Apply for Finance Online | Auckland | Mike Vinsen | www.mikevinsen.co.nz

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0221379342

3023 Great North Road, New Lynn, Auckland

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Apply for Finance - Re: 2015 Nissan X-Trail

Is this a joint application ? Yes No

Main Client Details

*First Name

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*Last Name

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*Email

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*Address

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*Years at Address

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House Status

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Select

Own

Rent

Board

Family

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*Driver Lic No

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Middle Name

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*Date Of Birth

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*Contact Mobile

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Contact Phone

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*Marital Status

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Select

Single

Married

De Facto

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*Dependents

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Driver Lic Version No

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Driver License

Please upload driver license photos

front and back, best size:240x150px

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Employment

Employment

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Select

Beneficiary

Full Time

Homemaker

Part Time

Retired

Self-Employed

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Occupation

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Prev Employment

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Select

Beneficiary

Full Time

Homemaker

Part Time

Retired

Self-Employed

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Prev Occupation

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Employer

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Years at Job

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Prev Employer

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Prev Years at Job

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Income & Expense

*Income

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*Outgoing

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*Income Pay Freq

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Select

Weekly

Fortnightly

Monthly

Yearly

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*Outgoing Freq

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Select

Weekly

Fortnightly

Monthly

Yearly

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Statement / Payslip

Please upload a recent bank statement and/or payslip

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Next of Kin Details

FullName

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Relationship

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Address

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Mobile

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Email

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Another Kin

FullName

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Relationship

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Address

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Mobile

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Email

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Assets & Liabilities

Home Assets

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Furnishing Assets

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Bank Acc Balance

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Car Assets

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Other Assets

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Mortgage

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HP / Credit Card

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Bank O/D

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Other Finance

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Loan Details

*Car Amount

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*Loan Amount

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Trade In Amount

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*Cash Deposit

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*Loan Term

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Select

6 months

12 months

24 months

36 months

48 months

60 months

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*Car Description

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Finance Calculator

Payments

Weekly ($) 0.00

Fortnightly ($) 0.00

Monthly ($) 0.00

Fees

Yearly Rate 11.95%

Establish Fee ($) 400.00

Monthly Maintenance ($) 10.00

Communication with You Is What We Value

Contact us. Our consultants are super friendly!

0221379342

mikevinsen.newlynn@outlook.com

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