Finance Application | Auto 66

PH 07 847 6646 PH 07 847 6646 40 Greenwood Street, Frankton, Hamilton

2022 Mitsubishi Outlander # HYBRID/PHEV # FUEL-SAVER #

was $46,995now $46,495

Note: Clean Car fee/rebate may also apply

Apply For Finance Online

Please complete the following application form to apply for finance through Auto 66.

2022 Mitsubishi Outlander # HYBRID/PHEV # FUEL-SAVER #

was $46,995now $46,495

Note: Clean Car fee/rebate may also apply

Applicant

Address & Employment

Contact

Financials

Loan Detail

Apply

1. Applicant Information

Is this a joint application? No

First Name(s) required Please enter your first name(s)

Middle Name(s)

Last Name required Please enter your last name

Date of Birth required

Please select a valid date

Marital Status required Please enter your marital status

Number of Dependants. required Please enter the number of dependants

Drivers Licence Type required Please enter your drivers licence type

Drivers License No. required Please enter drivers licence no

Version No. required Please enter drivers licence version no

Drivers License Expiry Date

Home Phone

Mobile Phone Required Pease enter mobile phone number

Work Phone

Email Address required Please enter a valid email address

Partner Information

First Name(s) required Please enter your first name(s)

Middle Name(s)

Last Name required Please enter your last name

Date of Birth required

Please select a valid date

Home Phone

Mobile Phone

Marital Status required Please enter your marital status

Number of Dependants. required Please enter the number of dependants

Drivers Licence Type required Please enter your drivers licence type

Drivers License No. required Please enter drivers licence no

Version No. required Please enter drivers licence version no

Drivers License Expiry Date

Address Details

Own House
Renting
Boarding
Other

Please enter a Tenancy Type

Home Address required Please enter a your address

Suburb

City required Please enter city

Years lived at Address required Please enter the years lived at the above address

Employment Details

Employment Type required Please enter your employment type

How many years employed? required

Please enter number of years

Occupation required Please enter your occupation

Employer required Please enter your employer

Hours per Week Required Please enter hours worked per week

Address required Please enter a your previous address

Suburb required Please enter suburb

City required Please enter city

Phone required Please enter your employers phone number

Previous Employment Type

How many years employed? required

Please enter number of years

Occupation required Please enter your occupation

Employer required Please enter your employer

Hours per Week Required Please enter hours worked per week

Address required Please enter a your previous address

Suburb required Please enter suburb

City required Please enter city

Phone required Please enter your employers phone number

Employment Details - Partner

Employment Type required Please enter a your employment type

How many years employed? required

Please enter number of years

Occupation required Please enter your occupation

Employer required Please enter your employer

Hours per Week Required Please enter hours worked per week

Address required Please enter a your previous address

Suburb required Please enter suburb

City required Please enter city

Phone required Please enter your employers phone number

Previous Employment Type

How many years employed? required

Please enter number of years

Occupation required Please enter your occupation

Employer required Please enter your employer

Hours per Week Required Please enter hours worked per week

Address required Please enter a your previous address

Suburb required Please enter suburb

City required Please enter city

Phone required Please enter your employers phone number

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3. Contact Details

Next of Kin Details (NB - Must not live at the same address as you)

Name

Relationship

Phone

Address

Suburb

City

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4. Financials

Income

Applicant 1

Primary Income Type required Please enter your income type

Amount (in the hand) required Please enter the amount in the hand

Pay Frequency required Please enter your pay frequency

Other Income

Other Income Source

Applicant 2 / Partner Income

Primary Income Type

Amount (in the hand)

Pay Frequency

Other Income

Other Income Source

Outgoings (IE. Your expenses and repayments)

Expenses

Type required Please select an option

Amount required Please enter mortgage / rent / board amount

Paid To

Frequency required Please enter payment frequency

Loan Repayments

Type

Hire Purchase

Amount required
(enter 0 if none) Please enter amount

Owed To

Repayments

Frequency

Still Owing

Type

Credit Cards

AmountRequired
(enter 0 if none) Please enter amount

Owed To

Repayments

Frequency

Still Owing

Type

Amount

Owed To

Repayments

Frequency

Still Owing

Type

Amount

Owed To

Repayments

Frequency

Still Owing

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5. Loan Details

Vehicle Being Purchased

Finance Amount required Please enter the amount you wish to finance

Deposit Amount

Estimated Trade Value

Trade-In Plate No.

Comments

Other Information

Do you have any previous credit related issues that may need to be addressed prior to a successful application?

Are you an NZ citizen/NZ born?

Yes

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The Privacy Act 2020

I/we authorise Auto 66* to collect, retain and use the personal information about me/us, for the purposes of:

Assessing my/our credit worthiness;
Attending to the financing, whether directly or indirectly, of my/our contract(s) and enforcing Auto 66’s rights thereunder;
Marketing and/or informing me/us about the goods and services provided by Auto 66

I/we authorise Auto 66 to collect from credit reporting agencies, credit providers, my/our employer(s), accountant(s), relatives, or other person(s) such personal, financial and commercial information about me/us for the said purposes.

I/we authorise Auto 66 to provide this information:

To any person for the foregoing purposes;
to any employees and agents of Auto 66 and/or any other person, in any ordinary course of business, for any of the foregoing purposes;
To credit agencies for the purpose of maintaining proper or effective records.

I/we acknowledge that if i/we do not provide all or any part of the information requested on this application form, my/our application for finance may be declined. I/we further acknowledge that pursuant to the Privacy Act 2020, I/we have a right of access to information collected by Auto 66 about me/us and to request that this information be corrected. The information will be held at the office of Auto 66, 40 Greenwood Street, Frankton, Hamilton or the registered offices of any party nominated by Auto 66.

*Auto 66 and other associated third parties

To verify your acceptance of the above Privacy act statement please enter the word ACCEPT into the text box below and click the submit button.

Type the word ACCEPT to continue

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