BOND APPLICATION FORM

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1 NCCP23 BON APPLICATION FO ( * = andatory Field ) ef * Bond to be registered in name of PESONAL ETAILS * Applicant type Individual Joint Company Close Corporation Partnership Other (specify) * Surname * Full names * Title r rs iss s r Prof ev * Gender F * ate of birth * Type of I SA I Passport Foreign * I number ate of issue (passport only) ate of expiry (passport only) Country of issue (passport only) * Permanent resident esidence certificate number * Issue date of residence permit * Nationality Income tax number * Home language Afrikaans English Xhosa Other * Ethnic group Asian Black Coloured White * arital status Single arried ivorced Widowed Seperated * arital contract ANC with ANC without COP Foreign * Is spouse a participant in bond? Full names of spouse Number of dependants * Highest qualification School leaver egree iploma asters octorate * Source of income onation Inheritance Investments Pension Policy A Salary Other * Income Type Bank statement Payslip Wages ne File created: Page 1 of 11

2 * Have you ever been declared insolvent? * ate of Insolvency * Have you been rehabilitated? * ate of ehabilitation CONTACT AN AESS ETAILS * Home telephone number * Work telephone number * Fax telephone number * Cellular telephone number * address * Physical address Suburb City Province Postal code * Is your postal address the same as physical? Postal address (if not the same as physical) Suburb City Province Postal code * esident status Boarder Caravan Living with parents Owner ented flat Tenant * Occupation at current address since Postal address when bond registered (if not the same as current postal address) Postal address Suburb City Province Postal code File created: Page 2 of 11

3 EPLOYENT ETAILS * Occupational status Contract worker Full-time employed Home executive Part-time employee etired Pensioner Student Scolar Self-employed (professional) Temporarily employed Self-employed (non-professional) Unemployed * Occupation * Occupational level Junior anagement Semi-Skilled Senior anagement Skilled Supervisor Unskilled Other(specify) * Special conditions SA embassy staff ABSA staff member FNB staff member Nedcor staff member Standard Bank staff member * Employment sector Agriculture Armed Forces Catering & Entertainment Civil Service Communication Construction Education Finance Health Industrial I.T. Legal Profession edia Science Welfare Other (specify) Nature eserves Security Sales & arketing Transportation * Economic sector * Self-employed since (if self-employed) * Nature of business (if self-employed) * Employer * Employer telephone number * Employer fax number * How long has employer been operating? * Employer address Suburb City Province Postal code * Staff reference number * ate joined current employer * emuneration frequency onthly Weekly Other (specify) File created: Page 3 of 11

4 INCOE & EXPENITUE INCOE Husband Wife EUCTIONS Husband Wife Basic salary Average Commision Average Overtime Car allowance Housing Subsidy Interestannuity aintenance Tax UIF Pension edical Bond Loans Other (specify) Other income (specify) TOTAL INCOE TOTAL EUCTIONS NB : Proof of income required EXPENSES COBINE NETT INCOE Bond instalmentent otor vehicle instalments Personal LoanCredit Card installments Water & Lights ates and taxes Groceries aintenance (if divorced) TransportPetrolVehicle maintenance Clothing and other retail accounts Insurance -Life Insurance -Short term TelephoneCell SchoolVarsity fees EntertainmentSport omestic help TV entalnetstv Other (Specify) File created: Page 4 of 11

5 TOTAL EXPENSES SUPLUS EFICIT ASSETS AN LIABILITIES ASSETS ESCIPTION BalanceValue- LIABILITIES ESCIPTION Balance outstanding Fixed Property ortgage Current acc Credit balance Current acc Overdraft Vehicles H P Facility Investments etail accounts Policies Credit Card UnitTrustShares Personal Loan Other (Specify) Sureties Other (Specify) TOTAL TOTAL TOTAL NETT Surplus eficit File created: Page 5 of 11

6 LOAN ETAILS * Type of loan Building Further advancee-advance Ordinary Pre-approval Pre-approval take up * Purpose of loan Home loan Building loan Buying existing property Building new property Other (specify) * First purchase * Are costs to be included? * Type of interest rate Fixed Linked Variable Final interest rate * Purchase price * Purchase date * Offer to purchase expires Y Y Y Y * eposit amount * Source of deposit * Loan amount * Bond registration amount * Term of loan (years) eveloper New development? Contractor (if a building loan) Contract price Expected date of completion Has the land been paid for? * Property to be Occupied by Self Tenants File created: Page 6 of 11

7 ETAILS FO PAYENT * ethod of payment EFT Cash Cheque ebit order GBS Stop order Salary stop order File created: Page 7 of 11

8 TANSFEING ATTONEYS SELLE'S ETAILS * s & surname Legal person's name * Type of I I Passport * I number * ate of birth * Legal person's registration number * Contact numbers * Existing bondholder institution * Existing bondholder branch * Existing bond account number AITIONAL SECUITY Are you offering additional security? Will employer provide a guarantee? Type of security Surety Cession of investment Cession of life policy Collateral deposit Continuous covering mortgage bond Employer's guarantee Government guarantee Amount of security Unlimited Limited (specify amount) File created: Page 8 of 11

9 POPETY ETAILS Type of property Cluster uet full title uet sectional title welling FarmSmall holding Sectional title Commercial Vacant land * welling purpose Owner occupied Holiday home ented out Business Vacant Portion number * Erf number * Street number * Street name * Suburb * City * Postal code * Complex name * Unit number Section Number (door) Exclusive use numbers Garage bay numbers Parking bay numbers * Name of managing agent * Contact numbers * Size of land m² * Size of building m² * Freehold or leasehold Freehold Leasehold * Contact for property evaluation * Name * Contact numbers Second evaluation person Contact numbers POPETY INSUANCE Amount property to be insured for File created: Page 9 of 11

10 File created: Page 10 of 11

11 ECLAATION IWe declare the particulars in the foregoing form of application to be correct to the best of myour knowledge and belief, and agree, in the event of the loan sought being granted, to sign a power of attorney authorising the execution of a bond embodying the Bank's usual conditions, and further declare that I amwe are bound by the following general conditions:- 1. If this application is granted Iwe undertake to make myselfourselves acquainted with the Articles of Association of the Bank and be bound thereby. 2. That all legal costs of and accidental to preparing and registering the bond securing the loan will be paid by meus. 3. In the event of this loan being granted, Iwe agree to sign such documents as may be required in order to secure the Bank, and Iwe authorise the Bank to make arrangements at myour expense for the due insurance of the property against loss by fire, or any other hazard, and also to pay the Inspector's fees. 4. The Bank is authorised to make any credit enquiries that it deems necessary to credit bureaus, other credit providers, municipal authorities, employers and any other relevant parties, relating to the customer's credit profile. The Bank may also provide such information to other financial institutions if called upon to do so. 5. The Bank will arrange for a valuation of the security to be bonded, and such costs will be for myour account. * Name * Signature (applicant) * ate File created: Page 11 of 11

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