Purpose for loan:

To purchase a property:

$

Costs to be financed:

$

Refinance loan(s):

$

Other:  (specify)

   $

Bridging:

$

Less own funds:

$

Construction:

$

Total Loan required:

$

 Applicant 1        Borrower Guarantor
Personal Details

Existing customer?

Yes    No

Family name:

*
Please enter your family name.

Given names:

*
Please enter your first name.

Please enter your given name(s).

Title:

Sex:

Male    Female

Date of birth:

dd mm yy *

Marital status:

Single    Defacto
Married  Divorced
Dependents: Number:
  Age/s:

Driver's licence No:

Home phone:

*
Please enter your phone number.

Work phone:

Mobile phone:

Fax:

Email Address:

*
Please enter your email address. Invalid email address.

Preferred contact method:

Email    Fax
Phone  Snail Mail
Address Details

Current address:

*

Suburb:

*

State:

*

Postcode:

*

Time at address:

Years Months

Postal address:
(if different to above)

Postal Suburb:

Postal State:

Postcode:

New address after settlement:
(if different to above)

New Suburb:

New State:

New Postcode:

If you have lived at your current address for less than three years, please complete below...

Previous address:

Previous suburb:

Previous state:

Previous postcode:

Time at prev address:

Years Months
Employment Details

Current employer:

Name:

Address:

Position:

Industry:

Employee type:

Taxable Income:

$ (per year)

Time at current Employment:

Years Months
If less than three years please indicate previous employment...

Employer:

Name:

Address:

Employer:

Name:

Address:

Time:

Years Months
 Applicant 2       Borrower Guarantor
Personal Details

Existing customer?

Yes    No

Family name:

Given names:

Title:

Sex:

Male    Female

Date of birth:

dd mm yy

Marital status:

Single    Defacto
Married  Divorced
Dependents: Number:
  Age/s:

Driver's licence No:

Home phone:

Work phone:

Mobile phone:

Fax:

Email Address:

Preferred contact method:

Email    Fax
Phone  Snail Mail
Address Details

Current address:

Suburb:

State:

Postcode:

Time at address:

Years Months

Postal address:
(if different to above)

Postal Suburb:

Postal State:

Postcode:

New address after settlement:
(if different to above)

New Suburb:

New State:

New Postcode:

If you have lived at your current address for less than three years, please complete below...

Previous address:

Previous suburb:

Previous state:

Previous postcode:

Time at prev address:

Years Months
Employment Details

Current employer:

Name:

Address:

Position:

Industry:

Employee type:

Taxable Income:

$ (per year)

Time at current Employment:

Years Months
If less than three years please indicate previous employment...

Employer:

Name:

Address:

Employer:

Name:

Address:

Time:

Years Months
Statement of Assets (What you own)  For joint applications please combine assets
Properties Owned
# Property Location Monthly Income Estimated Value
1 $ $
2 $ $
3 $ $
Vehicles Owned
# Year / Make Estimated Value
1 $
2 $
Bank account/term deposit / shares / other investments
# Institution Monthly Income Estimated Value
1 $ $
2 $ $
3 $ $
4 $ $
5 $ $
Superannuation
# Institution Present Value
1 $
2 $
Home Contents Insurable
Insurance Company Present Value
   $
Other Assets
# Description Monthly Income Estimated Value
1 $ $
2 $ $
3 $ $
Statement of Liabilities (What you owe)  For joint applications please combine liabilities
Mortgages
# Mortgage to Monthly Payment Amount Owing
1 $ $
2 $ $
3 $ $
Lease / hire purchase / personal loans / other liabilities
# Description Monthly Payment Amount Owing
1 $ $
2 $ $
3 $ $
4 $ $
Credit cards and credit accounts
# Company / Type Limit Amount Owing
1 / $ $
2 / $ $
3 / $ $
Rent
Real Estate / Landlord Rent Per Month
   $
Tax / Provisional Tax
Description Rent Per Month
   $
Applicant(s) must read and agree to the terms and conditions listed below before continuing.


Terms and Conditions


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