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*

YesNo

Email*

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

YesNo

Visa Type

Expiry Date

Date

Are you*

EmployedBusiness OwnerSole TraderNot currently employed

Company Name*

Income*

Before/after Tax*

GrossNet

Frequency*

WeeklyFortnightlyMonthlyYearly

KiwiSaver Contribution*

0%3%4%8%

Application is*

SingleJoint

Joint with

SpouseBusiness Partner

Is your spouse

EmployedBusiness OwnerSole TraderNot currently employed

Is Your Business Partner

EmployedBusiness OwnerSole TraderNot currently employed

Spouse's Name

First NameLast Name

Spouse's Income

Partner's Income

Before/after Tax

GrossNet

Frequency

WeeklyFortnightlyMonthlyYearly

KiwiSaver Contribution

0%3%4%8%

Partner's Name

First NameLast Name

Do you have children under the age of 18*

YesNo

No. of children under 18?

Daycare / education cost per week