Confidential Application | 2 Minute Form


Make an application for finance online, by fax, or come into any one of our branches, and let our friendly team take care of the rest. We'll do our best to get and answer to you inside an hour [once you have supplied all the information].


*PERSONAL DETAILS: *Represents a required field.                                                                                       *Wellington Region Only

NAME/CONTACT/ADDRESS DETAILS:

*Gender Type: Male Female

*Date Of Birth:

*First Names:
*Last Names:
Maiden Name?

Home Phone: Area Code
No.
Work Phone: Area Code

No.
*Email Address:
Mobile Phone: Prefix No.
No.
*Confirm Email:
 
*Current Address: No. Street Suburb City
 
*There For? Years Months
Previous Address: No. Street Suburb City
There For? Years Months
 
*EMPLOYMENT SITUATION:
Employed Beneficiary
Job Title:
Company:
There For? Years
Months
Phone: Area Code No.

CONTACTS:

 
Parents Names:
Address:
 

Phone: Area Code No.

Closest Relative:
Address:
Relationship to You:
Phone: Area Code No.

 

*Which Of The Following Best Describes Your Situation:

Single De facto Married Separated Divorced Widowed

 

PLEASE NOTE: If you are currently married or in a defacto relationship, your partner must sign the contract as they will be jointly responsible for the loan.

DOESN'T APPLY?! CLICK HERE TO GO TO LOAN DETAILS.


Back To Top

PARTNER/GUARANTOR DETAILS:

NAME/CONTACT DETAILS:
 

Gender Type: Male Female

Date Of Birth:
First Names:
 
Last Name:
Maiden Name?
 
Home Phone: Area Code
No.
Work Phone: Area Code
No.
Email Address:
Mobile Phone: Prefix No.
No.
Confirm Email:
   

EMPLOYMENT SITUATION:
Employed Beneficiary
Job Title:
Company:
There For? Years
Months
Phone: Area Code No.
CONTACTS:
 
Parents Names:
Address:
 
Phone: Area Code No.
Closest Relative:
Address:
Relationship:
Phone: Area Code No.


Back To Top

*LOAN DETAILS:

*Loan Type Cash Loan Payday Loan Car Loan Debt Consolidation Business Loan
     
*Loan Amount: $
.00
*Loan Purpose:
*Loan Required By:
   
*Amount Of Repayments: $
.00
*Frequency: Weekly Fortnightly Monthly
*First Repayment On:
*Type: Manual Automatic Payment
 
*Have You Had a Loan Before?

No Yes, With?

*SECURITY DETAILS:

Aztec Finance requires that most loans are secured. Security falls into the following catergories, and can be combined:

  • Household Chattels - An agent of Aztec Finance MUST sight goods.
  • Vehicle - You must be the registered owner. You must also specify the registration number.
  • Property - Provide ONE of the following: Address, Certificate of title, valuation number, and a description of the property.
  • Unsecured - Evidence of good credit will be asked for.
  • Other - Please specify.
  • *Enter collateral specifics here

 

Back To Top

*HOW DID YOU HEAR ABOUT US?

 

Internet Search Internet Link Newspaper Flyer Family/Friends Other

 

Want to send this to a certain one of us? Type their name here.

 


MAILING LIST:

I/We are happy to receive information from Aztec Finance about any specials or deals that they may have, from time to time.

Aztec Finance keeps all information strictly confidential and will not hire or sell any of the information discussed in this Application Form regardless of whether the above is ticked or not.


*DISCLAIMER: APPLICATION CONDITIONS

Under the terms of the Privacy Act (1 July 1993) I/We authorise any person or company to provide Aztec Securities Ltd or their agents with such information that they may require in response to credit enquiries. I/We authorise Aztec Securities Ltd or their agents to furnish to any third party details of this application and any subsequent dealings that I/We may have as a result of this application being actioned.

 

I/We agree to you arranging a budget analysis and chattel valuation, the cost of which will be added to my/our loan. If this loan application is declined, this form shall remain with and the property of the issuer.


*I/We declare that to the best of my/our knowledge, the above is true and correct and, I/We understand, accept and agree to the application conditions.


Back To Top

or