Home Loan Interview Form

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Legal Entity Details Company o of stakeholders eg umber Date of registration Is sole purpose of legal entity to purchase property? es o ature of Business Loan Details Amount of Loan/Further Loan equired Term years Amount to be registered instalment payment method Debit Order Direct from salary Other Purchase Price Deposit Transfer Costs Bond egistration Costs Source of Deposit & Transfer & Proceeds from Sale of Existing Property Funds Available in current account Bond egistration Costs Investment to be released Personal Loan Other egistering Attorney Use of property Erf umber Personal Details Title & Surname First ames Ethnic Group Main residence Holiday esidence Investment/ ental Vacant land Business rights Street Address Black Coloured Asian White Black Coloured Asian White (Banks are required to request the race of applicants to assist Government in monitoring lending practices in terms of the Home Loan and Mortgage Disclosure Act, 2000) ID or Passport umber & Date of birth Highest level of education Matric Diploma Degree Have you smoked any form of tobacco in the last year es o es o Income Tax umber Marital Status How married umber of dependants Current residential status Will this property be your main residence Are you a first time home buyer Address & Contact Details SA Citizen ationaity esidency Home language Preferred language for correspondence Telkom number / Fax number Cellphone o E-mail esidential Address Married Single Divorced Married Single Divorced AC COP Other AC COP Other Owner Tenant Other: Owner Tenant Other: es o es o es o es o es o es o South African Other: South African Other: Perm Temp on-es Perm Temp on-es Eng Afr Eng Afr Tel: Fax: Tel: Fax: Length at current address Postal Address years months years months Subsidy Details Subsidy amount & ame of scheme Scheme Scheme

Pg2 Credit History Ever insolvent or under administration Insolvent Admin Insolvent Admin Date and ehabilitated date: Have you ever had a judgement es o es o Applied for, or under Debt eview es o Date: es o Date: If yes: - name of counsellor & contact no. Any debt re-arrangements in place es o es o Are you aware of any adverse credit listings es o es o Are you currently in a Credit Bureau dispute es o es o Value of any suretyship agreements surety commitment - if applicable educed surety commitment - if applicable Employment Details Applicant name Employment Status Position ature of business ame of Business/Employer Physical Address of Business/Employer Length of current employment years months years months If less than 3 yrs, state previous employer and period employed and contact number Tel number / Fax number Main Transactional Bank Account Transactional Bank Acc Type Transactional Bank Acc umber Bank ame Bank Branch Is this a business account? Is this a legal entity account? ame of account (if not applicant name) / Minimum payment of overdraft if applicable Home Loan Accounts Tel: Fax: Tel: Fax: ame of bank / fin services company and Account umber IDX Consent Applicant has consented that the bank/s can electronically retrieve his/her bank statements es o es o

Pg3 Other Bank Accounts (Eg. Savings, Credit Cards, Vehicle Finance, Personal Loans) ame of Bank & account type Is this a business account? Is this a legal entity account? ame of Bank & account type etail Accounts ame of etail Store Income Details income - show source: e.g. Salary, Commission, ental, Housing, Car, Overtime, Interest, Dividend, Subsidy, Maintenance etc. PAE & UIF Pension & Medical Aid Other deductions - specify Paye: Pens: Uif: M/Aid: Is this a business account? Pens: Uif: M/Aid: Paye: Is this a legal entity account?

Pg4 Expenditure Home loan instalments Hire Purchase and Vehicle Finance Credit card s etail instalments ental (only applicable if ongoing) Investments (unit trusts / endowments) ates & Taxes/Levies Water & Lights House maintenance & garden services Petrol, travel cost & maintenance Insurance (House, Vehicle, Life, A's) Cellphone & Telephone Groceries Domestic Wages Education All other expenses (Clothing, Entertainment, TV Subcriptions etc)

Pg5 Personal Details Title & Surname First ames ID or Passport umber & Date of birth Assets & Liabilities (Mandatory for edbank & specific bank products) Fixed Property Vehicle/s Furniture & Fittings Investments Market value Liability Market value Liability otifications Applicant/s are aware that: a) ooba is a home loan originator and will be making home loan application on the applicant s behalf. The applicant has requested ooba to proceed with such application; b) Personal, financial and other information is furnished to ooba for the purposes of the making of such application, and applicants are aware that they are required to furnish all such information truthfully and fully; c) Communications (including the quotation) from the bank(s) pertaining to such application will be received by ooba on the applicants behalf. Applicants are further aware that, where appropriate, the estate agent concerned may be issued by ooba with a copy of the final outcome. d) ooba and third parties, including banks, may make enquiries to third parties to confirm any information submitted as part of the application, and may obtain information from credit bureaux when assessing this home loan application for finance. Additional comments (Tick box to verify all notifications) Signatures I/we confirm that the notifications above have been read & understood. Signed Signed Date Primary applicant Version June 2014