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					                                                                                                                                                                                               The Courtyards
                                                                                                                                                                                                32 Peter Place
Finders Reg No: ……………...………….                                                                                                                                                            Lyme Park, Bryanston


Name: ………………………....……..……                                                                                                                                                         Call Centre: 0860 668 668
                                                                                                                                                                                           Fax: 011 463 6158
                                                                                                                                                                 Email: barbara@urbanspacehousing.co.za


                                                                  FINDERS CLUB PRE-SCREEN FORM


Enquiry Ref. No.                                      (Office use only)                             Project: (Please specify)                  BEVERLEY HILLS, EVATON


Other Area of Preference                                                                                                                       OASIS MANOR, RANDFONTEIN
(Please specify)

                                                                                                                                               SUNSET MANOR, KIMBERLEY

Deposit Available                R


                                 Main Applicant - Details                                                                           Applicant's Spouse / Partner - Details

Title                  MR            MRS       MISS                                                         Title                    MR          MRS        MISS

Surname                                                                                                     Surname

First Names                                                                                                 First Names

ID Number                                                                                                   ID Number


Physical                                                                                                    Physical
Address                                                                                                     Address


                                               CO-                                                                                                          CO-
Marital Status         ANC           COP
                                             HABIT.
                                                           SINGLE                  DIVORCED                 Marital Status           ANC         COP
                                                                                                                                                          HABIT.
                                                                                                                                                                       SINGLE                   DIVORCED

Employer                                                                                                    Employer

    p
Occupation                                                                                                      p
                                                                                                            Occupation
Period of                                                                                                   Period of
Employment                                  years                   months    If less than 2 years:         Employment                                   years                  months     If less than 2 years:
Previous                                                                                                    Previous
Employer                                                                                                    Employer
Period of                                                                                                   Period of
Employment                                  years                   months                                  Employment                                   years                  months

Tel. No. (W)       (         )                                                                              Tel. No. (W)        (          )

Cell No.                                                                                                    Cell No.



                                       Main Applicant                                                                                Spouse / Partner / Second Applicant

        Monthly Income                                    Monthly Expenses                                          Monthly Income                                    Monthly Expenses

Gross Salary       R                        Bond Instalment / Rent R                                        Gross Salary        R                        Bond Instalment / Rent R
*Commission                                 HP/Personal                                                     *Commission                                  HP/Personal
(50%)              R                        Loans/Vehicle Instal   R                                        (50%)               R                        Loans/Vehicle Instal   R
*Overtime                                                                                                   *Overtime
(50%)              R                        Credit Cards            R                                       (50%)               R                        Credit Cards            R
Car                                         Insurance/Short                                                 Car                                          Insurance/Short
Allowance          R                        Term/Life/Security      R                                       Allowance           R                        Term/Life/Security      R
Housing                                     Transport/Petrol/Mainte                                         Housing                                      Transport/Petrol/Mainte
Assistance         R                        nance Costs             R                                       Assistance          R                        nance Costs             R

Other Income R                              Telephone/Cellular            R                                 Other Income R                               Telephone/Cellular          R
Specify:                                                                                                    Specify:
                                            TV Rental/DSTV/Mnet R                                                                                        TV Rental/DSTV/Mnet R
                                            Food/Groceries/Entertai                                                                                      Food/Groceries/Entertai
Less:                                       nment/Subscriptions     R                                       Less:                                        nment/Subscriptions     R
Salary                                      Clothing Accounts &                                             Salary                                       Clothing Accounts &
Deductions         R                        Other (specify)         R                                       Deductions          R                        Other (specify)         R

Nett Income        R                        Total Expenses                R                                 Nett Income         R                        Total Expenses              R
* Commission/Overtime must have been earned for at least the past 12 months to be able to include           * Commission/Overtime must have been earned for at least the past 12 months to be able to include as
as income.                                                                                                  income.
Income not considered: Cash payments, maintenance, other irregular/unsustainable income                     Income not considered: Cash payments, maintenance, other irregular/unsustainable income

I/We hereby authorise Urban Space Housing and/or the Bank to furnish or to disclose any information arising from any agreements entered into with Urban Space Housing and/or
the Bank to any credit bureau.




                             Applicant                                                                Spouse                                                                      Date




                                                                                                                                                                                                     USFCPreS15/04/2010

				
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