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Tel no : (012) 661 0601

ATTENTION : AGENT NAME ……Albert Williams….CELL NO: …0763286009…………………….…………………

CLIENT NAME : …Zuko Ndodana……………………………………………………………………………………………………….

COMPLEX NAME :…..DIE HOEWES TOWERS..……………….………………………………………………………….………

Financial details Applicant Co-applicant / Spouse

INCOME
Gross income R56 000 R
Nett income R35 000 R
Other, specify: ex Rental R R
income
TOTAL INCOME R35 000 R

EXPENSES
BANK EXPENSES
Bond Instalment R0 R
Rent R3850 R
Vehicle Finance R5095.21 R
Credit Card R5600 R
Personal Loan R4249.27 R
HOUSEHOLD
Telkom/Cell R897 R
Education R R
Store Cards R R
Rates & Taxes R R
Groceries R R
Fuel/Travel R1500 R
Insurance R1760 R

TOTAL EXPENSES R22 951.48 R

NETT SURPLUS R12 048.52 R

Dependants
Are you under Yes
Administration order /
Debt Review No

150903
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BANK ACCOUNTS APPLICANT CO-APPLICANT

TYPE ACCOUNT BANK ACC NR BANK ACC NR

Cheque / Overdraft Standard Bank 042984041

Savings

Personal Loans Standard Bank 422131970

Credit Cards Standard Bank 5520577010171517

Investments

Declaration

1. I/We undersigned certify the following to the best of our knowledge that all the information provided is true and
correct and that no information which would affect the application has been withheld.

2. I/We acknowledge that providing incorrect or false information may result in me/us being denied the protection
offered by the National Credit Act, No. 34 of 2005.

3. I/None of us are under debt review or an administration order issued by a competent Court in the Republic of South
Africa for management of my/our continuing debt obligation.

4. I/We hereby give M&T permission to obtain my/our ITC records.

SIGNATURES :

__________________________________________ _________________________________________
SIGNATURE (APPLICANT) SIGNATURE (CO-APPLICANT)

03/03/2023
___________________________________________
DATE

150903