Assetline Capital — Loan Application Please complete all sections. Required fields are marked with * ✓ Document Checklist Please confirm and upload the following supporting documents. Certified ID copies for all applicantsProof of address (not older than 3 months)Latest 3 months bank statementsLatest 3 months payslips OR 6 months for self-employedLatest signed financial statements (if entity)Asset & liability statementDetails of security offeredInsurance PolicyRates and TaxesLevies (if applicable) Company / Trust Documents (if applicable) Company documents (MOI, CIPC registration)Trust documents (Trust deed, Letter of Authority) Upload Documents ID Document(s) Proof of Address Bank Statements Payslips / Financial Statements Other Supporting Documents ① Applicant Details Applicant 1 Full Name * ID / Passport Number * Date of Birth Email Address * Mobile Number * Residential Address Marital Status SingleMarried in community of propertyMarried out of community of propertyDivorcedWidowed Employment Status EmployedSelf-employedBusiness ownerRetiredOther Employer / Business Name Gross Monthly Income (R) Applicant 2 (if joint application) Full Name ID / Passport Number Email Address Mobile Number Gross Monthly Income (R) ② Entity Details (if applicable) Complete this section only if applying through a company, trust or other entity. Entity Type N/APty LtdClose CorporationTrustSole ProprietorPartnershipOther Registered Name Registration / Trust Number VAT Number (if registered) Date of Incorporation / Registration Registered Address Nature of Business Directors / Trustees / Members (names and ID numbers) Beneficial Ownership Map Share Register Share Certificates ③ Professional Advisors Accountant / Auditor Name Accountant Contact Details Attorney / Conveyancer Name Attorney Contact Details Bank & Branch Broker / Intermediary (if any) ④ Loan Requirements Loan Amount Required (R) * Loan Term Required * 1 month3 months6 months9 months12 months18 months24 monthsOther Purpose of Loan * Preferred Drawdown Date Proposed Source of Repayment * Exit Strategy ⑤ Security Offered Type of Security * Residential PropertyCommercial PropertyVacant LandVehicleListed SharesOther Property / Asset Address or Description Estimated Market Value (R) Existing Bond / Encumbrances (R) Existing Bondholder Title Deed / Registration Number (if known) Is the property currently tenanted? YesNo Monthly Rental Income (if applicable, R) ⑥ Financial Position Assets (R) Cash & Bank Balances Property Value Vehicles Investments / Shares Other Assets Liabilities (R) Bonds / Mortgages Vehicle Finance Credit Cards Personal Loans Other Liabilities Monthly Income & Expenses (R) Total Monthly Income Total Monthly Expenses Notes on Financial Position ⑦ Declarations & Consent By submitting this application, I/we consent to Assetline Capital conducting credit and identity checks with credit bureaux and other information providers, and verifying the information supplied. I/we confirm that all information provided is true and complete to the best of my/our knowledge. I confirm that the information provided is complete and correct, and I consent to the credit and information checks described above. Applicant 1 — Print Name * Date * Applicant 2 — Print Name (if joint) Date