QuikContact

Quick contact form

Please supply as much information as possible and hit "submit" button

*This is not a loan offer, Lender terms and conditions apply

How can we help you? Tell us what you want to do

Buy house, debt consolidation etc

Name/s

First name/Last name/s

Phone Number

Email

Confirm

Number of borrowers

Number of dependents

Income

Income-borrower 1

Pay frequency

Select an option

Before tax After tax (in hand)

Income-borrower 2

Pay frequency 2

Select an option

Before tax After tax (in hand)

Other income

Other Income frequency

Other income notes

Assets

Cash

Everyday account

How much money (total) in your everyday accounts today

Cash savings available

Accumulated savings

KiwiSaver

KiwiSaver available for First Home withdrawal

KiwiSaver 2

KiwiSaver available for First Home withdrawal

First Home Grant

if you have First Home Grant approval or expect to be approved

First Home Grant

if you have First Home Grant approval or expect to be approved

Potential gift?

If someone is willing to help

Gift or guarantor notes

If someone is willing to help please give us some more info

Existing Property value

If you already own property

Existing property notes

Please add detail if you have existing property

Liabilities

Personal loans, car loans, Hire Purchase, Buy Now Pay Later

Do you have any loans at all? This includes Car loans bank loans, finance co loans, hps also AfterPay Zip etc etc.

Yes No

Lender name

Personal loan balance $

Payment amount $

Payment frequency. please select

Add another loan

Add

Lender name

Personal loan 2 balance $

Payment amount $

Payment frequency. please select

Add another loan

Add

Lender name

Personal loan 3 balance $

Payment amount $

Payment frequency. please select

Add another loan

Add

Lender name

Personal loan 4 balance $

Payment amount $

Payment frequency. please select

Credit cards and Store cards

Do you have any credit or store cards at all? Visa, Mastercard AMEX, GEM, Q Card etc etc

Yes No

Card Type/name

eg ANZ Visa, Q Card etc.

Card Limit $

Card Balance $

Add another card

Add

Card Type/name

eg ANZ Visa, Q Card etc.

Card Limit $

Card Balance $

Add another card

Add

Card Type/name

eg ANZ Visa, Q Card etc.

Card Limit $

Card Balance $

Add another card

Add

Card Type/name

eg ANZ Visa, Q Card etc.

Card Limit $

Card Balance $

Add another card

Add

Card Type/name

eg ANZ Visa, Q Card etc.

Card Limit $

Card Balance $

Add another card

Add

Card Type/name

eg ANZ Visa, Q Card etc.

Card Limit $

Card Balance $

Add another card

Add

Card Type/name

eg ANZ Visa, Q Card etc.

Card Limit $

Card Balance $

General comments.

Please add or include anything you may feel is relevant to your situation for instance bad credit