Privacy:Your privacy is important to us. The information that you provide will be used to determine your eligibility for a home loan. Your information will not be used for other purpose without your express, written permission.
The purpose of the loan Buying a property to live in Buying a property as an investment Refinancing an existing mortgage Construction of a home Renovations or improvements Line of credit Borrow the equity in my home Debt consolidation Bad credit refinance Bad credit purchase Other...
Loan amount $
.......................................Applicant 1 ............................................................................Applicant 2 (if applicable)
............First Name .....................................................
................Surname ......................................
.......................Age ...................................................................................
First Home Buyer ? Yes No .................................................................................... Yes No
Number of Dependants 0 1 2 3 4 5 6 7 8 9 .................................................................................. 0 1 2 3 4 5 6 7 8 9
Age of dependants .............................................................
Your credit history No credit problems I have paid defaults <$500 I have paid defaults > $500 I have unpaid defaults I am a discharged bankrupt I am currently bankrupt .................................................. - No credit problems I have paid defaults <$500 I have paid defaults > $500 I have unpaid defaults I am a discharged bankrupt I am currently bankrupt
.....Street Address
.................Suburb
....................State NSW QLD VIC ACT SA TAS WA NT Outside Australia
....Business phone
........Home Phone
......Mobile Phone
...................Email
..Property value $ (value of property you want to refinance / purchase)
.Other property $ (investment property,vacant land...)
............Savings $
.............Shares $
..........Vehicles $
..............Other $
Existing mortgage $
.Other Mortgages $
Total Credit card limits $ ............ balance owing $
.........Other loans $
........Employment status Full time Permanent part-time Permanent casual Casual Self employed with up to date financials Self employed no financials Pensioner Unemployed ............................ - Full time Permanent part-time Permanent casual Casual Self employed with up to date financials Self employed no financials Pensioner Unemployed
...................Occupation ..................................
Duration of employment .................................................
......Previous occupation .................................. .....(if less than 3 years in current)
Gross income including tax ..... Weekly Fortnightly Monthly Per Year ............................................ - Weekly Fortnightly Monthly Per Year .
.............Additional income ..... - Weekly Fortnightly Monthly Per Year ............................................ - Weekly Fortnightly Monthly Per Year ..
Additional information you may want to include
Important: Do NOT proceed unless your enquiry is genuine. This is a free service only for Australian related financial enquiries. By submitting this form you are confirming that the information you have entered is true and accurate and you wish to be contacted to receive a loan assessment from a finance professional. Deliberately giving misleading information in order to obtain finance is fraud.
