Application

Please Answer As Many Question As Possible

This Will Speed Up The Application Process Time.

NOTE: BEFORE YOU CAN PROCEED WITH THIS APPLICATION YOU MUST CONFIRM
THAT YOU HAVE READ AND ACCEPT OUR PRIVACY STATEMENT.

Yes, I accept the privacy policy which can be viewed HERE * CONFIRM (Please Tick Box)

Introducers Code:

Loan Type:

Make:

Model:

Year:

Condition:New Used

Loan Amount:

Over what term :

Applicant

Home Phone:

Honorifics:

First Name: *

Middle Name:

Last Name: *

Street Address: *

Suburb: *

State: *

Postcode: *

Property Status: *

How many years at this address: *

If less than three years please supply three years address details:
Address: *
Suburb: *

State: *

Postcode: *

How many years at this address: *

Previous Address: *

Suburb: *

State: *

Postcode: *

How many years at this address: *

Email Address: *

Drivers Licence Number: *

Expiry Date: *

Licence Type: *

Date of Birth: *

Mobile Phone: *

Marital Status: *

How many dependent children (under 16) : *

Do you have a Medicare Card *

Medicare Card Number *

Position on the Card *

Expiry Date *

Employment Details

Employed
Self Employed

Employed

Name of Current Employer: *

Work Phone Number: *

Occupation: *

Your Annual Gross Income: *

Employment Length in Years, Months: *

Employment Type: *

Name of Previous Employer: *

Work Phone Number: *

Occupation: *

Your Annual Gross Income: *

Employment Length in Years, Months: *

Employment Type: *

If Self Employed

Your Annual Gross Income:

Your Company Name:

ABN Number:

Accounting Firm:

Contact name:

Phone number:

Email Address:

How many years been Self-Employed: *

Name of Previous Employer: *

Work Phone Number: *

Occupation: *

Your Annual Gross Income: *

Employment Length in Years, Months: *

Employment Type: *

Residential Details

Name of Mortgagor:

Home Value:

How Many Years Remaining:

Balance Owing:

Name of Landlord: (If Renting / Boarding)

Landlords Phone Number:

Credit Details

Credit Status: *

What Type of Credit Card do you own? *

Expiry Date

What is the Total Combined limits of all those credit cards:

What is the Total Owing on All Credit Cards: $

Monthly Commitments

Mortgage/Rent $ (NOTE : If cost is shared proof is required . Attach proof under “OTHER” at bottom of this application)

Minimum Credit Card payment $

Monthly living expenses $: Eg : Food, Medical, Education, Fuel, Power, Water, Phone etc

Other Loan Details

Which Company:

Purpose Of Loan:

Monthly Payment $:

Total Monthly Payments $

Do you expect any changes to your personal financial situation during the loan term that would impact on your ability to make repayments?
If so, please provide details

Relative Reference (not living with you)

Relationship: *

Full Name: *

Address: *

Suburb: *

Postcode: *

Home Phone Number: *

Mobile Phone Number: *

Business Phone Number: *

Personal Reference (not living with you) Must be different address to relative

Relationship: *

Full Name: *

Address: *

Suburb: *

Postcode: *

Home Phone Number: *

Mobile Phone Number: *

Business Phone Number: *

Only Required For Home Or Investment Property Loan Application

Insurance & Asset Protection:

Do you have adequate Home and Contents Insurance?

Do you have adequate insurance to meet your loan repayments like

Life Insurance

Income Protection

Mortgage Protection Cover

If you have answered No, would you like one of our associates to contact you regarding Insurance?

Are there any lenders you do not want to deal with?
No
value=”yes”Yes

Which company do you not want to deal with?

Other Information

In this area tell us about any defaults or any information that you think we should know about your credit history, And any other information you wish to add to help us with your application:

Most suitable contact time :

Copies of the following Documents Will Be Required To Support Your Application And Confirm Your IDENTIFICATION.

Attach Docoment Below

Drivers Licence

Recent Bank Statement (Front page only)

Last Two Pay Slips

Other

Please enter code shown in the image :

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Do you require a printed copy of the application ?

Yes

Is there a 2nd Applicant

Debt Consolidation