CW Returning Customer Application 39.99 Version 4

Use this form to re-apply as a returning customer:
Client Number *
First Name *
FirstName1
LastName1
Last Name *
Email *
example@example.com
Have any of your details changed since your last loan was approved ? *

Yes No
IMPORTANT: It is a serious breach of our lending terms and conditions to acquire a new loan without advising us of changes in your submitted details. Please ensure any changes to employment, Banking & relevant personal details are sent through to us before applying for a new loan.

Any Cash loan taken out under false pretenses will be treated as fraud and will be prosecuted to the full extent of the law if necessary.
Whats Changed? *

Employment Details Address Details Bank account information
Please update your New Employment Details:
New Employer *
Occupation *
Employer Phone Number *

Area Code Phone Number
Employer Address *

Street Address

Suburb

City

Postal / Zip Code
Please update your New Address Details:
New Address *

Street Address

Suburb

City

Postal / Zip Code
Please update your New Bank Account Details:
Your new bank account must meet the following criteria to proceed:
- Must be an account in your own name.
- Must be the account that receives your main income deposits.
- Must be an open NZ bank account.
- Must be an account for which you have sole operating authority.
We will need a new direct debit authority for the new account, please fill in the following:
Bank *
2-Digits
Branch *
4-Digits
Account *
7-Digits
Suffix *
2-3 Digits
Mobile Phone *

Area Code Phone Number
Home Phone *

Area Code Phone Number
Address *

Street Address

Suburb

City

Postal / Zip Code
Signing below will provide us with a new signed direct debit authority for the bank account entered above. A copy of this direct debit authority can be requested by emailing manager@cantwait.co.nz
Signature *

Clear
Other Details Change:
Please Explain: *

Your New Loan:
Reason For Loan? *
Pay Frequency? *
Borrow Amount *
Next Pay Day? *

Day Month Year
When would you like the funds?
Transfer speed
Number Of Weekly Repayments *
Number Of Fortnightly Repayments *
Number Of Monthly Repayments *
Your Repayment Schedule:

Will consist of {numpaydays} {payFrequency42} repayments of ${firstRepayment} beginning on the {nextPay46}.

Borrow Amount {borrowAmount}.00

Interest Rate 39.99%pa or 0.11% per day.

Interest and Fees ${costofborrowing}

Total Payable ${totalPayable}
CostOfBorrowing
Int Rate
Direct Debit Fees
D
F
First Rate
Today

Day Month Year
Date
DaysTillFirstPayment
PR+INT
Establishment Fee
Days Between payments
Fees Portion
NumPayDays
First Repayment
First Repayment Date

Day Month Year
Date
2nd PMT Date

Day Month Year
Date
Loan Term (Days)
Unpaid IntBal
Total Payable
Total Interest
Total Fees
Unfortunately, Our loans are not fit for this purpose. This form can not be submitted based on your chosen reason for loan.
Numpaydays-1

Affordability:
To ensure you still meet our lending criteria please tell us about your income, expenses and other financial commitments so we can better assess your loan's affordability.
{payFrequency42} Income
Main Income *
Other Income
Is your income likely to change in the future? *

Yes No
Please Explain: *
Expenses:
{payFrequency42} Expenses
Other Loan Repayments
Child Support
Mortgage/Rent *
Insurances
Utilities *
Food & Groceries *
Clothing
Personal Care
Medical Expenses
Transport
Education/School Fees
Child Care
Are your expenses likely to change in the future? *

Yes No
Please Explain: *
Income Vs Expense Summary
Total Income
Total Expenses
Uncommitted Income

Declaration:
Please ensure the following is TRUE before proceeding: *

I am not currently bankrupt, under an SIO or NAP. I agree to receiving electronic disclosure statements, communications and promotional information with the option to unsubscribe. I can meet this repayment schedule as well as other necessary costs for food, accommodation, utilities, transport, required medical expenses and other personal or financial commitments. I understand that all loan applications are treated separately to existing loan agreements. I understand that my repayment schedule is subject to change and will be properly aligned with my payday if I have entered incorrect information. I consent to Cantwait.com verifying my identity through third party Identification verification companies. I understand that a short term loan is only suitable for a short term cash flow shortfall and should not be used as a long term solution.
Sender
Email
example@example.com
Should be Empty:

Please update your New Employment Details:

Please update your New Address Details:

Please update your New Bank Account Details:

Other Details Change:

Your New Loan:

Your Repayment Schedule:

Affordability:

Expenses:

Income Vs Expense Summary

Declaration: