Ichinen Finance Form

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Vehicle Requested:

Vehicle Stock No:

Deposit:

Duration:

Applicants

First Name

Last Name

Marital Status

Number of Dependents:

Joint Application Name:

Joint Application Last Name:

Date of Birth : (Applicant):

Date of Birth : (Joint Applicant):

Driver's Licence Number (Applicant):

Version number (Applicant):

Driver's Licence Type (Applicant):

Expiry Date (Applicant):

Driver's Licence Number (Joint Applicant):

Version number (Joint Applicant):

Driver's Licence Type (Joint Applicant):

Expiry Date (Joint Applicant):

Email Address (Applicant)

Email Address (Joint Applicant)

Current Address

Current Address 2

Years At Current Address:

Current Address Type:

Previous Address

Previous Address 2

Years At Previous Address:

Previous Address Type:

Phone No Home:

Phone No Business:

Phone No Mobile:

Residency Status

Residency Status Applicant:

Date Issued (Applicant):

Residency Status Joint Applicant:

Date Issued (Joint Applicant):

References

Reference 1:

Reference 1 Name:

Reference 1 Phone No:

Reference 1 Address:

Reference 1 Relationship:

Reference 2:

Reference 2 Name:

Reference 2 Phone No:

Reference 2 Address:

Reference 2 Relationship:

Reference 3:

Reference 3 Name:

Reference 3 Phone No:

Reference 3 Address:

Reference 3 Relationship:

Employment

Present Employer:

Years

If applicant is a beneficiary, please include a letter from WINZ verifying benefit payment

Present Employer Address

Ocupation:

Full time/Part time

Previous Employer:

Years

Joint Applicants Employer:

Years

Joint Applicants Employer Address

Ocupation:

Full time/Part time

Joint Applicants Previous Employer:

Years

Financial Information

Assets:

Home:$

Furnishing:$

Bank Accounts:$

Car:$

Other:$

Total:$

Liabilities:

Mortgage:$

HP/Credit Cards:$

Bank OD:$

Other Loans:$

Other Loans 2:$

Total:$

Income:

Take Home Pay:$

Partners Pay:$

Other Income:$

Other Income 2:$

Total:$

Expenses:

Mortgage/Rent:$

HP/Credit:$

Living Expenses:$

Loans:$

Loans 2:$

Total:$

Opening Hours

ONEHUNGA
Monday to Friday 10:00am - 6:00pm
Saturday 10:00am - 5:00pm
Sunday Closed until further notice
GREENLANE
Monday to Friday 10:00am - 6:00pm
Saturday / Sunday 10:00am - 5:00pm

Both branches closed on public holiday's

Ichinen Finance Form

Applicants

Residency Status

References

Reference 1:

Reference 2:

Reference 3:

Employment

Financial Information

Opening Hours

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