Notice to customers approaching First National Bank requiring assistance with the restructuring of their FNB debt

Transcription

1 Notice to customers approaching First National Bank requiring assistance with the restructuring of their FNB debt You have approached First National Bank for assistance with your monthly repayments during this time of temporary hardship. We are pleased to forward you this application for our Special epayment Arrangement. A Special epayment Arrangement is one where the bank agrees to accept re-arrangement of payments determined by the relevant Business Area for a specified period. Upon expiry of the Special epayment Arrangement, the outstanding balances will revert to the original terms and conditions as previously agreed with you. Please note that this could possibly be higher than the previous repayment amount due to interest and fees. In order to assist you, you will be required to disclose your financial situation and potentially make certain lifestyle changes. You will also be required to provide us with copies of all relevant documentation as detailed in Section M of the application form. Please complete the Special epayment Arrangement application form provided to enable us to consider your request. emember to specify your preferred method of correspondence. While your application is being considered, please continue paying your account as normal. Should you require assistance, we encourage you to contact us on FNB P O Box 1420, Johannesburg 2000 Website : Tel: Fax: Directors: GT Ferreira (Chairman), SE Nxasana (CEO), VW Bartlett, JJH Bester, JP Burger, LL Dippenaar, DM Falck, PM Goss, PK Harris, W Jardine, EG Matenge-Sebesho, K Store, BJ van der oss, A Williams. Company Secretary: BW Unser First National Bank a division of Firstand Bank Limited. An Authorised Financial Services and Credit Provider (NCCP20). eg No. 1929/001225/06.

2 Application for Special epayment Arrangement Please complete the following form and fax it to our Customer elationship Centre on A - Application Details Home Loan account number 3 Credit Card number Cheque account number Other B - Personal Details Applicant Co-applicant / Spouse / Surety Title First Name/s Surname Mr Mrs Miss Ms Dr Prof Mr Mrs Miss Ms Dr Prof Date of birth (ddmmyyyy) Gender: Male Female Gender: Male Female ID / Passport no. SA Citizen Yes No If no, specify nationality: Yes No If no, specify nationality: Permit no. Country of issue Country of issue Permit expiry date (ddmmyyyy) (ddmmyyyy) Type of permit Work Study Permanent esidence Work Study Permanent esidence Self-employed Spouse etired Self-employed Spouse etired Work contract (ddmmyyyy) Issue date Issue date Expiry date Expiry date SA esident ace Preferred Language Yes No Type of residency: Temporary Permanent African Asian Coloured White English Afrikaans Other: Yes No Type of residency: Temporary Permanent African Asian Coloured White English Afrikaans Other: Preferred method of correspondence: Fax Post Fax Post Marital Status Physical Address (street) Surburb Town / City Postal Address Surbub Town / City Single Married Divorced Widowed If married, how? ANC COP Traditional Single Married Divorced Widowed If married, how? ANC COP Traditional Telephone no. (W) (H) (W) (H) (Fax) (Cell) (Fax) (Cell) Address C - Company / Close Corporation / Trust / Association details Compulsory supporting documents: 2, 3, 4 and 6. egistered name egistration no. VAT egistration no. Director(s) / Member(s) / Trustee(s) / Partner(s) Full Name(s) Full Name(s) Full Name(s) Identity no. Identity no. Identity no. First National Bank - a division of Firstand Bank Limited. An Authorised Financial Services and Credit Provider (NCCP20). eg No. 1929/01225/06

3 D - Employment Details Applicant Co-applicant / Spouse / Surety Employment status Occupation Type of employment Employed Self-employed Other Permanent Temporary Contract Employed Self-employed Other Permanent Temporary Contract Service period (months) Length of service Period of own business Length of service Period of own business Type of income Salary date Name of employer Employer address (street) Suburb Salary Wages Other Salary Wages Other Town/City Employer telephone no. Previous employer Previous length of service months months E - Auto Payment / Direct Debit Order Details (compulsory for all applications) Account name Bank name Branch name Account no. Account type Branch code Auto Payment / Direct Debit Order Details In the event of this application being approved, you authorise the Bank to debit your account, as stated above with the amount due monthly on the Special epayment Arrangement account on the payment date. On signature hereof you confirm that the account is in your name and should the account have insufficient funds, be incorrect or held in the name of any other person (whose consent you have obtained), you will be liable for any claims, loss or damages. You further acknowledge by appending your signature hereunder, that Firstand Bank Limited may verify the banking details provided, and that the account provided is compliant with the Financial Intelligence Centre Act (FICA). F - Financial Details Applicant Co-applicant / Spouse / Surety *Compulsory supporting documents: 1, 2, 3, 4 and 5. Gross income (cost to company) Nett income (after deductions) Any other income or salary increases you feel are forthcoming in the future (salary increases, bonuses, once-off income, investments, shares) Other income Monthly instalments Debts settled eduction in Debts settled eduction in instalments instalments Personal loans Yes No Yes No Motor finance Yes No Yes No Mortgage bonds Yes No Yes No Other, specify: Yes No Yes No evolving debt repayments Minimum repayment Average outstanding Minimum repayment Average outstanding balance balance Credit cards Store cards Overdraft Other, specify Living expenses total Household size First National Bank - a division of Firstand Bank Limited. An Authorised Financial Services and Credit Provider (NCCP20). eg No. 1929/01225/06.

4 G Debt Obligations (complete for Credit Card and Cheque applications only) Credit cards Name of creditor Total amount Instalment Account no. Interest rate Term outstanding Home loans Other mortgage instalments Personal loans Overdraft WesBank Sureties signed Other (specify) Total monthly debt commitments H - Living Expenses (complete for Credit Card and Cheque applications only) Commitments Paid by Applicant Paid by Partner Total paid Expenditure on food, cleaning materials and toiletries Property rental Property insurance Municipal rates (where property owned) Utilities (i.e. water and electricity) Transport (where essential for work and excl. debt repayments) Maintenance School fees and education Telephone Clothing Other (specify): Total living expenses First National Bank - a division of Firstand Bank Limited. An Authorised Financial Services and Credit Provider (NCCP20). eg No. 1929/01225/06.

5 I - Loan Details Employer subsidised loan Yes No Employer guarantee Yes No Group scheme Yes No Group scheme no. J - Statement of Assets and Liabilities Please include all liabilities in respect of homeowner levies, and/or municipal services and municipal rates. Description Assets Description Liabilities K- Declaration 1. I/We the undersigned certify that all the information provided to the Lender is true and correct, and that I/we have not withheld any information which would affect the decision of the Lender. 2. I/We acknowledge that providing the Lender with incorrect or false information may result in me/us being denied the protection offered by the National Credit Act, No. 34 of 2005 if applicable. 3. I/We certify that I/we am/are not under debt review or an administration order. 4. I/We consent to the Lender sending confidential information to the fax number supplied herein. 5. I/We will not incur further debt for the duration of this agreement. 6. I/We undertake to comply with all the requests from the Lender to enable it to evaluate my/our state of indebtedness and the prospect for responsible debt restructuring. 7. I/We commit to the restructuring and the repayment plan thereof. 8. I /We authorise Firstand Bank Limited to debit the account as listed for the purposes of paying amounts owing by you on your FNB accounts on a monthly basis. L - Financial Plan Please describe the steps you intend to take to improve your financial position in view of this application. Sale of property Sale of other goods Use of cash flow to repay debt Utilise proceeds of sales for commitments Increase of rental income Instalment you are able to commit to? What is your motivation for applying for temporary relief? Is the property in the market to sell, if yes please state the asking price? M - Supporting Documentation 1. Latest pay slip (Individuals)/Other sources of Income; 2. Financial statements (Self-employed, Company, CC, Trust, Association, Partnership); 3. Latest statement of Assets and Liabilities; 4. Copies of Identity Document(s) or Passport(s) (Member(s)/Director(s)/Trustee(s)/Partner(s)); 5. Copy of the Lease Agreement if property to be leased; 6. esolution (Company, CC, Trust, Association); 7. Temporary esidence Certificate (Foreign esidents); 8. Work Permit (Foreign esidents); 9. Proof of residential address; 10. Supporting information for your financial plan as stipulated in sections F, H, J and L in the application form. First National Bank - a division of Firstand Bank Limited. An Authorised Financial Services and Credit Provider (NCCP20). eg No. 1929/01225/06.

6 Clause I/we confirm that I/we have read, understood and agree to be bound by the terms and conditions relating to this Special epayment Arrangement. (If not married by way of a duly registered Antenuptial Contract in terms of the laws of South Africa, then both spouses are to sign). Customer - Full Name/Surname Customer - Full Name/Surname Consent of Surety (if applicable) I/we confirm that I/we have read, understood and agree to be bound by the terms and conditions relating to this Special epayment Arrangement. (If not married by way of a duly registered Antenuptial Contract in terms of the laws of South Africa, then both spouses are to sign). Surety Full Name/Surname Surety Full Name/Surname Companies, Close Corporations, Trusts and Associations (if applicable) For and on behalf of in his/her capacity as pursuant to a esolution dated the day of 20 a certified copy whereof is hereto annexed. Address egistration number FNB _06 Item no Jul08 First National Bank - a division of Firstand Bank Limited. An Authorised Financial Services and Credit Provider (NCCP20). eg No. 1929/01225/06.