New Format Application Form CLR

8/8/2019 New Format Application Form CLR

1/8www.sahomeloans.com SA Home Loans (Pty) Ltd Registration number 2006/035436/07. Please refer to our website for further details. SA Home Loans is a registered credit provider. Registration Number NCRCP1735.

of

Consultant:

Applicant:

Account Number:

PERSONAL DETAILS

DECLARATION

APPLICANT DETAILS

Application Role

Title

First Name

Surname

Preferred Name

Gender

Marital Status

Population Group

SA Home Loans is required to request the above population information to assist the Government in monitoring lending practices in terms of the Home Loan and

Mortgage Disclosure Act, 2000.

Highest Education Qualification

Citizenship

Date of Birth

Home Language

Document Language

Telephone (H)

Fax Number

Email Address

Present Residential Address

Present Postal Address

Preferred Communication Method

Marketing Options:

From which of the following forms of marketing do you wish to be excluded:

Male

Single

Divorced

Black

Email Post

Telemarketing

As above

Marketing Consumer Lists Email SMS

Code

Code

Matric

SA Citizen

d m y yd m y y

English

Telephone (W)

Cell Number

Afrikaans

- -

Foreign - SA Resident Foreign

Identity/Passport No

Diploma Degree Other, specify

Coloured Indian White

Widowed

Married - COP Married - ANC Married - Foreign

Female

Initials

Main Applicant Surety

Have you ever been declared insolvent?

If yes, date rehabilitated

Have you ever been under administration order?

If yes, date administration order rescinded

Are you currently under debt counselling or debt

review in terms of the National Credit Act, 2005?

If yes, do you currently have a debt

rearrangement/s in place?

In order for SA Home Loans to process your application, we need to conduct a credit check. All your information will be treated as strictly confidential.

Do you agree to SAHL conducting a credit check?

Yes

Yes

No

No

Yes No

Yes No

Yes No

- -

- -d m y yd m y y

d m y yd m y y



of

Consultant:

Applicant:

Account Number:

EMPLOYMENT DETAILS

APPLICANT DETAILS

BANKING DETAILS (These details are required for credit approval)

Employment Sector

Occupation

Employment Status

Name of Employer/Own Business

Start Date

Street Address of Employer/Own Business

Gross Monthly Income of Applicant

Employee Number (Required if instalment is paid by stop order)

Accountant Details (if own business)

Name of Firm

Contact Person

Contact Phone Number

Email Address

If less than 12 months in current employment please provide previous employer details

Name of Previous Employer

Start Date End Date

PERSONAL BANKING ACCOUNT DETAILS

Bank

Branch

Account Type

Account Name

Account Number

BUSINESS BANKING ACCOUNT DETAILS (IF APPLICABLE)

Bank

Branch

Account Type

Account Name

Account Number

Current Savings

Current Savings

Construction

IT and Electronics

Public Services

Other (specify)

Employed

R

Self-Employed Not currently employed

Security Transportation

Code

Retail or Wholesale Tourism

Legal Manufacturing Media Property

HealthFinancial Services Food and Beverage

- -d m y yd m y y

- - - -d m y yd m y y d m y yd m y y



of

Consultant:

Applicant:

Account Number:

PERSONAL DETAILS

DECLARATION

APPLICANT DETAILS

Application Role

Title

First Name

Surname

Preferred Name

Gender

Marital Status

Population Group

SA Home Loans is required to request the above population information to assist the Government in monitoring lending practices in terms of the Home Loan and

Mortgage Disclosure Act, 2000.

Highest Education Qualification

Citizenship

Date of Birth

Home Language

Document Language

Telephone (H)

Fax Number

Email Address

Present Residential Address

Present Postal Address

Preferred Communication Method

Marketing Options:

From which of the following forms of marketing do you wish to be excluded:

Male

Single

Divorced

Black

Email Post

Telemarketing

As above

Marketing Consumer Lists Email SMS

Code

Code

Matric

SA Citizen

d m y yd m y y

English

Telephone (W)

Cell Number

Afrikaans

- -

Foreign - SA Resident Foreign

Identity/Passport No

Diploma Degree Other, specify

Coloured Indian White

Widowed

Married - COP Married - ANC Married - Foreign

Female

Initials

Main Applicant Surety

Have you ever been declared insolvent?

If yes, date rehabilitated

Have you ever been under administration order?

If yes, date administration order rescinded

Are you currently under debt counselling or debt

review in terms of the National Credit Act, 2005?

If yes, do you currently have a debt

rearrangement/s in place?

In order for SA Home Loans to process your application, we need to conduct a credit check. All your information will be treated as strictly confidential.

Do you agree to SAHL conducting a credit check?

Yes

Yes

No

No

Yes No

Yes No

Yes No

- -

- -d m y yd m y y

d m y yd m y y



of

Consultant:

Applicant:

Account Number:

EMPLOYMENT DETAILS

APPLICANT DETAILS

BANKING DETAILS (These details are required for credit approval)

Employment Sector

Occupation

Employment Status

Name of Employer/Own Business

Start Date

Street Address of Employer/Own Business

Gross Monthly Income of Applicant

Employee Number (Required if instalment is paid by stop order)

Accountant Details (if own business)

Name of Firm

Contact Person

Contact Phone Number

Email Address

If less than 12 months in current employment please provide previous employer details

Name of Previous Employer

Start Date End Date

PERSONAL BANKING ACCOUNT DETAILS

Bank

Branch

Account Type

Account Name

Account Number

BUSINESS BANKING ACCOUNT DETAILS (IF APPLICABLE)

Bank

Branch

Account Type

Account Name

Account Number

Current Savings

Current Savings

Construction

IT and Electronics

Public Services

Employed

R

Self-Employed Not currently employed

Security Transportation

Code

Retail or Wholesale Tourism

Legal Manufacturing Media Property

HealthFinancial Services Food and Beverage

- -d m y yd m y y

- - - -d m y yd m y y d m y yd m y y

Other (specify)



MONTHLY INCOME AND EXPENDITURE STATEMENT (ONLY REQUIRED ONCE PER HOUSEHOLD)

No. of dependants

Contributing dependants

APPLICANT/S INCOME (MONTHLY)

Gross Fixed Monthly Income

Commission and overtime

Rental from property/ies

Income from other investments (specify)

Income (other)

Income (other)

TOTAL HOUSEHOLD INCOME

LESS: HOUSEHOLD EXPENSES (MONTHLY)

Standard salary deductions (i.e. tax, UIF, pension, medical aid, etc.)

Living expenses (e.g. groceries, utility accounts, transport costs, insurance premiums)

Bond payments: primary residence and investment property/ies

Car repayments

Credit cards

Overdraft/personal loans

Retail accounts

Credit accounts

Committed savings (eg RA)

Other instalments (specify)

Other expenses (specify)

TOTAL HOUSEHOLD EXPENSES

SURPLUS/(DEFICIT)

LESS: PROPOSED DEBT CONSOLIDATION

PROPOSED SURPLUS/(DEFICIT)

R

R

R

R

R

R

R

R

R

R

R

R

R

R

R

R

R

R

R

R

R

R

of

Consultant:

Applicant:

Account Number:

STATEMENT OF INCOME AND EXPENDITURE



of

Consultant:

Applicant:

Account Number:

Property Address

Code

Please use property address as

postal address for this home loan

Property Description (as per title deed)

Est Market Value

Property Type

Title Type

Occupancy Type

Contact details for valuation appointment

Name & Surname

Contact No

Name & Surname

Contact No

LOAN DETAILS

Loan Purpose

Product Selection

Applicant Type

In whose name is property to be registered?

Switch / Refinance

Outstanding Loan Loan Term (months)

Add: Cash Out Quick Cash

Total Requirement Capitalise Fees

Register Higher Bond

Reason for Cash Out

Current Bond Account

New Purchase Details

Purchase Price Loan Term (months)

Less: Deposit

Total Requirement

Register Higher Bond

Seller ID

Switch

Variable

Individual

Reg No

R

R

R

Joint Multiple CC/Trust/Co

VariFix Super-LoFix%

New Purchase

Interest Only (Variable and Super-Lo only)Yes No

R Yes No

PROPERTY DETAILS

R

House

Freehold

Owner Occupied Holiday Home Investment Property

Freehold Estate Sec Title Sec Title with HOC

Flat Duplex Simplex Cluster Maisonette

R

R

R

R

Yes No

Refinance

LOAN DETAILS



of

Consultant:

Applicant:

Account Number:

MARKETING DETAILS

I hereby acknowledge and declare that:

1. All information given by me/us is true, accurate and correct. I/We have reviewed the information and confirm the correctness thereof.

2. I/We have provided all information that is directly relevant and material to my/our application.

3. I/We have the legal capacity to enter into an agreement unassisted as a major.

4. I/We consent to SA Home Loans (Proprietary) Limited (SA Home Loans) performing credit reference checks. Further, I/we consent to SA Home Loans providing credit reference

agencies with regular updates with regard to the conduct of my/our account. This will include failure to maintain my/our obligations as agreed with SA Home Loans. Furthermore,

I/we consent to such credit reference agencies making this information available to other credit providers.

5. I/We am/are not under debt review, and no debt review order has been issued to assist me/us with my/our finances. In the event of me/us going under debt review and my/ourcircumstances changing from date of my/our signature of my/our SA Home Loans application and at any time during the term of my/our loan, I/we will inform SA Home Loans

in writing.

6. I/We am/are not aware of any other information which could adversely affect my/our application.

7. I/We consent to SA Home Loans carrying out identity and fraud prevention checks and sharing information relating to this application with the South African Fraud Prevention

Service.

8. In the event of my/our financial situation changing, such that my/our ability to pay the total monthly payment to SA Home Loans is adversely affected, I/we will inform SA Home

Loans in writing.

9. I/We am/are able to afford the repayments of the home loan finance I/we am seeking.

10. I/We am/are aware that this application is subject to the standard terms and conditions of SA Home Loans and all its credit criteria applicable to home loan finance.

11. I/We further understand that I/we am/are required to have and maintain in full force Home Owners Insurance Cover over the property for the full replacement value of the property.

I/We confirm that SA Home Loans is authorised, but not obliged, to arrange the necessary cover with SA Home Loans Insurance Company if I/we do not provide SA Home Loans

with proof that the necessary insurance is in place prior to registration of the loan.

LOAN DETAILS

METHOD OF PAYMENT

APPLICATION DECLARATIONS

Where did you hear about

SA Home Loans? Flyer

Other

Radio Referral Newspaper TV Magazine Online

Payment Method

If Debit Order

Bank

Branch

Account Type

Account Name

Account Number

Debit Order Date

Debit Order Subsidy Stop Order

Current

1st 7th 17th 25th 28th

Savings

Name: Signature:

Date: - -

Name: Signature:

Date: - -

Name: Signature:

Date: - -

Name: Signature:

Date: - -

d m y yd m y y

d m y yd m y y

d m y yd m y y

d m y yd m y y


8/8www sahomeloans com SA Home Loans (Pty) Ltd Registration number 2006/035436/07 Please refer to our website for further details SA Home Loans is a registered credit provider Registration Number NCRCP1735

of

Consultant:

Applicant:

Account Number:

STATEMENT OF PERSONAL ASSETS AND LIABILITIES

STATEMENT OF PERSONAL ASSETS AND LIABILITIES

ASSETS

Fixed Property Address

1.

2.

3.

Listed Investments (Shares, Unit Trusts)

1.

2.

3.

Unlisted Investments (Private Companies/CCs/Trusts/Private Practices)

1.

2.

3.

Motor Vehicle

1.

2.

Other Assets

Surrender value on investment and life assurance policies

Other assets (specify)



LIABILITIESLoan Type (e.g. personal loan, student loan)

1.

2.

3.

TOTALS

NET ASSETS/(LIABILITIES)

Contingent Liabilities (Suretyships, specify)

VALUE OUTSTANDING

LIABILITY

R

R

R

R

R

R

R

R

R

R

R

R

R

R

R

R R

R R

R

R

R

- -Instalment Date repayable



d m y yd m y y

d m y yd m y y

d m y yd m y y

R

R

R

R

R

R

- -

- -

- -

d m y yd m y y

d m y yd m y y

d m y yd m y y

Date Acquired

Date Acquired

Date Acquired

R

R

R

R

R

R

R

R

R

R

R

R

New Format Application Form CLR

Documents

Transcript of New Format Application Form CLR