PENSION-BACKED HOME LOAN
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1 PENSION-BACKED HOME LOAN (Under Curatorship) APPLICATION INSTUCTIONS & CHECKLIST BEFOE you start your application, please call Old Mutual on or to request your QUOTATION: HOUSING SECUITY certificate. You are not able to complete your loan application without this document. GENEAL INSTUCTIONS Complete all sections of the form using black or blue ink. Write in BLOCK LETTES. Tick boxes, where applicable. APPLICATION FOM INSTUCTIONS 1. Section 1 Applicant Details: Member ef.. see Old Mutual Quotation, Member eference Number 2. Section 2 Home Loan Details: equested Loan Amount must be equal to or less than Allowable Benefit Amount refer to Old Mutual Quotation 3. Section 6 Property Details: efers to the property to which loan monies will be applied 4. Complete all sections of the Application Form 5. Submit all required supporting documents along with your application SUPPOTING DOCUMENTS 1. ALL APPLICANTS PESONAL DOCUMENTS ID document photo page copy (legible) - Latest payslip copy (not older than 3 months) - Bank Statement copy (not older than 3 months - Quotation: Housing Security Proof of residence (e.g. rates statement, electricity account, utility statement) MY LOAN IS FO SO I MUST SUBMIT Accepted Offer to Purchase O - A bond / mortgage for a new home Building a new home O renovating / improving / making addition to existing home Paying off another Pension-Backed Home Loan Deed of Sale O - Bond Statement AND - Transfer Attorney s Invoice Confirmation of land ownership O - Property title right statement AND egistered Builder s Contract AND Building Material Quotes Latest statement of account from current lender AND 6-month transaction statement from current lender AppInstr_v2_ Page 1 of 2
2 2. MAIED/DIVOCED/WIDOWED APPLICANTS under South African law, you are automatically married in community of property (married COP) unless you have signed an ante-nuptial contract (married ANC). Marriage certificate copy Traditional marriage certificate of registration Divorce certificate Ante-nuptial contract copy (if married ANC) Spouse ID document copy (if married COP) Death Certificate After you have completed the Application Form, the Pledge & Cession document and collected all required supporting documents, please submit them to the Administrator or the Fund (see contact details below). ADMINISTATO Fairheads Financial Services Fax: Telephone: FUND SACCAWU National Provident Fund Fax: Telephone: IMPOTANT CONTACT DETAILS Please note the following important contact details 1 National Credit egulator: or 0860 NC NC 2 The National Consumer Tribunal: The Ombudsman esponsible for Banks: Credit Bureau: or CEDIT POVIDE DETAILS SACCAWU National Provident Fund Curator: Antony Louis Mostert Principal Officer: Mbusi Manyoni The Braes, First Floor, Moraine House 193 Bryanston Drive Bryanston 2021 P O Box 1850 Johannesburg 2000 Tel: Fax: Pension Fund egistration Number: 12/8/31217/1 SACCAWU National Provident Fund is registered with the National Credit egulator (NC) as a credit provider NC egistration Number: - NCCP9369 LOAN ADMINISTATO DETAILS Fairheads Financial Services loans@fairheadsfinancialservices.com Telephone: Fax: FSP egistered Company Name: Lociworx (PTY) LTD Company egistration Number: 2015/183513/07 FSP Number: AppInstr_v2_ Page 2 of 2
3 PENSION-BACKED HOME LOAN APPLICATION FOM 1. APPLICANT DETAILS First Name: Last Name: Cell Phone Number: Address: - - SA ID.: Fund Name: S N P F Member ef..: (efer to Old Mutual Quotation) *equested Loan Amount: Employer Company Name: Fund Credit: Allowable Benefit Amount: 2. HOME LOAN DETAILS **equested Loan Term (Years): ** Maximum Term is 20 Years (efer to Old Mutual Quotation: egistered Name of Scheme) (efer to Old Mutual Quotation: Gross Benefit Amount Available.) (efer to Old Mutual Quotation: Nett Benefit Amount Available.) 3. PESONAL DETAILS Marital Status: Single Married Divorced Widowed If Married: ANC Accrual ANC Accrual Traditional Foreign Law **Community Of Property ** If you are Married in Community of Property, see and complete section 10.B - Spousal Consent and Signature below Home Language: Physical Address: Apartment/House.: Street: Suburb/Township:. of Dependants: Complex: City/Town: Postal Code: Province: Is your Physical Address and Postal Address the same? If YES, do not fill in Postal Address details. YES NO Postal Address: Apartment/House/PO Box.: Street: Suburb/Township: Postal Code: Complex: City/Town: Province: AppForm_v2_ Page 1 of 5
4 Employment Status: Contract Temporary Permanent Job Title: 4. EMPLOYMENT DETAILS Employee.: H Consultant: H . of Years Employed: 5. FINANCIAL DETAILS A. MONTHLY INCOME Gross Salary per Payslip: Nett Salary per Payslip: Overtime: Commission: Interest Income: Maintenance/Alimony (receiving): Car Allowance: Housing Subsidy: ental Income: Other Income Source/s: Other Income (please specify source/s): TOTAL MONTHLY INCOME: B. MONTHLY EXPENSES Mortgage / ent Municipal ates, Taxes & Levies: Water & Electricity Phone (Landline & Cellphone): School Fees (incl. Crèche): Maintenance/Alimony (paying): Car Loan Instalment: Transport (incl. Petrol/Public Transport): Medical Expenses: Medical Insurance (if not salary deduction): Clothing: Groceries: Home Security: Household & Car Insurance Premiums: Personal Loan/s: Student Loan/s: Entertainment: Club Membership (e.g. Gym): Other (please give detail): TOTAL MONTHLY EXPENSES: C. ASSETS & LIABILITIES DETAILS ASSETS Property Value (house & land): Car/s Value: LIABILITIES Housing Loan Balance: Car/s Loan Balance: Household Contents Value: Credit Card/s & Store Account Balance (total ): Total Assets: Total Liabilities: AppForm_v2_ Page 2 of 5
5 6. POPETY DETAILS eason for Loan: Loan Property Address: Buy Existing Home Home Improvement / Maintenance Settle Existing Loan Other eason for Home Loan: Apartment/House.: Street: Suburb/Township: Postal Code: Build New Home Buy Vacant Land Other (please give reason below) Complex: City/Town: Province: 7. *LOAN DISBUSEMENT BANK DETAILS A. BANK ACCOUNT 1 * Details of bank account/s into which loan will be paid Account Holder Name: Bank Name: Branch Code: Bank Account Number: Bank Account Type: Cheque/Current Savings Transmission B. BANK ACCOUNT 2 DISBUSEMENT AMOUNT: Account Holder Name: Bank Name: Branch Code: Bank Account Number: Bank Account Type: Cheque/Current Savings Transmission Account Holder Name: C. BANK ACCOUNT 3 DISBUSEMENT AMOUNT: Bank Name: Branch Code: Bank Account Number: Bank Account Type: Cheque/Current Savings Transmission D. BANK ACCOUNT 4 DISBUSEMENT AMOUNT: Account Holder Name: Bank Name: Branch Code: Bank Account Number: Bank Account Type: Cheque/Current Savings Transmission DISBUSEMENT AMOUNT: If you have more than 4 bank accounts into which the loan must be paid, please write the details on a separate piece of paper and submit along with this application. Take care to include all details in the same order as above. Please write using BLOCK LETTES (all capitals). AppForm_v2_ Page 3 of 5
6 8. PEMISSIONS 1. I/We the undersigned certify that all the information provided to The SACCAWU National Provident Fund ( the Lender ), NC egistration Number NCCP9369, is true and correct, and that I/we have not withheld any information which would affect the decision of the Lender. 2. I/We acknowledge that providing the Lender with incorrect or false information may result in me/us being denied the protection offered by the National Credit Act,. 34 of 2005, if applicable. 3. I/We certify that I/we am/are not under debt review or an administration order. 4. I/We acknowledge that the payout of funds cannot be processed until all the account holders have been identified in terms of FICA requirements. 9. CONSENT 1. I/We consent to the Lender processing (collecting, using, storing or otherwise dealing with) my/our personal information for the purposes of providing products and services. 2. I/We consent to the Lender and Administrator sending confidential and financial information to the address I/we have supplied. 3. l/we consent and authorise the Lender to - obtain from any credit bureau all personal information relating to my/our credit profile; - transmit all relevant personal information provided by me/us to Old Mutual Life Assurance Company Limited, for the purpose of offering insurance products to me/us, relating to this application; - transmit to any credit bureau all personal information relating to this application, the entering into and termination of any agreement as permitted in terms of the National Credit Act; and - contact my current or prospective employer to confirm my/our continued employment. 10. SIGNATUE A. LOAN APPLICANT SIGNATUE Applicant Full Name Applicant Signature Signed At On This Day (DD/Month/Year) AppForm_v2_ Page 4 of 5
7 B. SPOUSAL CONSENT AND SIGNATUE Please complete ONLY if you are Married in Community of Property Spouse's First Name: Spouse's Last Name: Spouse's Cell Phone Number: - - Spouse's Address: Spouse's SA ID.: By signing below, I consent to my spouse applying for this loan and agree to the terms of the clauses in sections 8 (Permissions) and 9 (Consent) of this application form. Spouse Full Name Spouse Signature Signed At On This Day (DD/Month/Year) SACCAWU National Provident Fund Curator: Antony Louis Mostert Principal Officer: Mbusi Manyoni The Braes, First Floor, Moraine House 193 Bryanston Drive Bryanston 2021 P O Box 1850 Johannesburg 2000 Tel: Fax: Pension Fund egistration Number: 12/8/31217/1 SACCAWU National Provident Fund is registered with the National Credit egulator (NC) as a credit provider NC egistration Number: - NCCP9369 LOAN ADMINISTATO DETAILS Loan Administrator Name: FAIHEADS FINANCIAL SEVICES loans@fairheadsfinancialservices.com Telephone: Fax: FSP egistered Company Name: Lociworx (PTY) LTD Company egistration Number: 2015/183513/07 FSP Number: AppForm_v2_ Page 5 of 5
8 PENSION-BACKED HOME LOAN PLEDGE AND CESSION UNDETAKING I, the undersigned (applicant s full name in BLOCK LETTES), SA Identity Number Do hereby confirm that I am a member of the SACCAWU National Provident Fund (SNPF), henceforth referred to as the Fund. I have applied to SNPF (the Fund), the credit provider, for a loan contemplated in section 19(5) of the Pension Funds Act 24 of The Fund has agreed to be bound as surety and co-principal debtor in favour of the Fund for due fulfilment of my obligations under the loan agreement should my application be approved. Should the application be approved and a loan agreement be entered into between myself and the Fund, I agree that I will unconditionally pledge any benefits that may become due to me in terms of the rules of the Fund, to the Fund. PLEDGE In terms of section 19(5) of the Pension Funds Act, I hereby irrevocably pledge and cede in favour of the Fund, which hereby accepts such pledge and cession, any benefits which may become payable to me or to my dependants or nominees in terms of the rules of the Fund, to the extent of the full settlement value of the loan granted to me by the credit provider. I furthermore hereby undertake and warrant that I have not nor will at any time hereafter pledge my retirement fund benefit to any other party without first having obtained written consent of the Fund. In order to perfect the pledge, the Fund will hold the rights to the benefits to which I am entitled from time to time in terms of the Fund rules and the benefits will be delivered to the Fund upon the granting of the loan by the Fund to me by virtue of endorsement to this effect. The Fund will ensure that my member record is endorsed to the effect that this pledge and cession has been given by me in this favour. Signed At (Place) On This Day (DD / Month / Year) Loan Applicant Signature Witness 1 Witness 2 Curator: Antony Louis Mostert Principal Officer: Mbusi Manyoni The Braes, First Floor, Moraine House 193 Bryanston Drive Bryanston 2021 P O Box 1850 Johannesburg 2000 Tel: Fax: Pension Fund egistration Number: 12/8/31217/1 SACCAWU National Provident Fund is registered with the National Credit egulator (NC) as a credit provider NC egistration Number: - NCCP9369
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