SMART Loan Fact Find

PURPOSE OF LOAN
Application Type
Purpose of Loan
How much do you need to borrow?*
Deposit Amount
Total Purchase Price of Property
Deposit is coming from?
- Saved deposit/KiwiSaver
- Gift from Parent/s
- Equity from property
- Using a Guarantor
Refinance Amount*
Additional Funds*
Total Required
How much do you need to borrow?*
Reason for loan

PERSONAL DETAILS
Name Applicant 1*
Prefix First Last
Name Applicant 2*
Prefix First Last

Date of Birth Applicant 1*
DD slash MM slash YYYY
Date of Birth Applicant 2*
DD slash MM slash YYYY

Marital Status Applicant 1*
Marital Status Applicant 2*

Country of Birth Applicant 1*
Country of Birth Applicant 2*

Residency Status Applicant 1*
Residency Status Applicant 2*

Gender Applicant 1*
- Male
- Female
Gender Applicant 2*
- Male
- Female

Do You Have Any Dependants? Applicant 1
Do You Have Any Dependants? Applicant 2
(if different to Applicant 1)

Number of Dependants - Applicant 1*
enter name and age of dependants
Name Date of Birth
Number of Dependants - Applicant 2*
Enter name and age of dependants if different to Applicant 1
Name Date of Birth

CONTACT DETAILS
Residential Address Applicant 1*
Street Address Address Line 2 City ZIP / Postal Code Country
Residential Address Applicant 2*
Same as Applicant 1

Street Address Address Line 2 City ZIP / Postal Code Country

Postal Address Applicant 1*
Same as Residential Address

Street Address Address Line 2 City ZIP / Postal Code Country
Postal Address Applicant 2*
Same as Residential Address

Street Address Address Line 2 City ZIP / Postal Code Country

Time at Current Address Applicant 1
Time at Current Address Applicant 2

Previous Residential Address if less than 3 years Applicant 1*
Street Address Address Line 2 City ZIP / Postal Code Country
Previous Residential Address if less than 3 years Applicant 2*
Same as Applicant 1 previous address

Street Address Address Line 2 City ZIP / Postal Code Country

Time at previous Address Applicant 1
Time at previous Address Applicant 2

Are you currently? Applicant 1
Are you currently? Applicant 2

Home Phone Applicant 1
Home Phone Applicant 2

Work Phone Applicant 1
Work Phone Applicant 2

Mobile Phone Applicant 1*
Mobile Phone Applicant 2*

Email Applicant 1*
Email Applicant 2*

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ASSETS
What do you own?
Total Cash and Savings
Do you currently own any Property?
Including your existing home.
Property
Enter the address/s of all property and their estimated values
Address Value $ Rent Income $/per wk Owner Name
Do you own any Motor Vehicles?
Motor Vehicles*
Enter make, model and their estimated values
Make Model Value $
Do you have a Kiwisaver Account?
Superannuation/ Kiwisaver Balances*
Enter Name of account, Provider and Balance
Name KiwiSaver Provider Balance $
Do you own a Boat or Caravan?
Enter estimated Value -Boat / Caravan
Furniture/ Personal Effects
LIABILITIES
How much do you owe?
Existing Mortgages
Bank / Lender Amount Owing $ Repayments $/per mth
Do you have any Overdraft Limits
Overdraft*
Bank Limit $ Amount Owing $
Do you have any Hire Purchases or Personal Loans?
Hire Purchases / Personal Loans*
From (Lender) Amount Owing $ Repayments $/per mth
Do you have any Credit Cards or Store Cards?
Credit Cards / Store Cards*
From Limit $ Amount Owing $ Repayments $/per mth
Do you have a Student Loan?
Student Loan Balance*
Do you have a Student Loan? Applicant 2
Student Loan Balance - Application 2*
Do you have any Other Liabilities?
List*
From (Lender) Amount Owing $ Repayments $/per mth
Are you guaranteeing a loan for any other person/s?
If yes provide details*

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MONTHLY EXPENSES
Enter your applicable monthly expenditure.
Do you have any Life or Health Insurance?
Medical Insurance
Enter Monthly Medical Expense
Life Insurance
Enter Monthly Life Insurance Expense
Income/Mortgage Protection Insurance
Enter Monthly Income/Mortgage Protection Insurance Expense
Do you pay Child Support or Childcare?
Child Support/Child Care*
Enter Monthly Child Support/Child Care Expense
Do you have Contents Insurance?
Contents Insurance*
Enter Monthly Contents Insurance Expense
Do you have Motor Vehicle Insurance?
Motor Insurance
Enter Monthly Motor Vehicle Insurance Expense
Motor Vehicle Expenses
Enter Monthly Motor Vehicle Expense - includes Petrol, Maintenance WOF & Rego
Rates*
Enter Monthly Rates Expense
House Insurance (monthly)*
Enter existing house insurance payments
Superannuation / KiwiSaver (monthly)
Enter payments for any Superannuation or Kiwisaver payments.
Student Loan (monthly)*
Student Loan - Applicant 2 (monthly)*
Power/Gas (monthly)
Phone/Internet/TV (monthly)
Phone includes mobile and landlines
Water (monthly)
Board (monthly)*
Rent (monthly)*
Body Corp Fees (monthly)
if applicable
Living expenses (monthly)*
Includes food, clothing, entertainment
Total Expenses
MISCELLANEOUS
Would you like to review your existing insurance?*
How long could you survive financially without earning any income? Applicant 1
Taking into account your savings, holiday pay and sick leave entitlements
How long could you survive financially without earning any income? Applicant 2
Taking into account your savings, holiday pay and sick leave entitlements
Would you like to review your KiwiSaver?
Is there other information you want us to know?
i.e. adverse credit history, money owing to you, selling an asset etc
Other information you want us to know?*

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Step 1 of 4

PURPOSE OF LOAN

PERSONAL DETAILS

CONTACT DETAILS

EMPLOYMENT DETAILS

INCOME DETAILS

ASSETS

LIABILITIES

MONTHLY EXPENSES

MISCELLANEOUS

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Name	Date of Birth

Name	Date of Birth

Address	Value $	Rent Income $/per wk	Owner Name

Make	Model	Value $