form test 2

Date

Property Price

Loan Term

Real estate agent name & surname

Agent contact no.

Primary Applicant Full Names

Primary Applicant Surname

Primary Applicant ID Number

Primary Applicant - What city were you born in?

Primary Applicant - Country of birth

Primary Applicant - What is your gender?

Primary Applicant - What is your ethnicity?

Primary Applicant - What is your marital status?

Primary Applicant - Do you have any dependents? (Y/N) If so, how many?

Primary Applicant - Current full address (Incl Suburb, City, Province, Postal code)

Primary Applicant - How long have you lived at your residential (home) address?

Primary Applicant - Is this your property?

Primary Applicant - What is your highest level of education?

Primary Applicant - Are you a smoker?

Yes No

Primary Applicant - Do you receive a social grant?

Yes No

Primary Applicant - Are you a first time home buyer?

Yes No

Primary Applicant Email Address

Primary Applicant Contact Number

Primary Applicant - Is your postal address the same as your current residential address?

Yes No

Primary Applicant - Are you a tenant at your current place?

Yes No

Primary Applicant - Delivery method for legal notices?

Hand Delivered Registered mail

Primary Applicant - What is your legal communication address?

Co-Applicant Full Names

Co-Applicant Surname

Co-Applicant ID Number

Co-Applicant - What city were you born in?

Co-Applicant - Country of birth

Co-Applicant - What is your gender?

Co-Applicant - What is your ethnicity?

Co-Applicant - What is your marital status?

Co-Applicant - Do you have any dependents? (Y/N) If so, how many?

Co-Applicant - Current full address (Incl Suburb, City, Province, Postal code)

Co-Applicant - How long have you lived at your residential (home) address?

Co-Applicant - Is this your property?

Co-Applicant - What is your highest level of education?

Co-Applicant - Are you a smoker?

Yes No

Co-Applicant - Do you receive a social grant?

Yes No

Co-Applicant - Are you a first time home buyer?

Yes No

Co-Applicant Email Address

Co-Applicant Contact Number

Co-Applicant - Is your postal address the same as your current residential address?

Yes No

Co-Applicant - Are you a tenant at your current place?

Yes No

Co-Applicant - Delivery method for legal notices?

Hand Delivered Registered mail

Co-Applicant - What is your legal communication address?

Primary Applicant - Are you currently employed?

Yes No

Primary Applicant - Nature of occupation

Primary Applicant - What industry do you work in?

Primary Applicant - What best describes the nature of your job?

Primary Applicant - When do you get paid?

Primary Applicant - What is your primary source of income?

Primary Applicant - Current employer name

Primary Applicant - Employer full address

Primary Applicant - Start Date

Primary Applicant - Is this purchase happening at the same time as a job change?

Co-Applicant - Are you currently employed?

Yes No

Co-Applicant - Nature of occupation

Co-Applicant - What industry do you work in?

Co-Applicant - What best describes the nature of your job?

Co-Applicant - When do you get paid?

Co-Applicant - What is your primary source of income?

Co-Applicant - Current employer name

Co-Applicant - Employer full address

Co-Applicant - Start Date

Co-Applicant - Is this purchase happening at the same time as a job change?

Primary Applicant - Gross salary (before deductions)

Primary Applicant - Nett Salary (after deductions)

Primary Applicant - Investment income

Primary Applicant - Car allowance

Primary Applicant - Travel allowance

Primary Applicant - Income from sureties

Primary Applicant - Maintenance / Alimony

Primary Applicant - Average commission (The amount earned over 3 months divided by 3)

Primary Applicant - Rental income

Primary Applicant - Interest income

Primary Applicant - Entertainment allowance

Primary Applicant - Housing subsidy

Primary Applicant - Average overtime (past 6 months) - (The amount earned over 6 months divided by 6)

Primary Applicant - Other income (Please provide description and amount)

Co-Applicant - Gross salary (before deductions)

Co-Applicant - Nett Salary (after deductions)

Co-Applicant - Investment income

Co-Applicant - Car allowance

Co-Applicant - Travel allowance

Co-Applicant - Income from sureties

Co-Applicant - Maintenance / Alimony

Co-Applicant - Average commission (The amount earned over 3 months divided by 3)

Co-Applicant - Rental income

Co-Applicant - Interest income

Co-Applicant - Entertainment allowance

Co-Applicant - Housing subsidy

Co-Applicant - Average overtime (past 6 months) - (The amount earned over 6 months divided by 6)

Co-Applicant - Other income (Please provide description and amount)

Primary Applicant - Tax (PAYE / SITE)

Primary Applicant - Pension Fund

Primary Applicant - UIF

Primary Applicant - Medical Aid

Primary Applicant - Other deductions (Please provide description and amount)

Co-Applicant - Tax (PAYE / SITE)

Co-Applicant - Pension Fund

Co-Applicant - UIF

Co-Applicant - Medical Aid

Co-Applicant - Other deductions (Please provide description and amount)

Primary Applicant - Amount of current Rent

Primary Applicant - Will you still be paying for rent after you buy your home

Yes No

Primary Applicant - Maintenance / Alimony

Primary Applicant - Rates & taxes

Primary Applicant - Levies

Primary Applicant - Water & electricity

Primary Applicant - Investments(unit trusts)

Primary Applicant - Insurance & funeral policies

Primary Applicant - Assurance (life, retirement, annuities)

Primary Applicant - Groceries

Primary Applicant - Petrol & car maintenance

Primary Applicant - Home maintenance / Garden services

Primary Applicant - Clothing

Primary Applicant - Education

Primary Applicant - Entertainment

Primary Applicant - Medical costs (if different from medical aid deduction)

Primary Applicant - Donations

Primary Applicant - Cell phone / mobile data

Primary Applicant - DStv, Netflix or similar subscriptions

Primary Applicant - Telephone & fixed internet

Primary Applicant - Security

Primary Applicant - Domestic wages

Primary Applicant - Other deductions (Please provide description and amount)

Co-Applicant - Amount of current Rent

Co-Applicant - Will you still be paying for rent after you buy your home

Yes No

Co-Applicant - Maintenance / Alimony

Co-Applicant - Rates & taxes

Co-Applicant - Levies

Co-Applicant - Water & electricity

Co-Applicant - Investments(unit trusts)

Co-Applicant - Insurance & funeral policies

Co-Applicant - Assurance (life, retirement, annuities)

Co-Applicant - Groceries

Co-Applicant - Petrol & car maintenance

Co-Applicant - Home maintenance / Garden services

Co-Applicant - Clothing

Co-Applicant - Education

Co-Applicant - Entertainment

Co-Applicant - Medical costs (if different from medical aid deduction)

Co-Applicant - Donations

Co-Applicant - Cell phone / mobile data

Co-Applicant - DStv, Netflix or similar subscriptions

Co-Applicant - Telephone & fixed internet

Co-Applicant - Security

Co-Applicant - Domestic wages

Co-Applicant - Other deductions (Please provide description and amount)

Primary Applicant - Fixed Property (Estimated value of property)

Primary Applicant - Vehicle / Car (Estimated value of vehicle)

Primary Applicant - Investments

Primary Applicant - Furniture & fittings

Primary Applicant - Other assets (Please provide description & amount)

Co-Applicant - Fixed Property (Estimated value of property)

Co-Applicant - Vehicle / Car (Estimated value of vehicle)

Co-Applicant - Investments

Co-Applicant - Furniture & fittings

Co-Applicant - Other assets (Please provide description & amount)

Primary Applicant - Mortgage bonds

Primary Applicant - Installment sales/lease agreements (Vehicle)

Primary Applicant - Credit Cards

Primary Applicant - Personal Loans

Primary Applicant - Other Liabilities (Please provide description and amount)

Co-Applicant - Mortgage bonds

Co-Applicant - Installment sales/lease agreements (Vehicle)

Co-Applicant - Credit Cards

Co-Applicant - Personal Loans

Co-Applicant - Other Liabilities (Please provide description and amount)

Primary Applicant - SA Income tax number

Primary Applicant - Have you made any international tax returns?

Yes No

Co-Applicant - SA Income tax number

Co-Applicant - Have you made any international tax returns?

Yes No

Primary Applicant - Bank

Primary Applicant - Branch Name

Primary Applicant - Branch Code

Primary Applicant - Account type

Primary Applicant - Account holder's name

Primary Applicant - Is this account in the name of the legal entity?

Yes No

Primary Applicant - Is this a business account?

Primary Applicant - Outstanding balance to be settled?

Yes No

Primary Applicant - Account number

Primary Applicant - Balance as at today

Primary Applicant - Do you have any other bank accounts?

Yes No

Co-Applicant - Bank

Co-Applicant - Branch Name

Co-Applicant - Branch Code

Co-Applicant - Account type

Co-Applicant - Account holder's name

Co-Applicant - Is this account in the name of the legal entity?

Yes No

Co-Applicant - Is this a business account?

Co-Applicant - Outstanding balance to be settled?

Yes No

Primary Applicant - Do you have any retail accounts?

Yes No

Primary Applicant - If yes, please complete the below.

Yes

Primary Applicant - Store name

Primary Applicant - Monthly Instalment / Minimum payment

Primary Applicant - New Instalment (if reduced)

Primary Applicant - How much do you owe?

Co-Applicant - Account number

Co-Applicant - Balance as at today

Co-Applicant - Do you have any other bank accounts?

Yes No

Co-Applicant - Do you have any retail accounts?

Yes No

Co-Applicant - If yes, please complete the below.

Yes

Co-Applicant - Store name

Co-Applicant - Monthly Instalment / Minimum payment

Co-Applicant - New Instalment (if reduced)

Co-Applicant - How much do you owe?

Client consent

We, the undersigned: Acknowledge that personal, financial and other information is furnished to Bond King (Pty) Ltd (in association with MortgageMarket) for the purposes of making application for home loan finance and are aware that I/we are required to furnish all such information truthfully and fully.

Consent to Bond King (Pty) Ltd receiving all communication from the bank/s (including the quotation) pertaining to my/our home loan application. I/We consent to Bond King (Pty) Ltd issuing the estate agent with a copy of the quotation.

Consent to Bond King (Pty) Ltd & third parties, including banks, making enquiries to credit bureau when assessing my/our home loan application for finance.

Hold no other citizenships and residence for local and international tax purposes, other than those disclosed in this application form and will inform the lender in writing of any change of this status within 30 days of the change of status. Consent to Standard Bank, ABSA and Nedbank electronically retrieving my/our bank statements. (additional information regarding the consent is specified below) Consent to Bond King (Pty) Ltd & third parties, including banks to retrieve my/our payslip/s via IVX electronic payslip

Declaration by purchaser/s

I hereby declare that to the best of my/our knowledge that the information provided to the bank in respect of this application is true, accurate and complete:

SA ID (If you have a smart ID, please forward a copy of the back and the front)

Last 3 months payslip

Your Offer to purchase as signed with your estate agent

Last 3 months’ bank statement

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