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Online Application Form
Name
*
Email Address
*
Purpose for Loan
*
To purchase a new property
Refinance Loan(s)
Construction
Own Funds / Deposits
First Home Buyer
Other
APPLICANT 1 - Personal Details
*
Family Name
*
Given Names
Title
*
Male
Female
Sex
*
Date of Birth
*
Single
Married
Defacto
Divorced
Marital Status
Dependents
*
Number of Dependents
Age/s
Drivers Licence No:
*
Home Phone
Mobile Phone
*
Email
Fax
Phone
Snail Mail
Preferred Contact Method
Address Details
*
Street
*
Suburb
*
State
*
Postcode
*
Time at address - Years & Months
Postal address (if different to above)
Complete if lived at current address <3yrs
Previous Address
Time at previous address - Years & Months
Employment Details
Current Employer
Name
Address
Position
Industry
Full Time
Part Time
Casual
Employee Type
Taxable Income (per year)
Time at current employment
Previous Employment
Employer
Name
Address
Time at previous employment
APPLICANT 2 - Personal Details
Family Name
Given Names
Title
Male
Female
Sex
Date of Birth
Single
Married
Defacto
Divorced
Marital Status
Dependents
Number of Dependents
Age/s
Drivers Licence No:
Home Phone
Mobile Phone
Email
Fax
Phone
Snail Mail
Preferred Contact Method
Address Details
Street
Suburb
State
Postcode
Time at address - Years & Months
Postal address (if different to above)
Complete if lived at current address <3yrs
Previous Address
Time at previous address - Years & Months
Employment Details
Current Employer
Name
Address
Position
Industry
Full Time
Part Time
Casual
Employee Type
Taxable Income (per year)
Time at current employment
Previous Employment
Employer
Name
Address
Time at previous employment
Statement of Assets (Combine Assets if joint)
Properties Owned & Location (List All)
Monthly Income - Estimated Value for each property
Vehicles Owned - (Year & Make)
Estimated value of each vehicle
Bank Account / Term Deposit / Shares / Other Investments
List all Institutions & Details
Monthly Income - Estimated Value for each invesment
Superannuation
List all Institutions & Details
Present Value
Home Contents Insurable
Insurance Company
Present Value
Other Assets
Please List & Describe
Monthly Income - Estimated Value for each asset
Statement of Liabilities (What you owe)
Mortgages (please list all)
Monthly Payments & Amount Owing for each Mortgage
Lease / Hire Purchase / Personal Loans / Other
Please List & Describe
Monthly Payments & Amount Owing for each
Credit Cards & Credit Accounts
Please List Company / Type
Limit on each and Amount owing
Rent
Real Estate & Landlord Details
Monthly Payments for rent
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