Apply Now Apply Now to Rent to Buy Your Name & Contact DetailsName* First Last Your date of birth*Your Mobile Phone*Your Home Phone*Email* Your: Drivers Licence Number*Your: Drivers Licence Version*Do you...?BoardRentRent to ownOwnHow much do you pay ($)?Payment Frequency*WeeklyFortnightlyMonthlyYour Current Address*Suburb and City | Town*Postcode*Years at Current Address?Number of dependents you support*012345 or moreDo you have a partner/husband/wife?*YesNoAre you a NZ resident ?YesNoYour Employment DetailsOccupation*Employer*Employer Phone Number*How long have you worked there?*0 - 6 months6 months - 1 year1 - 2 years2 - 3 years3+ yearsTake-home pay per week after Tax*Your Employment Status*Full-time PermanentTemporaryPart-timeSelf-employedCasualSeasonalBeneficiaryWINZ DetailsWINZ Customer #*Type of Benefit*Unit DetailsCompanyUnit2GoCompany-ACompany-BType of Unit - Unit2Go*2 or 3 Brm Transportable Home 13m x 5m2 or 3 Brm Tiny Home 12.6m x 3.9m2 or 3 Brm Tiny Home 12m x 5m2 Brm Super Deluxe Tiny House 12m x 3.6m2 Brm Unit 10m x 3.62 Brm Unit 10m x 2.8mOpen Plan Studio 7.2m x 2.8mLarge Sleepout 6m x 2.8mSmall Sleepout 4.1m x 2.4mType of Unit - Company A*Unit1Unit2Unit3Unit4Like to include a co-borrower?*YesNoIs your co-borrower your partner/husband/wife?*YesNoSelect your purchase optionRent to BuyRentFriend/Referral Name*Co-borrower detailsDoes the Co-borrower's live at the same address as you?*YesNoCo-borrower's Name* First Last Co-borrower's Current Address*Co-borrower's Date of Birth*Co-borrower's Mobile Phone*Co-borrower's Drivers Licence Number*Co-borrower's Drivers Licence Version Number*Co-borrower's Email* Partner's ContactsDoes your partner live at the same address as you?*YesNoPartner's Name* First Last Partner's Current Address*Partner's Date of Birth*Partner's Mobile Phone*Partner's Drivers Licence Number*Partner's Drivers Licence Version Number*Partner's Email* Unit Site DetailsWill the unit be onMaori LandFreehold LandSite Address*Suburb and City | Town*Postcode*Legal land owner - Name* First Last Legal land owner's Phone Number*Legal land owner - Address*Legal Land owner live at the site?*YesNoWhat assets do you own?House Market Value*Mortgage Balance*Chattels*What are your debts? Types of debt/s* Credit Card Hire Purchase Store Card Personal Loan Overdraft Guarantor Other Nil Please select all that applyBalance*Next of Kin DetailsNext of Kin - Name* First Last Relationship to next of Kin*Next of Kin - Email* Next of kin- Mobile Phone*Next of kin- Address, including area*Next of Kin- Suburb and City | Town*Additional Contacts Please give us names of three other people we can contact in the event we are unable to reach you, must reside at a different address from each other & yourself, they must be different from the next of kin listed above. Contact Person 1Personal Contact 1 - Name* First Last Personal Contact 1 - Phone*Personal Contact 1 - Address*Personal Contact 1 - Suburb and City | Town* Contact Person 2Personal Contact 2 - Name* First Last Personal Contact 2 - PhonePersonal Contact 2 - Address*Personal Contact 2 - Suburb and City | Town* Contact Person 3Personal Contact 3 - Name* First Last Personal Contact 3 - Phone*Personal Contact 3 - Address*Personal Contact 3 - Suburb and City | Town*Partner's Employment DetailsPartner: Occupation*Full Time PermanentTemporaryPart TimeSelf EmployedCasualSeasonalBeneficiaryOtherTake-home pay per week after Tax*Partner: Current Employer*Partner: Work Phone*Contact MethodWhat is the best way for us to contact you (please select all that apply)?* Phone Mobile Email PLEASE NOTE IF ID AND PROOF OF ADDRESS ARE NOT SENT AT TIME OF APPLICATION, WE WILL BE UNABLE TO PROCESS YOUR APPLICATION. Thank you for completing our online application, we will endeavour to get back to you within 2 working days. Please check your emails before contacting us for an update. Please be aware that additional information and verification of information may be required to complete your online application. If you require any assistance please call us on 0800 864 824 (press 2 for accounts). All application forms must be accompanied with photo ID and proof of address (either scanned, or by PXT) Scan: firstname.lastname@example.org PXT: 021 504 540Payments Please pay delivery fee into the following ASB bank account. Ufinance Ltd 12-3237-0045403-00 Please put you full name as reference.Terms and Conditions THE PRIVACY ACT 1993. By accepting the terms and conditions: 1. I/We (being each person named above) understand that all personal information (“personal information”) UFinance (“you”) holds about me, whether now or in the future, will be used for any or all of the following purposes: to process and assess any request for finance I have made with you now or in the future; for the management, assessment or enforcement by you of any agreement and/or security I have with you; to assess my credit worthiness and financial position from time to time; to verify my identity as may be required from time to time by the Anti-Money Laundering and Countering Financing of Terrorism Act 2009 and regulations (AML laws); to collect any outstanding debt from me; to offer me further finance; to market your products and services and the products and services of your associated companies to me. 2. I authorise you (for any of the purposes listed above) to: make enquiries about me, disclose personal information to any third party and/or obtain information about me that you consider necessary from any third party (including but not limited to government departments, my employer, my landlord). In this regard I authorise any such third party to provide to you information about me that you consider necessary for such purposes; in particular the inquiries from third parties that I have authorised above include: accessing name and address information about me from the Motor Vehicle Register, even if I have previously advised the Motor Vehicle Register that I did not want that information to be disclosed; making fines status queries about me to the Ministry of Justice. Where I have provided you with driver licence information for that purpose, I have done so voluntarily and understand that I am not obliged to do so. disclose information about me (where required) to your insurers, potential assignees, credit rating and credit reporting agencies including disclosing default information to any credit reporting agency, such as Centrix (Centrix); obtain from Centrix any information which it holds and which may assist you in verifying my identity as may be required by the AML laws; use any of the information about me for the purposes of informing me from time to time about your products and services, and the products and services of your associated companies. 3. I/We understand that I have the right to access and correct personal information held by you by contacting you. 4. I/We understand that all information you provide to Centrix (including my default information) will be held by Centrix for its credit reporting service and Centrix may give such information to its customers who use its service, including customers to whom Centrix is permitted by law to disclose that information to assist them in verifying my identity as required by the AML laws. I also understand that I may access and correct the information held by Centrix by writing to Centrix at PO Box 62512, Greenlane, Auckland 1546. 5. I/We declare that the information I have provided to you in any application for credit is correct and complete and I/We agree to immediately advise you of any change to any information contained in any such application. 6. I/We understand that you reserve the right to decline any application for credit. 7. I/We agree that personal information may be transmitted between ourselves or by you to any third party (for the purposes set out above) using facsimile and/or electronic mail. 8. I/We acknowledge that there are security risks associated with the electronic transmission of information. I authorise any third party to provide my personal information to you for any of these purposes. I/We also authorise UFinance Ltd to disclose information about any loan arising out of this application to any potential assignee of this loan or to any person providing services in connection with refinancing this loan, or to any person or organisation you have authorised to obtain information, at any time in the future. I/We also understand that I/We have the right to access and correct personal information held about me/us in accordance with the Privacy Act 1993. 1 This only applies to those credit providers who are entitled to participate in positive credit reporting.Main Borrower* I have read and accept these terms and conditions Co-Borrower* I have read and accept these terms and conditions Please note, the Main Borrower cannot authorise acceptance on behalf of the Co-Borrower.