Home Loan Application Form

Current Financial Position (do not include any proposed purchase)

Current Income and Expenditure

Your Requirements

Summary

Southern Cross is a division of Heartland Building Society (“Society”).

Declarations and Signatures

• I/WE are not less than 18 years of age.*
• I/WE certify that all the information set out in this application is true, correct and complete.*
• I/WE understand that all legal and valuation costs incurred in connection with this application are payable by me/us.*
• I/WE certify that I/we are not undischarged bankrupt/s, are not admitted to the "no asset procedure" under, or are liable under any proceedings under, the Insolvency Act 2006 and its amendments or have had any judgements entered against me/us.*
• I/WE believe that I/we can afford to service the credit applied for.*
• I/WE HEREBY AUTHORISE AND CONSENT TO the Society making all necessary inquiries and obtaining all necessary information as it shall deem fit in order to process (my/our/the company) mortgage application or monitor and evaluate its security and risk and to collect and be provided with such information from any person, company, or authority including but not limited to:*
  1. 1. Past or present employment details and which may require direct contact with any past or present employer.
  2. 2. Past or present business dealings
  3. 3. Credit or other financial details (including the procurement of credit checks or other financial information concerning directors and/or shareholders of any borrowing/covenanting company).
  4. 4. General matters relevant to this application from (my/our/the company) solicitors, accountants, bankers, valuers, brokers, insurers, real estate agents, builders or other associated advisors, contractors or authorities.
• I/WE FURTHER AUTHORISE*
  1. 1. The use of this information for any subsequent dealings which (I/we/the company) may have with the Society as a result of this application and for purposes other than that for which the information was originally collected.
  2. 2. The disclosure and/or assignment of such information and details of any subsequent dealings (I/we/the company) may have with the Society or its mortgage insurer to any other third party as a result of this application, including without limitation, any credit information agency.
• And I/WE ACKNOWLEDGE*
  1. 1. If this application is approved by the Society, it will be subject to the Society's Terms and Conditions. for Southern Cross accounts.

Privacy Policy

Pursuant to the Privacy Act 1993 the Society advises that:

1. a) This form collects personal information about you;
2. b) The information is being collected to enable you to apply for a home loan with the Society and to obtain the use of other Society products and services;
3. c) The intended recipients of the information are the Society and its agencies. In addition, unless you have authorised us to do so, the Society will not rent or sell your personal information and will not disclose it to any third party except:
   • (i) where disclosure is connected to the purposes for which the information was collected, as listed in clause 2(c) of the Society's Privacy Policy;
   • (ii) to our service providers, communications and network operators and selected business partners, in order to be able to provide the requested services to you;
   • (iii) our agencies, research firms and direct marketing firms engaged by us, for the purpose of various marketing initiatives that may be undertaken by the Society;
   • (iv) to relevant authorities, parties and/or applicable intellectual property rights holders (or their representatives) if we consider that you are in breach of the Society's or any other person's rights; or
   • (v) where required, or permitted, by law.
4. d) The information is being collected by and held at Southern Cross, P O Box 554, Auckland;
5. e) Failure to provide this information or provision of incorrect information may result in your application for Society products and services being declined, or your being unable to have a home loan from the Society;
6. f) You do have rights of access to, and correction of, personal information supplied to and held by the Society.
7. For further information about the Southern Cross's Privacy Policy please click here.

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