Vehicle Finance Application Form
Please complete the following application form to apply for car and vehicle finance through
Auto Court
.
All fields marked with an asterisk (*) are required to be completed.
Contact our team
to discuss specific finance options for
our vehicles
or to
book a test drive
.
Your Vehicle
Selling Price:
$20,500
View this vehicle
2014 Nissan Leaf 24S Gen II
Body
Hatchback
Odometer
11,964 km
Ext Colour
Black
Engine
0cc, Electric
Transmission
Direct Drive
+ Applicant Details
Surname*
Marital Status*
Single
Married
De Facto
Other
First Name(s)*
Middle Name(s)
Number of Dependants*
Date of Birth*
Drivers Licence Number*
Version No*
Drivers Licence Type*
Learners Licence
Restricted Licence
Full Licence
Home Phone*
Mobile Phone
Work Number
*Email Address:
+ Partner Details
Is this a joint application?* If so, please enter the joint applicants details below.
Yes
No
Surname
Marital Status
Single
Married
De Facto
Other
First Name(s)
Middle Name(s)
Number of Dependants
Drivers Licence Type*
Learners Licence
Restricted Licence
Full Licence
Date of Birth*
Drivers Licence No
Version No
No license
Home Phone
Mobile Phone
+ Previous Finance Details
Finance Reference 1 (eg Hire Purchase etc):
Finance Reference 2:
Bank Name:
Bank Account Number:
+ Address Details
Tenancy Type*
Own House
Renting
Boarding
Other
If Other, please describe:
Current Address*
Suburb*
Town/City*
Years Lived At*
Previous Address (if at current less than 3yrs)
Suburb
Town/City
Years Lived At
+ Employment Details - Applicant
Current Employer*
Occupation*
Phone*
Address*
Suburb*
Town/City*
Years Worked
Previous Employer
Occupation
Phone
Address
Suburb
Town/City
Years Worked
+ Employment Details - Partner
Current Employer*
Occupation*
Phone*
Address*
Suburb*
Town/City*
Years Worked
Previous Employer
Occupation
Phone
Address
Suburb
Town/City
Years Worked
+ Next of Kin Details (NB - Must not live at the same address as you)
Name*
Relationship*
Phone*
Address*
Suburb*
Town/City*
+ Another Contacts Details (eg. Friend, Workmate etc)
Name*
Relationship*
Phone*
Address*
Suburb*
Town/City*
+ Income (NB. Verification may be necessary)
Applicant 1
Applicant 2 / Partner
Primary Income Type*
Wages
Salary
Self-Employed
Contract
Casual
Other
Employment Type*
Full Time
Part Time
Self-Employed
Contract
Casual
Seasonal
Beneficiary
Unemployed
Other
Amount (in the hand)*
Pay Frequency*
Weekly
Fortnightly
Monthly
Other
Other Income
Other Income Source
Primary Income Type
Wages
Salary
Casual
Other
Employment Type
Full Time
Part Time
Self-Employed
Contract
Casual
Seasonal
Beneficiary
Unemployed
Other
Amount (in the hand)
Pay Frequency
Weekly
Fortnightly
Monthly
Other
Other Income
Other Income Source
+ Assets (ie. Approx value of the possessions YOU own)
Property 1
Property 2
Address
Value (RV or GV)
Names on Title
Mortgage Bal.
Mortgage Repay. (mthly)
Is Rental?
Rent Income (mthly)
Address
Value (RV or GV)
Names on Title
Mortgage Bal.
Mortgage Repay. (mthly)
Is Rental?
Rent Income (mthly)
Vehicle 1
Vehicle 2
Year
Make
Model
Registration No.
Current Value
Financed By
Amount Still Owing
Monthly Repayments
Year
Make
Model
Registration No.
Current Value
Financed By
Amount Still Owing
Monthly Repayments
Other Assets
Description
Market Value
Description
Market Value
Description
Market Value
Description
Market Value
+ Outgoings (ie. Your expenses and repayments)
Expenses
Type
Rent
Amount
Paid To
Frequency
Weekly
Fortnightly
Monthly
Other
Other Expense 1
Amount
Paid To
Frequency
Weekly
Fortnightly
Monthly
Other
Other Expense 2
Amount
Paid To
Frequency
Weekly
Fortnightly
Monthly
Other
Other Expense 3
Amount
Paid To
Frequency
Weekly
Fortnightly
Monthly
Other
Loan Repayments
Type
Secured Loan
Unsecured Loan
Hire Purchase
Credit Card
Other
Amount
Owed To
Repayments
Frequency
Weekly
Fortnightly
Monthly
Other
Still Owing
#2 - Type
Secured Loan
Unsecured Loan
Hire Purchase
Credit Card
Other
Amount
Owed To
Repayments
Frequency
Weekly
Fortnightly
Monthly
Other
Still Owing
#3 - Type
Secured Loan
Unsecured Loan
Hire Purchase
Credit Card
Other
Amount
Owed To
Repayments
Frequency
Weekly
Fortnightly
Monthly
Other
Still Owing
#4 - Type
Secured Loan
Unsecured Loan
Hire Purchase
Credit Card
Other
Amount
Owed To
Repayments
Frequency
Weekly
Fortnightly
Monthly
Other
Still Owing
+ Loan Details
Purpose of Loan* (eg. Purchase Car)
If for a vehicle please describe (Year, Make, Model)
Amount of Loan*
Comments
Preferred Term
6 months
12 months
18 months
24 months
36 months
48 months
60 months
Other
What is a comfortable payment for you to make?
per week
per fortnight
per month
per quarter
per year
+ Other Information
Do you have any previous credit related issues that may need to be addressed prior to a successful application?*
Yes
No
If yes, please explain below
Are you a NZ citizen/NZ born?*
Yes
No
If no, please detail your visa type