| Your Loan Requirements: |
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| Purpose of Loan: |
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| Loan Amt Required (numbers only please): $ |
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| Details of Applicant/s: |
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Applicant 1 |
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Applicant 2 (if applicable) |
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| First Name: |
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| Surname: |
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| Age: |
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| First Home Buyer? |
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| Number of Dependents: |
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| Age of Dependents: |
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| Your Credit History: |
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| Your Contact Details: |
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| Note: It is important that you provide accurate telephone and email contact details - otherwise we cannot assist you. |
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Applicant 1 |
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Applicant 2 (if applicable) |
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| Street Address: |
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| Suburb: |
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| State: |
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| Postcode: |
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| Daytime Telephone: |
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| Evening Telephone: |
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| Email Address: |
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| Your Assets: |
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| Numbers only in this section please |
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| Property Value: $ |
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This is the value of the property you wish to finance / refinance. |
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| Other Property: $ |
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Including investment property, vacant land, etc. |
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| Savings: $ |
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Please include cash and bank deposits |
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| Shares & Equities: $ |
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| Other Assets: $ |
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| Your Liabilities: |
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| Numbers only in this section please |
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| Existing Mortgage:$ |
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If refinancing, renovating or building, this is the amount you currently owe. Otherwise leave blank. |
| Other Mortgages:$ |
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Enter the amount of any other loans secured by this or other property. |
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| Credit Cards: $ |
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Spending limit |
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Total owing |
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| Other Loans:$ |
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Car finance, personal loans, etc |
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| Tax:$ |
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Please enter the amount of any outstanding personal tax liabilities (if any) |
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| Your Employment Details: |
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Applicant 1 |
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Applicant 2 (if applicable) |
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| Employment Status: |
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| Occupation: |
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| duration of current employment: |
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| duration of previous employment: |
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if less than 3 years with the above employer or held ABN period... |
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| your gross income incl tax (numbers only please):$ |
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amount |
frequency |
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amount |
frequency |
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| plus any additional income or benefits: $ |
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| Comments: |
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Please make any additional comments that you feel may be relevant in the box provided below. |
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Important: This is a free service ONLY for those making genuine enquiries for a home loan. By submitting your personal details you are confirming that the information that you have provided above is complete and accurate and that you wish to receive a free assessment of your home loan eligibility.
Please Note: Deliberately providing false or misleading information in order to obtain finance is fraud.
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