Panthera Finance NZ | Financial Position Statement

Panthera Finance can tailor a realistic solution to suit your current situation. So that we can assess your situation in a timely manner please provide current and accurate details of your financial position and attach all documentary evidence in support of your application.

Customer Details

Full name (required): Your name is required

Account reference (required): Please enter a valid reference number

Date of birth (required):

required

Email (required): Please enter valid email address

Contact number (required):

Alternative contact number:

Street Address (required):

Suburb (required):

Town/City (required):

Postcode (required):

Please provide any information that you consider relevant to your request for a financial hardship variation:

Security

What is the estimated value of the property (e.g. car or house) that is the security for the loan?

Type of security 1: Type of security 2: Type of security 3: What is your current monthly household income after tax? Salary:

Business Income:

Rental Income:

Centrelink Benefits:

Child Support:

Other (indicate source):

Other (amount):

Security cost 1:

Security cost 2:

Security cost 3:

What are the values of your other assets? Properties:

Vehicles:

Superannuation:

Bank Balance:

Other (indicate source):

Other (amount):

Living Expenses

Rent:

Council Rates:

Water Bill:

Gas or Electricity bill:

Telephone bill:

Insurance:

Other (indicate type):

Food:

Clothing:

Medical Expenses:

School Fees:

Car Costs:

Other Travel Expenses:

Other (amount):

Current Debts

What are your current debts and minimum repayments? Please include the name/s of the lender.

Your Home loans:

Balance:

Required Monthly Payment:

Monthly Payment Made:

Arrears Amount:

Personal loans/Credit Cards:

Balance:

Required Monthly Payment:

Monthly Payment Made:

Arrears Amount:

Other Debts:

Balance:

Required Monthly Payment:

Monthly Payment Made:

Arrears Amount:

Supporting Documentation

Please provide all relevant supporting documents: [help?]

Only .pdf, .doc, .docx, .png and .jpg files.

Please leave blank: