Loan ApplicationBusiness Loan Application FormOnly applicants residing in New Zealand are eligible to apply.Business Loan Application FormΔ Updates Business DetailsLegal Business NameTrading Name (if different)NZBNNZ Business Number (e.g., 942903xxxxxxx)Industry SectorE.g., Retail, Construction, HealthcareBusiness AddressStreet, Suburb, City, PostcodeBusiness Phone NumberBusiness Email AddressWebsite (if applicable)Date Business StartedDD/MM/YYYYIRD NumberNZ Inland Revenue Department numberBusiness Structure- Select -Sole TraderPartnershipLimited CompanyTrustOtherLoan Request DetailsLoan Amount Requested (NZD)Numbers only, no symbolsPurpose of the Loan- Select -Working CapitalEquipment PurchaseExpansionVehicle PurchaseRefinanceOtherIf 'Other', please specifyPreferred Loan Term- Select -6 months12 months24 months36 months48 months60 monthsRepayment Frequency- Select -WeeklyFortnightlyMonthlyPreviousNextBusiness Financial InformationAnnual Revenue (last financial year)e.g., 1500000Net Profit (last financial year)e.g., 120000Number of EmployeesInclude owners and part-time staffGST Registered?- Select -YesNoBusiness Ownership Details - Owner / Director 1Full NameDate of BirthHome AddressPhone NumberEmail AddressIRD NumberOwnership PercentageNZ Residency Status- Select -NZ CitizenPermanent ResidentWork Visa HolderOtherBusiness Ownership Details - Co-owner / Co-director (if applicable)Co-owner / Co-director Full NameCo-owner / Co-director Date of BirthCo-owner / Co-director Home AddressCo-owner / Co-director Phone NumberCo-owner / Co-director Email AddressCo-owner / Co-director IRD NumberCo-owner / Co-director Ownership PercentageCo-owner / Co-director NZ Residency Status- Select -NZ CitizenPermanent ResidentWork Visa HolderOtherPreviousNextSecurity / Collateral (if applicable)Offering any collateral?- Select -YesNoType of Security- Select -Business AssetVehiclePropertyPersonal GuaranteeOtherAsset DetailsRequired Supporting DocumentsCheckbox Field Latest Financial Statements (Profit & Loss, Balance Sheet) 6 Months of Business Bank Statements Photo ID for Each Director (Passport or NZ Driver License) Proof of Address (e.g. utility bill) Any Additional Supporting DocumentsSupporting Documents (max 20 documents)Choose File Final Declaration & SubmissionI confirm all information provided in this application is true and correct.I authorise the lender to conduct credit and background checks. Please read the customer credit check authority form.I acknowledge this application does not guarantee loan approval.I accept the terms and conditions of the loan application process.PreviousSubmit Form5086