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Applicant 2
Title*
First name (s)*
Last name*
Date of birth*

DD
MM
YYYY
What is your martial status?*
- Married
- Defacto
- Single
- Widowed
Number of dependants*
Ages*
Where was your country of birth?*
- New Zealand
Are you an NZ Citizen / Permanent NZ Resident?*
- Yes
- No
If no please supply your work permit expiry date*

DD
MM
YYYY

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Statement of position
In this section we ask you about your current financial position.
Assets
Money at Bank/Other
Institution $ Value
Property
Address Approx market value
Shares
Description $ Value
Motor Vehicles
Please list all vehicles you currently have.
Description $ Value
Superannuation
Provider $ Value
Contents
Please provide estimated value of your home contents and personal belongings (if unsure a good tip is to use the value of your contents insurance)
$ Estimated Value
Other assets / investments
e.g value items such as boats, antiques, caravans etc
Item $ Value
Breakdown of deposit if application is for purchasing a home
Are you able to please advise what funds will make up your deposit for example items such as; kiwisaver, savings, any gifting

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Liabilities
In this section we ask you about your current liabilities.
Overdraft
Institution $ Limit $ Amount owing
Home Loan
Institution Fixed / Floating / Limit $ Amount owing Repayment Weekly/Monthly/Fortnightly
Personal loan
Institution $ Amount Owing $ Repayment Amount Weekly/Fortnightly/Monthly Purpose of loan
Credit card
Institution $ Limit $ Amount owing Paid in full each month? Y/N
Store Card, Laybuy, Afterpay or Oxipay Style Accounts
Institution $ Limit $ Amount owing Paid in full each month? Y/N
Hire Purchase
Institution and Purpose of Loan $ Repayment Amount Weekly / Fortnightly / Monthly $ Amount owing
Revolving Credit
Institution Fixed / Floating / Limit $ Amount owing
Other finance
e.g. Student loan
Description $ Amount owing
Credit History Information
Please advise of any defaults/collections/bankruptcies/insolvencies/non-asset or alternatives.
Criminal Convictions Information
Please advise if you have any criminal convictions. Please note criminal convictions can effect your ability to acquire finance and home insurance on a property. In particular we need to know about any convictions related to fraud.

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Expenses
In this section we ask you about your current expenses.
Rent or Board
Expense $ Amount Weekly/Fortnightly/Monthly

Please advise advise any repayments you have for rent or board - please advise if inclusive or exclusive of power/phone.
Basic Living Expenses - Clothing & Footwear
Expense $ Amount Weekly/Fortnightly/Monthly

Please advise advise how much you regularly spend on clothing and footwear
Basic Living Expenses - Electricity / Gas
Expense $ Amount Weekly/Fortnightly/Monthly

Please advise monthly electricity cost. NOTE: If you also use gas please add a line using the + symbol to advise your regular gas bill amount
Basic Living Expenses - Food & Drinks
Expense $ Amount Weekly/Fortnightly/Monthly

Please advise how much you spend weekly on groceries, add an additional line if you eat out regularly in order to add the regular expense you incur eating out / uber eats
Children and Schooling
Expense Reason for no expense $ Amount Weekly/Fortnightly/Monthly

If you have 1 or more dependents. Please advise advise how much childcare, child maintenance, child support, education and/or school fees you incur. If you do not incur any costs please not a reason e.g. no childcare costs as family look after them whilst you are at work. Reminder you can add more rows by hitting the plus symbol to break the costs down.
Household Costs - Rates / body Corporate Expenses
Expense $ Amount Weekly/Fortnightly/Monthly

Please advise advise how much your spend on rates, body corporate expenses and/or water rates. You can use the plus drop down boxes to break up the expenses.
Investment Property Expenses
Expense $ Amount Weekly/Fortnightly/Monthly

Please advise advise any expenses for your investment property if applicable including rates / insurance
Mobile, Internet & Pay TV
Expense $ Amount Weekly/Fortnightly/Monthly

Please advise advise any expenses such as internet costs, mobile phone costs, Netflix, iTunes or any other subscriptions incurred regularly
Miscellaneous Expenses
Expense $ Amount Weekly/Fortnightly/Monthly

Please advise advise any expenses such as regular donations, entertainment, gym/sports, pet costs or any other expenses you may incur regularly - you can use the + to create more lines.
Transport Expenses
Transport Cost $ Amount Weekly/Fortnightly/Monthly

Please advise advise any expenses such as public transport, vehicle lease, vehicle petrol/diesel costs, vehicle maintenance and registration costs >> you can use the plus symbol to add more lines and break down the costs.
Insurance Expenses
Type of Insurance $ Amount Weekly/Fortnightly/Monthly

Please advise advise any insurance costs such as vehicle, contents, house, medical, life, pet or other. You can you the + symbol to add more lines and break down the insurance expenses.
Kiwi Saver
Name % Paid $ Amount Weekly/Fortnightly/Monthly

Please advise advise the percentage paid to kiwisaver along with approx regular amount. For joint application please use the + symbol to create more lines and separate both parties kiwisaver payments.

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Insurance
In this section we ask you about your current insurance policies.
Please provide details on your current insurance policies
e.g. health/medical, life, mortgage/income protection, house,contents,vehicle
Description Provider
When was the last time you reviewed your personal insurance policies?

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Supporting documents
There are some documents we will require to support your application, The Mortgage Girls will send you a file-invite within 24 hours outlining the documents we would require to support your application. A full lending application checklist can be found under the resources tab.

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Confirmation
Are there any further notes or comments you would like to add?
How you heard about the mortgage girls?
From friends or family
Facebook
Radio
Signage
Google
Other
Please confirm you have read our Terms of Engagement.*
Terms of Engagement (Opens in a new window)
Yes

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The Mortgage Girls Lending Application

Online Form

Step 1 of 13 - Applicant 1

Applicant 1

Contact details

Employment details

Applicant 2

Contact details

Employment details

Statement of position

Assets

Liabilities

Expenses

Additional Information

Insurance

Supporting documents

Confirmation

Institution	Fixed / Floating / Limit	$ Amount owing	Repayment	Weekly/Monthly/Fortnightly

Institution	$ Amount Owing	$ Repayment Amount	Weekly/Fortnightly/Monthly	Purpose of loan

Institution	$ Limit	$ Amount owing	Paid in full each month? Y/N

Institution and Purpose of Loan	$ Repayment Amount	Weekly / Fortnightly / Monthly	$ Amount owing

Expense	Reason for no expense	$ Amount	Weekly/Fortnightly/Monthly

Income Type	$ Amount	Frequency

Income Type	$ Amount	Frequency

Institution	$ Value

Address	Approx market value