Home Loan Application Form

Transcription

1 Page 1 of GENEAL APPLICATION DETAILS 1.1. General application information Application type Individual Joint Legal entity Type of loan New loan e-advance Further loan Bond to be registered in name of Are you a first time home-owner? YES NO Do you have an existing home loan? YES NO Is additional security being offered? YES NO If yes, please specify 1.2. Loan summary Purpose of loan Buy existing property Switch Bond free property Use of property Primary residence Investment/rent Holiday/second residence 1.3. Purchase details Purchase price/est. market value egistration amount Date of purchase D D M M Y Y Loan required Deposit amount Term of loan years 2. MAIN APPLICANT DETAILS 2.1. General details Title Initials First names Surname ID type ID document Passport ID/Passport number Date of birth D D M M Y Y Gender FEMALE MALE Marital status Married Single Divorced Common law Widowed Traditional If married, date married D D M M Y Y Number of dependents If married, how? COP ANC Income tax number Ethnic group White Black Brown Other Nationality Domestic Foreign Integer is required to request this information to assist the Government in monitoring lending practices in terms of the Home Loan and Mortgage Disclosure Act, 2000 If foreign, foreign resident permit number Work permit number Date of issue D D M M Y Y Country of residence Current street address Current residential status Owner Tenant Boarder Other Since date D D M M Y Y Integer (Pty) Ltd; eg. no. 2007/008108/07; Directors: MA Barnes (Chairman), SJ Stockley (Acting CEO), T: 0861 INTEGE or F: (021)

2 Page 2 of MAIN APPLICANT DETAILS (continued) Postal address Is surety offered? YES NO 2.2. Financial history Have you ever been declared insolvent? YES NO If yes, date rehabilitated? D D M M Y Y Are you aware of any adverse credit listing? YES NO If yes, please specify Are you bound by any Suretyship? YES NO If yes, please specify 2.3. Employment details Occupation status Full time Part time Contract Pensioner Self-employed Temporary Student Housewife Unemployed Occupation level Senior management Management Supervisor Junior position Skilled worker Semi skilled Unskilled Business/Employer name Employment sector Highest qualification achieved Grade 7-11 Matric Diploma Degree Honours degree Masters degree Doctorate Occupation Employer address Telephone number ( ) Fax No. ( ) Contact person Employee number Employed since D D M M Y Y Frequency of income Monthly Weekly Quarterly If period with current employer is less than 12 months: Name of previous employer Years Months with previous employer Integer (Pty) Ltd; eg. no. 2007/008108/07; Directors: MA Barnes (Chairman), SJ Stockley (Acting CEO), T: 0861 INTEGE or F: (021)

3 2. MAIN APPLICANT DETAILS (continued) Page 3 of Banking details Bank name Account type (Cheque, Current, Savings etc) Branch Name Account number Date opened Balance TOTAL 2.5. Asset and liabilities details Assets Name of institution Description Market value Outstanding balance Liabilities Name of institution Description Market value Outstanding balance TOTAL VALUE 2.6. Monthly income Basic salary Car allowance Average commission ental income Maintenance income Investments income Overtime Other income GOSS INCOME Less pension Less medical aid Less tax Less UIF NETT INCOME Integer (Pty) Ltd; eg. no. 2007/008108/07; Directors: MA Barnes (Chairman), SJ Stockley (Acting CEO), T: 0861 INTEGE or F: (021)

4 Page 4 of MAIN APPLICANT DETAILS (continued) 2.7. Monthly expenses Vehicle instalment ent Credit card instalments Personal loans Existing home loan instalment Clothing accounts Furniture accounts Municipal rates Alimony/Family maintenance Groceries School & university fees Transport costs Household maintenance/security Insurance/Policies Life Assurance Telephone & cellphone Domestic wages Entertainment TV subscriptions Other expenses TOTAL EXPENSES 3. CLIENT DECLAATION 3. Client declaration I/We declare that to the best of my/our knowledge the particulars set out in the application form are and/or any supporting documentation supplied by me/us are true and correct and that no information has been withheld which might reasonably affect the decision of Integer in granting of a loan. I undertake to inform Integer should any information change or have changed at any time prior to the finalisation of the loan. I/We hereby authorise Integer to perform a credit reference check on me/us with one or more credit bureau/s and to furnish or to disclose any information arising from my/our performance under any loan agreement entered into as a result of this application to any credit bureau. Main applicant name Signature Date Integer (Pty) Ltd; eg. no. 2007/008108/07; Directors: MA Barnes (Chairman), SJ Stockley (Acting CEO), T: 0861 INTEGE or F: (021)

5 Page 5 of POPETY DETAILS 4.1. Property details Property type Dwelling Dwelling retirement Cluster/Duet S/Title unit S/Title duet S/Title retirement Type of title Freehold Leasehold Street number Street name Suburb / Township City Province Erf size SqM Hectare Erf number 4.2. Sectional title details Sectional register open YES NO Name of complex Unit number Parking bay number Outbuilding number Section number Garage number Annual levy 4.3. Managing agent details (Sectional title) Name 5. SELLE S DETAILS (IF NOT PUCHASE) 5.1. Seller s details Surname First names 5.2. Transfer attorney details Attorney name Attorney contact name Telephone number ( ) Fax no. ( ) Integer (Pty) Ltd; eg. no. 2007/008108/07; Directors: MA Barnes (Chairman), SJ Stockley (Acting CEO), T: 0861 INTEGE or F: (021)

6 Page 6 of SELLE S DETAILS (continued) 5.3. Contact details for access Estate agent Estate agency Agent name Alternative contact person Name 5.4. epayment details Bank name for debit order Account name Account number Branch name Account type Current Savings/Transmission epayment options Debit order Salary Stop order 6. APPLICATION OPTIONS 6.1. Loan preferences Instalment day of month 1st 7th 17th 25th 28th Do you wish to receive additional marketing material? YES NO 6.2. Transactional facility Please select a statement delivery method Direct Mail Online Statement 6.3. Home loan Account features (Please select one of the following optional features) Deferred capital YES NO Skip a month YES NO If yes, select month to skip 6.4. Transact Account features 1% Credit facility YES NO (Terms and Conditions apply) 6.5. Property to be registered in legal entity (if applicable) Is the property to be registered in a legal entity s name? YES NO If yes, please provide the following information: Entity name Integer (Pty) Ltd; eg. no. 2007/008108/07; Directors: MA Barnes (Chairman), SJ Stockley (Acting CEO), T: 0861 INTEGE or F: (021)

7 Page 7 of APPLICATION OPTIONS (continued) Entity type Trust Company Closed corporation Date entity established D D M M Y Y CO/CC/Trust no. Nature of business Entity address Stakeholder names 7. CO-APPLICANT DETAILS 7.1. General details elation to applicant Title Initials First names Surname ID type ID document Passport ID/Passport number Date of birth D D M M Y Y Gender FEMALE MALE Marital status Married Single Divorced Common law Widowed Traditional If married, date married D D M M Y Y Number of dependents If married, how? COP ANC Income tax number Ethnic group White Black Brown Other Nationality Domestic Foreign Integer is required to request this information to assist the Government in monitoring lending practices in terms of the Home Loan and Mortgage Disclosure Act, 2000 If foreign, foreign resident permit number Work permit number Date of issue D D M M Y Y Country of residence Current street address Current residential status Owner Tenant Boarder Other Since date D D M M Y Y Integer (Pty) Ltd; eg. no. 2007/008108/07; Directors: MA Barnes (Chairman), SJ Stockley (Acting CEO), T: 0861 INTEGE or F: (021)

8 Page 8 of CO-APPLICANT DETAILS (continued) Postal address Is surety offered? YES NO 7.2. Financial history Have you ever been declared insolvent? YES NO If yes, date rehabilitated? D D M M Y Y Are you aware of any adverse credit listing? YES NO If yes, please specify Are you bound by any Suretyship? YES NO If yes, please specify 7.3. Employment details Occupation status Full time Part time Contract Pensioner Self-employed Temporary Student Housewife Unemployed Occupation level Senior management Management Supervisor Junior position Skilled worker Semi skilled Unskilled Business/Employer name Employment sector Highest qualification achieved Grade 7-11 Matric Diploma Degree Honours degree Masters degree Doctorate Occupation Employer address Telephone number ( ) Fax No. ( ) Contact person Employee number Employed since D D M M Y Y Frequency of income Monthly Weekly Quarterly If period with current employer is less than 12 months: Name of previous employer Years Months with previous employer Integer (Pty) Ltd; eg. no. 2007/008108/07; Directors: MA Barnes (Chairman), SJ Stockley (Acting CEO), T: 0861 INTEGE or F: (021)

9 7. CO-APPLICANT DETAILS (continued) Page 9 of Banking details Bank name Account type (Cheque, Current, Savings etc) Branch Name Account number Date opened Balance TOTAL 7.5. Asset and liabilities details Assets Name of institution Description Market value Outstanding balance Liabilities Name of institution Description Market value Outstanding balance TOTAL VALUE 7.6. Monthly income Basic salary Car allowance Average commission ental income Maintenance income Investments income Overtime Other income GOSS INCOME Less pension Less medical aid Less tax Less UIF NETT INCOME Integer (Pty) Ltd; eg. no. 2007/008108/07; Directors: MA Barnes (Chairman), SJ Stockley (Acting CEO), T: 0861 INTEGE or F: (021)

10 Page 10 of CO-APPLICANT DETAILS (continued) 7.7. Monthly expenses Vehicle instalment ent Credit card instalments Personal loans Existing home loan instalment Clothing accounts Furniture accounts Municipal rates Alimony/Family maintenance Groceries School & university fees Transport costs Household maintenance/security Insurance/Policies Life Assurance Telephone & cellphone Domestic wages Entertainment TV subscriptions Other expenses TOTAL EXPENSES 8. CLIENT DECLAATION (CO-APPLICANT) 8. Client declaration I/We declare that to the best of my/our knowledge the particulars set out in the application form are and/or any supporting documentation supplied by me/us are true and correct and that no information has been withheld which might reasonably affect the decision of Integer in granting of a loan. I undertake to inform Integer should any information change or have changed at any time prior to the finalisation of the loan. I/We hereby authorise Integer to perform a credit reference check on me/us with one or more credit bureau/s and to furnish or to disclose any information arising from my/our performance under any loan agreement entered into as a result of this application to any credit bureau. Co-applicant name Signature Date Integer (Pty) Ltd; eg. no. 2007/008108/07; Directors: MA Barnes (Chairman), SJ Stockley (Acting CEO), T: 0861 INTEGE or F: (021) Please fax completed forms and supporting documents to (021) See attached Document Checklist for relevant documents needed.