info@gbf.co.nz
Term Deposit Application
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Application for Secured Term Deposit
New Zealand applications only accepted.
Investor Details
Application Type
Select Type
Individual
Trust
Company
Partnership
Company Name
Partnership Name
Company Contact
Title
Select a title
Mr
Mrs
Miss
Master
Ms
Dr
Not Stated
First Name
Middle Name/s
Family Name
Date of birth
Email Address
Phone Number
Street Address Search
Street Number
Street Name
Suburb
City
Postcode
Trust Name
Additional Company/Partnership/Trust Details
Do you have a nominee Director/Shareholder/Nominee General Partner?
Please Select
Yes
No
Nominee Details
Do you have a constitution?
Please Select
Yes
No
Upload Constitution Document
Are there any other powers that bind and regulate the organisation?
Please Select
Yes
No
Regulation Details
IRD Number
Preferred tax rate
Select Type
Approved Issuer 2%
Borrower Only
Non resident 10%
Non resident 15%
Resident 10.5%
Resident Low 17.5%
Resident Middle 30%
Resident High 33%
Resident Top 39%
Resident Company 28%
Resident Exempt 0%
Individuals Associated With This Application
Person 1 Details (Application Signatory)
Title
Select a title
Mr
Mrs
Ms
Miss
Master
Dr
Not Stated
First Name
Middle Name
Last Name
Date of Birth
Postal Address
Search Postal Address
Search and select to auto-fill postal address fields below
Street Number
Street Name
Suburb
City/Town
Post Code
Physical Address
Search Physical Address
Search and select to auto-fill physical address fields below
Street Number
Street Name
Suburb
City/Town
Post Code
Contact Information
Contact Email
Mobile Number
Phone Number
Tax Information
IRD Number
Preferred tax rate
Select Type
Approved Issuer 2%
Borrower Only
Non resident 10%
Non resident 15%
Resident 10.5%
Resident Low 17.5%
Resident Middle 30%
Resident High 33%
Resident Top 39%
Resident Company 28%
Resident Exempt 0%
Roles
Is this person an Investor?
Yes
No
Is this person a Trustee?
Yes
No
Is this person Acting on Behalf?
Yes
No
Add Another Person
Secured Term Deposit Details
Investment Amount
$
Interest Rate Selected
Select Type
Term deposit 12 Months at 4.50%
Term deposit 12 Months- Monthly Interest at 4.50%
Term deposit 18 Months at 4.50%
Term deposit 18 Months (Month Int) at 4.70%
Term deposit 2 Years at 4.85%
Term deposit 2 Years (Month Int) at 4.85%
Term deposit 3 Years at 4.90%
Term deposit 3 Years (Month Int) at 4.90%
Term deposit 4 Years at 5.00%
Term deposit 4 Years (Monthly Int) at 5.00%
Term deposit 5 Years at 5.25%
Term deposit 5 Years (Month Int) at 5.25%
Term deposit 6 Months at 3.90%
Term deposit 6 Monthly (Monthly Int) at 3.90%
Term deposit Secured 90 Days at 3.90%
Term deposit 9 Months at 4.00%
Term deposit 9 Months (Monthly Int) at 4.00%
Term deposit "at Call" at 1.50%
AML Verification
Drivers License Number
Version
Or
Passport Number
Expiry
Proof of Address Document
This could be:
Utilities Bill
Bank Statement
Rates Bill
Where did these deposit funds come from?
Source of Funds Confirmation Document
If Gold Band Finance finds the document provided is not sufficient, a team member will be in touch with further instructions.
Investment Options
Interest Payment Option
Please Select
Monthly by direct credit to bank account
Quarterly by direct credit to bank account
Quarterly compound
Email Interest Advices
Please Select
Yes
No
NZ Bank Account Number
Proof of Bank Account Document
Trust Requirements
Trustee Deed Document Upload
Maturity Options
Auto Renewal
(I wish for my investment to be automatically renewed on maturity for the same term at the applicable interest rate)
Maturity Notice
(Please send me notification just prior to maturity advising reinvestment and/or repayment options and applicable interest rates)
Terms and Conditions
I accept the
terms and conditions
(You must read and accept the terms in the viewer)
Signatures
Please accept the Terms and Conditions above before you can sign the document.
Applicant Signature(s)
Signed Date
You must accept the Terms and Conditions and complete your signature before submitting.
If you are having trouble submitting your application please email
info@gbf.co.nz
Submit
Terms and Conditions
Confirm Signature Lock
Are you sure you want to lock the signature? Once locked, no further edits can be made.
