Redvale RV Application Form

Loan Application Form
How much would you like to borrow?
$
Deposit / Trade in
$
Desired Loan Term in Years
Desired Repayment Frequency
Registration or VIN number
Asset Details
Where are you buying from?

Personal Details

Tell us a bit about yourself.
Name

First NameMiddle NameLast Name
Date of Birth

DayMonthYear
E-mail
example@example.com
Mobile Number

Area CodePhone Number
Residency Status
Relationship Status
Number of Dependants
Drivers Licence

Drivers Licence NumberVersion Number
License Type
Credit History

Living & Employment

Tell us about your living situation and how you get paid.
Accommodation Status
Status of your Accommodation
Current Address

Street Address

Street Address Line 2

Suburb Post Code

City
Time at Current Address?
Previous Address

Street Address

Street Address Line 2

Suburb Post Code

City
Years at Previous Address?
Employment Details

Income and Employment
Employment Status
Occupation
Name of Employer
Years & Months Current Employment
Previous Employment (required if current employment less than 2 years)
Previous Occupation
Name of Previous Employer
Years & Months Previous Employment

Assets & Final information

Balance owing
Balance in Bank Account / Savings
KiwiSaver Balance
estimate if unsure
Total Value of any Vehicles Owned
Total Value of Personal Effects
estimate if unsure
Total Property Value
Only enter if property owner
Total Mortgage Balance
Only enter if applicable
Total Value of all other Investments
e.g. stocks, crypto, etc

Confirmations and Disclosures
Are you aware of any upcoming changes to your current circumstances or financial situation that could affect your ability to make the loan repayments over the term of the finance contract?
If you selected ‘Yes’ above, please describe the reason your financial situation will change.
I confirm that all information provided in this application is true and complete, and that I have disclosed all relevant expenses that may impact the approval of this finance application. I understand that lenders will rely on this information when assessing my application and that providing false or misleading information may result in the application being declined. I declare that as of the date of this application submission and that I am not an undischarged bankrupt.

Notes - Anything else you would like to let us know
Consent
I authorize Bloom Financial Group to perform a Credit check or any other necessary required checks. I authorize Bloom Financial Group Ltd, White Wholesales LTD, and any lending or credit reporting agencies to collect personal and credit information about me from my employer, credit bureaus, or any individuals or entities with whom I have financial dealings, as well as from any references I have provided. This information, along with what I provide in my application, may be used in connection with this application and any future relationships we may have. Additionally, my personal and credit information may be shared with other lenders, credit bureaus, or credit reporting agencies as needed. We will provide your personal information to Centrix Group Limited when we use their consumer credit reporting services (for example for credit checking). Details of how Centrix handles your personal information can be found here: https://www.centrix.co.nz/privacy-statement. Centrix will collect your credit information for the purpose of providing credit reporting services to us and other subscribers to Centrix consumer credit reporting services, and Centrix will use and disclose your credit information in accordance with the Centrix Privacy Statement. You have rights of access to, and correction of your credit information and any other personal information held by Centrix as set out in Centrix Privacy Statement.
I hereby agree that the information given is true, accurate and complete as of the date of this application submission and that I am not an undischarged bankrupt.
I have read and agree to the Terms & Conditions, Privacy Policy, and acknowledge the Disclosure & Disclaimer. By submitting your application, you agree to our privacy policy - https://bloomfg.co.nz/privacy-policy and acknowledge the Disclosure statement https://bloomfg.co.nz/disclosure/.
Should be Empty:

Loan Application Form

Personal Details

Living & Employment

Employment Details

Income & Expenses

Existing Loans

Credit Cards

Assets & Final information

Confirmations and Disclosures

Consent