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First Name *
Second Name
Last Name *
ADDRESS*
Street No
Street Name
Suburb
State
Postcode
Telephone Home ( )
Telephone Mobile
What Type of Security ?

What is the main purpose of your loan funds?

WHAT IS THE ADDRESS OF THE PROPERTY YOU ARE BUYING OR REFINANCING?
Street No Street Name Suburb
State Postcode
What is the main source of your income?
Can you verify your income?

Are all your credit payments (including any existing mortgage) up to date?

 What is the amount you would like to borrow?

What is the value of your security property
If you are self employed, how long have you had your abn?
Roughly, what is the population of suburb/town your security property is located in?
Are you specifically interested in any of these loan product types/features? (select more than one if you like)
ARE YOU ELIGIBLE FOR THE FIRST HOME BUYERS GRANT?
Yes No
DO YOU HAVE ANY SAVINGS? IF SO HOW MUCH?
$
HAVE YOU PAID A DEPOSIT? IF SO HOW MUCH DEPOSIT?
$
HAVE YOU SIGNED A CONTRACT TO PURCHASE?
Yes No
How would you rate your credit history?

PLEASE LIST KNOWN DEFAULTS BELOW (Please add further information to comments box below as to circumstances and when listed and if unpaid)
 
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Date Paid
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Date Paid
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Date Paid
Amount $
Date Paid
YOUR CONTACT DETAILS
What is your Email Address? *
What is the best DAYTIME number to phone you on? * ( )
What is the best time during the day to phone you? *
ANY OTHER COMMENTS / OBJECTIVES OR INFORMATION THAT MAY HELP US

   

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