Prospect Enquiry Form (External)

Prosperity Finance

Office: 09 930 8999
support@profin.co.nz
www.prosperityfinance.co.nz

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Borrowing needs

Maximum Deposit Contribution

Deposit Source

Loan amount Required

Name

First NameLast Name

Preferred Name

Mobile Number

I would like to receive SMS notifications from Prosperity Finance

Email

Are you NZ Citizen or Permanent Resident has been living in NZ for at least 183 days in the last 12 months

Visa Type

Expiry Date

Date

Are you

Company Name

Income

Before/after Tax

Frequency

KiwiSaver Contribution

Application is

Joint with

Is your spouse

Is Your Business Partner

Spouse's Name

First NameLast Name

Spouse's Income

Partner's Income

Before/after Tax

Frequency

KiwiSaver Contribution

Partner's Name

First NameLast Name

Do you have children under the age of 18

No. of children under 18?

Daycare / education cost per week