R R R R R R R R R R R R R R Amount TOTAL EXPENSES R Loan Details Purpose of Loan Buy Build No Other Imporvements Do you have a Deposit and/or Collateral? Yes Purchase Price Loan Amount Required Period to be repaid Rate Option Variable Fixed Total Deposit R Purchase Date Registration Amount Are you bound by any suretyship payments (details) How will instalments be made? Debit Order Instalment Frequency Salary Stop Order Other 5 Contact for Valuation Contact Type Name and Surname Cell Phone ( ) Applicant Agent Seller Tenant Seller Information Sellers Name Sellers Tel No. ( ) Date of Birth ID Number Property Detail Address Suburb Province Type of Property City Erf. No Area of land sqm Postal Code If Sectional Title Is the sectional title register open? Yes Complex Name Managing Agent Name Body Corporate Address Suburb City Postal Code No Section Number Parking Bay No. Tel No ( ) Unit Number Garage Bay No. I/We hereby consent to the bond originator obtaining a Credit reference on me/us: Signed: Applicant Co-Applicant For Company Should the bond originator obtain any negative listing, we will contact you directly with this information I/We furthermore confirm that the information supplied is a true and correct refelction of my/our current status, and hereby apply for a bond as outset in the application above: Signed: Applicant Co-Applicant For Company 6