Your Loan Requirements:

Purpose of Loan:

--- select --- buying a home refinancing existing mortgage buying investment property debt consolidation accessing home equity purchase/refinance land only home construction home renovation/improvement

Loan Amt Required (numbers only please): $ 

Details of Applicant/s:

Applicant 1

Applicant 2 (if applicable)

First Name:

Surname:

Age:

First Home Buyer?

--- select --- Yes No

--- select --- Yes No

Number of Dependents:

--- select --- None 1 2 3 4 5+

--- select --- None 1 2 3 4 5+

Age of Dependents:

Your Credit History:

--- select --- no recorded defaults previous defaults all paid defauts being paid on arrangement outstanding defaults bankrupt - discharged bankrupt - undischarged

--- select --- no recorded defaults previous defaults all paid defauts being paid on arrangement outstanding defaults bankrupt - discharged bankrupt - undischarged

Your Contact Details:

Note: It is important that you provide accurate telephone and email contact details - otherwise we cannot assist you.

Applicant 1

Applicant 2 (if applicable)

Street Address:

Suburb:

State:

--- select --- NSW Vic Qld WA SA Tas ACT NT

--- select --- NSW Vic Qld WA SA Tas ACT NT

Postcode:

Daytime Telephone:

Evening Telephone:

Email Address:

Your Assets:

Numbers only in this section please

Property Value: $

This is the value of the property you wish to finance / refinance.

Other Property: $

Including investment property, vacant land, etc.

Savings: $

Please include cash and bank deposits

Shares & Equities: $

Other Assets: $

Your Liabilities:

Numbers only in this section please

Existing Mortgage:$

If refinancing, renovating or building, this is the amount you currently owe. Otherwise leave blank.

Other Mortgages:$

Enter the amount of any other loans secured by this or other property.

Credit Cards: $

Spending limit

Total owing

Other Loans:$

Car finance, personal loans, etc

Tax:$

Please enter the amount of any outstanding personal tax liabilities (if any)

Your Employment Details:

Applicant 1

Applicant 2 (if applicable)

Employment Status:

--- select --- employed full-time self-employed working director part-time or casual not employed pensioner

--- select --- employed full-time self-employed working director part-time or casual not employed pensioner

Occupation:

duration of current employment:

--- select --- less than 6 months 6 months to 1 year 1 year or more 2 years or more 3 years or more

--- select --- less than 6 months 6 months to 1 year 1 year or more 2 years or more 3 years or more

duration of previous employment:

if less than 3 years with the above employer ...

--- select --- less than 6 months 6 months to 1 year 1 year or more 2 years or more 3 years or more

--- select --- less than 6 months 6 months to 1 year 1 year or more 2 years or more 3 years or more

your gross income incl tax (numbers only please):$

amount

frequency

amount

frequency

--- select --- per week fortnightly twice monthly monthly per annum

--- select --- per week fortnightly twice monthly monthly per annum

plus any additional income or benefits: $

--- select --- per week fortnightly twice monthly monthly per annum

--- select --- per week fortnightly twice monthly monthly per annum

Comments:

Please make any additional comments that you feel may be relevant in the box provided below.