Home Loan Application - Further Loan



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Home Loan Application - Further Loan Please complete the following form and fax it, together with the supporting documents, to 0860 74 88 87 or email it to HLApps@fnb.co.za A. Application details Applicant type Application type Home Loan account number Individual o Joint o Multiple o Close Corporation o Company o Trust o Further Home Loan o Convert from Home Loan to One Account o Are there existing covering bonds registered over this property for overdraft purposes? 3 B. Personal details Applicant Co-applicant / Spouse Primary Applicant o Co-Applicant o Spouse o Title Mr. o Mrs. o Miss. o Ms. o Dr. o Prof. o Mr. o Mrs. o Miss. o Ms. o Dr. o Prof. o First name(s) Surname Date of birth (ddmmyyyy) Gender Male o Female o Gender Male o Female o Country of birth ID/Passport no. S A esident esidency:- Temporary o Permanent o esidency:- Temporary o Permanent o S A Citizen If no, specify nationality: If no, specify nationality: ace African o Asian o Coloured o White o African o Asian o Coloured o White o Marital status Single o Married o Divorced o Widowed o Single o Married o Divorced o Widowed o Declared Insolvent / Sequestrated ehabilitated? If married, how? Country of marriage ANC o COP o Traditional o If married, how? ANC o COP o Traditional o Country of marriage Physical address (current) Suburb Town/City Postal address Suburb Town/City Telephone no. (w) Telephone no. (h) Cellphone Email address Statements will be emailed to the Primary Applicant's address. However, should you prefer your statements to be posted, this can be arranged after registration or payout of this bond. Firstand Bank Limited egistration Number 1929/001225/06 its order, successors in title or assigns ("the Lender") Home Loan Application Published April 2016 1 of 6

C. Source of Income Income type Please select up to 5 of the most applicable sources of income you will use to repay this home loan: Salary (I01) o Asset Disposal (I02) o ental Income (I03) o Interest (I04) o Dividends (I05) o Investment Income / Capital (I06) o Commissions earned (I07) o Donations (I08) o Insurance Payouts (I09) o Allowance (I10) o Proceeds from Own Business (I11) o Pension (I12) o Social Grants (I13) o Maintenance (I14) o Court order (I15) o Student Grants (I16) o Prize Winnings (I17) o Gifts (I18) o Inheritance (I19) o oyalty Income (I20) o ewards Earn (I22) o Salary (I01) o Asset Disposal (I02) o ental Income (I03) o Interest (I04) o Dividends (I05) o Investment Income / Capital (I06) o Commissions earned (I07) o Donations (I08) o Insurance Payouts (I09) o Allowance (I10) o Proceeds from Own Business (I11) o Pension (I12) o Social Grants (I13) o Maintenance (I14) o Court order (I15) o Student Grants (I16) o Prize Winnings (I17) o Gifts (I18) o Inheritance (I19) o oyalty Income (I20) o ewards Earn (I22) o D. Employment details Applicant Co-applicant / Spouse Employment status Employed o Self-employed o Other: Employed o Self-employed o Other: Employment sector Occupation Type of employment Permanent o Temporary o Contract o Permanent o Temporary o Contract o Length of service Months Period of own business Months Period of own business Type of income Salary o Wages o Other: Salary o Wages o Other: Name of employer Employer address (street) Suburb Town/City Employer telephone no. Previous employer Previous length of service E. Banking details Account holder Bank name Account no. Account type Branch name Branch code (Months) Applicant (Months) Co-Applicant / Spouse Firstand Bank Limited egistration Number 1929/001225/06 its order, successors in title or assigns ("the Lender") Home Loan Application Published April 2016 2 of 6

F. Financial details Gross income (cost to company) Commission Other (specify) Other (specify) Applicant Co-applicant / Spouse Total Gross Net Income (amount deposited into your bank account) Monthly Expenses Instalment Debt Vehicle (HP/Lease) Mortgage (Bond/ent) Will this Bond/ent fall away after registration of this bond? Yes o No o Yes o No o Personal Loan Medical Aid Contribution (if not deducted from salary) Telephone & Cell Other (specify) Obligation as Surety Child/Spouse Maintenance Total Instalments evolving Monthly Payments Outstanding Balance Minimum epayment Outstanding Balance Minimum epayment Credit Cards etail Cards Overdraft Other evolving Debt Total Minimum epayments Living Expenses Housekeeping (groceries etc.) Water & Lights Levy / ates & Taxes Fuel & Vehicle Maintenance Insurance Car & Household Life Assurance Policies Education School/University Total Living Expenses Total Expenditure Total Net Income Less Total Expenditure Surplus/Shortfall Household size: Number of people dependent on this income: Adults Children Firstand Bank Limited egistration Number 1929/001225/06 its order, successors in title or assigns ("the Lender") Home Loan Application Published April 2016 3 of 6

G. Loan details Amount required H. Details of the Property to be bonded Property type Purchase price (if applicable) Property use Stand/Erf no. Physical address (street) Loan term (years) Maximum 20 years Freehold property o Sectional title o Small holding o Vacant land o Primary residence? Portion no. Town/City Suburb GPS co-ordinates Complex name Section Number(s) Contact person (to gain access to property for valuation) Cellphone egistered bond holder s name egistration Attorney details I. Company / Close Corporation / Trust details egistered name Unit no Telephone no. egistration no. VAT registration no. Country of establishment All Director(s)/Member(s)/Trustee(s)/Shareholder(s) are required to complete the Personal Details section of the application form. Source of income Please select up to 5 of the most applicable sources of income you will use to repay this home loan: Sales Goods and Services (E01) o Asset Disposal (E02) o ental Income (E03) o Interest Income (E04) o Dividend Income (E05) o Investment Income / Capital (E06) o Commissions (E07) o Donations (E08) o Insurance Payouts (E09) o Loans (E10) o Government Grants (E11) o Membership Fees (E12) o Development Funding (E13) o Grants (E14) o oyalty Income (E15) o Share in terms of share trusts (E16) o Fees earned (E17) o ewards Earn (E22) o J. Supporting documentation that must accompany this application NB In all instances, copies of all relevant parties Identity Documents or Passports are required. In all instances (apart from where the Applicant banks with FNB), the latest three months bank statements will be required for salaried applicants, and 6 months bank statements will be required for self-employed and commission earning customers (internet transaction history will not be accepted). The statements must be of the account into which the Applicant(s) income is deposited, and these must accompany the application. In addition, the relevant supporting documentation as stated below is also required. If you are applying for a:- Then we require the following together with the relevant fully completed application form:- First bond Offer to Purchase Switch from another bank Latest 6 months home loan statements Building loan One Account Further loan If the applicant is:- A salary earner A commission / Over time Building contract / Offer to purchase Schedule of finishes from the builder Quotation / tender, with a full breakdown of costs, from the builder Builder's NHBC registration certificate Draft building plan (Architect's plan in.pdf format) Offer to purchase (for every new purchase) As per the relevant category Then we require:- Last six (consecutive) months payslips, reflecting the commission, are required. Last 3 months bank statements. Firstand Bank Limited egistration Number 1929/001225/06 its order, successors in title or assigns ("the Lender") Home Loan Application Published April 2016 4 of 6

Supporting documentation...(continued) Weekly earner Paid fortnightly / Twice a week Pensioner Incentive / Bonus ental Maintenance Payslip for every week for the past 3 months. All payslips covering the last 3 months. Letter from your company stating you are a pension earner and the monthly pension amount. Annuity letter from relevant insurance company. 12 months latest payslips. Signed rental or lease agreement. NOTE: ental must be deposited into an FNB transactional account. We do not take maintenance into account. Newly employed (less than 3 months) Self employed / A Company / A Close Corporation / A Trust First payslip is required otherwise we are unable to process the application. Employment contract. Shareholder in a Company with 19% or less shareholding: Auditor's letter confirming shareholding percentage Latest Payslip Self-employed shareholder in a Company with 19% or more shareholding O a member of a Close Corporation Accountant's letter confirming percentage shareholding of business and value of income derived from business (only applicable to Company) Signed and dated personal assets and liabilities, not older than 9 months Signed and dated personal income & expenditure statement Signed up-to-date year-end financial statements covering the last 3 years and up-to-date management accounts if year-end financials are older than 9 months Year-end financials, prepared/signed by an accredited accountant/financial officer/auditor and signed by the customer/applicants Last 6 months business bank statements Last 3 months personal bank statements if salary is the same every month, else last 6 months required The Lender may request latest 3 years Tax eturns - ITA34 (No IP5 accepted) In addition to the above, the following documentation, relevant to the applicant type, is required. Individual / Joint / Multiple customer SA Citizen working abroad Foreign National Non-resident A Company A Close Corporation (non-trading) ID document of each applicant Note:- If married COP or if the home loan will be in more than 1 name, ensure that you submit all the necessary documents for each applicant ID Document Last 6 months bank statements from the country you bank with. Last 6 month's payslips Employment contract Valid passport Latest payslip Must have banked with FNB for a minimum of 12 months Work permit which must be valid for a minimum of 3 years Valid passport Last 6 months payslips (regardless of which country you worked) (no self-employed applicants) Last 6 months bank statements (regardless of in which country you banked) Company's latest financial statements All financial information of each Director / Shareholder - see Source of income Note:- Personal assets and liabilities statement is required for all Directors CK2 document (if there have recently been changes in membership) The CC's latest financial statements All financial information of each Member - see Source of income Note:- Personal assets and liabilities statement is required for each Member, even if the income is from a salary A Trust Trust Deed (the Lender will not process the application where the Trust is not yet formed) Trust's letter of authority. Trust's latest financial statements All financial information of each Trustee - see Source of income Letter from accountant showing non vested interest of Trustees. Note:- Personal assets and liabilities statement is required for each Trustee, even if the income is from a salary A Sole Proprietor As per self-employed except that trading results (balance sheet and profit & loss statement) do not have to be prepared by a registered accountant or auditor Note:- The Lender may request the latest SAS ITA34 if no proper trading results are available K. Authorisation 1. Debit Order / Salary Stop Order 1.1. The Customer(s) hereby authorise(s) the Lender to effect the necessary changes to the amount payable under the Customer(s) debit order authorisation, in order to take into account any adjustments to the Customer s monthly repayments. 1.2. It is also the sole responsibility of the Customer(s) to ensure that the salary stop order is amended to take into account any adjustments to the Customer(s) monthly repayments. Firstand Bank Limited egistration Number 1929/001225/06 its order, successors in title or assigns ("the Lender") Home Loan Application Published April 2016 5 of 6

L. Declaration and Consent 1. Declaration 1.1. I/We the undersigned certify that all the information provided to Firstand Bank Limited egistration Number 1929/001225/06 its order, successors in title or assigns ("the Lender") ("the Lender") is true and correct, and that I/we have not withheld any information which would affect the decision of the Lender. 1.2. 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. 1.3. I/We certify that I/we am/are not under debt review or an administration order. 1.4. I/We acknowledge that the payout of funds can not be processed until all the account holders have been identified in terms of FICA requirements. 1.5. I/We will not have access to the Flexi Option with a set limit. The Flexi Option will only allow access to funds paid over and above the minimum monthly repayment amount (Prepaid amount). 2. Consent 2.1. I/We consent to the Lender processing (collecting, using, storing or otherwise dealing with) my/our personal information for the purposes of providing services and products. 2.2. I/We consent to the Lender sending confidential information to the email address supplied herein; 2.3. l/we consent and authorise the Lender pursuant to this application to: M. Clause 2.3.1. obtain from any credit bureau all personal information relating to my/our credit profile 2.3.2. transmit all personal information provided by me/us relating to this application to OUTsurance Insurance Company Limited, for the purpose of offering insurance products to me/us, relating to this application. and 2.3.3. transmit to any credit bureau all personal information relating to this application, the entering into and termination of any agreement as permitted in terms of the National Credit Act. 2.3.4. contact my current or prospective employer to confirm my/our continued employment. I/we confirm that I/we have read and understood this application. (If not married by way of a duly registered Antenuptial Contract in terms of the laws of South Africa, then both spouses must sign). Customer - Full Name/Surname Customer - Full Name/Surname Consent of Surety (if applicable) I/we confirm that I/we have read and understood this application. (If not married by way of a duly registered Antenuptial Contract in terms of the laws of South Africa, then both spouses must sign). Surety - Full Name/Surname Surety - Full Name/Surname Companies, Close Corporations and Trusts (if applicable) For and on behalf of in his/her capacity as pursuant to a esolution dated the day of 20 Address egistration number a certified copy is attached. Firstand Bank Limited egistration Number 1929/001225/06 its order, successors in title or assigns ("the Lender") Home Loan Application Published April 2016 6 of 6