Loan & Mandate Applications

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FNZCG are favoured with instructions to act in providing funding for the named entity in this document and to arrange funding for the sum of $

Name of Entity applying for Mortgage

Address of Property

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Telephone Contact

Email Address

Address For Service

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Security Property 1

Security Property 2

Security Property 3

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Authorized Signature

Date

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Is your property located on a main road ie: transport route Is your property located on a main road ie: transport route Yes No

Are you aware of any planning design that may affect your property Are you aware of any planning design that may affect your property Yes No

Is your property located in an over land flow path or flood plain Is your property located in an over land flow path or flood plain Yes No

Is your property within 200m of high voltage power lines Is your property within 200m of high voltage power lines Yes No

Does any property being used as security have a shared driveway Does any property being used as security have a shared driveway Yes No

Is the property being used as a security in a designated high wind zone ie: cliff top ridge Is the property being used as a security in a designated high wind zone ie: cliff top ridge Yes No

Has GST been claimed or do you intend to claim GST on any property to be used as security Has GST been claimed or do you intend to claim GST on any property to be used as security Yes No

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If you have answered yes to any of the above please put details below

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Are the funds required for commercial purposes ie: to be used for development, commercial funding, renovation to deliver profit Are the funds required for commercial purposes ie: to be used for development, commercial funding, renovation to deliver profit Yes No

Have you taken independent legal advice in relation to the loan advance from your solicitor Have you taken independent legal advice in relation to the loan advance from your solicitor Yes No

GotAccountantAdvice GotAccountantAdvice Yes No

Bank Statements

Have you enclosed your last 6 months bank statements showing previous mortgage payment history Have you enclosed your last 6 months bank statements showing previous mortgage payment history Yes No

I understand that any loan entered shall be for the term of 12 calendar months. I understand that any loan entered shall be for the term of 12 calendar months. Yes No

I understand that all legal fees incurred by the lender shall be paid by the borrower and form part of the loan document I understand that all legal fees incurred by the lender shall be paid by the borrower and form part of the loan document Yes No

Income Statement

I have enclosed my income statement to support this loan application I have enclosed my income statement to support this loan application Yes No

I have no current loan in any entity that I am involved with in default I have no current loan in any entity that I am involved with in default Yes No

Details of Default (if any)

The above information is true and correct to the best of my knowledge