Application Form

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1 Personal Details

2 Second Applicant

3 Financial Position

4 Loan Security

Is this application for one or two applicants?*
Personal Details
Title
Family Name*
First Name*
Middle Name
Date of Birth
Gender
Marital Status
Spouse Name
No of dependants, excluding spouse
Age of dependants, excluding spouse
Home Phone
Mobile Phone*
Work Phone
Email*
First home buyer?
Citizenship Status
Drivers License
License Number
State
Expiry
Residential Address
Residential Address
Date moved there
Residential Status
Postal Address (if different from residential address)

Past Residential Address	Date Moved There
Past Residential Address	Date Moved There

Employment Details

Employment Type	Employer Name	Employer's Address	Title of job	Self-employed?	Employment Status	Start Date	End Date	Contact Name	Position	Contact Phone Number
Employment Type	Employer Name	Employer's Address	Title of job	Self-employed?	Employment Status	Start Date	End Date	Contact Name	Position	Contact Phone Number

Personal Details (Second Applicant)
Title
Family Name*
First Name*
Middle Name
Date of Birth
Gender
Marital Status
Spouse Name
No of dependants, excluding spouse
Age of dependants, excluding spouse
Home Phone
Mobile Phone*
Work Phone
Email*
First home buyer?
Citizenship Status
Drivers License
License Number
State
Expiry
Residential Address
- As per Applicant #1
Residential Address
Date moved there
Residential Status
Postal Address (if different from residential address)
Past Residential Address
- As per Applicant #1
Past Residential Address Date Moved There
Past Residential Address Date Moved There

Employment Details

Employment Type	Employer Name	Employer's Address	Title of job	Self-employed?	Employment Status	Start Date	End Date	Contact Name	Position	Contact Phone Number
Employment Type	Employer Name	Employer's Address	Title of job	Self-employed?	Employment Status	Start Date	End Date	Contact Name	Position	Contact Phone Number

Financial Position
Income
Gross Annual Income
Expenses
Monthly Expenses (i.e. food, bills, transport etc)
Assets

Real estate property assets

Address of the property	Property description	Current use	Rental income (if applicable)	Frequency	Property owner	Market value
Address of the property	Property description	Current use	Rental income (if applicable)	Frequency	Property owner	Market value

Cheque, savings, term deposit or other accounts

Name of institution (e.g. name of super funds, insurance company, etc)	Account type (e.g. cheque, savings, etc)	Owner	Current balance
Name of institution (e.g. name of super funds, insurance company, etc)	Account type (e.g. cheque, savings, etc)	Owner	Current balance

Investments, including superannuation, life insurance, shares, unit trusts, etc

Name of institution (e.g. name of super funds, insurance company, etc)	Investment type (e.g. super, insurance, shares, etc)	Owner	Market value
Name of institution (e.g. name of super funds, insurance company, etc)	Investment type (e.g. super, insurance, shares, etc)	Owner	Market value

Motor vehicles
Make and model Year built Owner Market value
Make and model Year built Owner Market value
Other assets, including household items and personal effects, cash, boats, tools of trade, etc.
Brief description of other assets Owner Market value Interest rate
Brief description of other assets Owner Market value Interest rate
Liabilities

Make and model	Year built	Owner	Market value
Make and model	Year built	Owner	Market value

Brief description of other assets	Owner	Market value	Interest rate
Brief description of other assets	Owner	Market value	Interest rate

Housing loans, overdrafts and other loans that are secured by mortgages

Address of security property	Name of lender and account #	Interest rate	Minimum monthly repayment	Borrower	Amount owing	Clearing from this loan?
Address of security property	Name of lender and account #	Interest rate	Minimum monthly repayment	Borrower	Amount owing	Clearing from this loan?

Credit cards, store cards, unsecured overdrafts, etc.

Name of lender (e.g. name of bank, store, etc)	Credit type (e.g. MasterCard, Visa)	Credit limit	Minimum monthly repayment	Borrower	Amount owing	Clearing from this loan?
Name of lender (e.g. name of bank, store, etc)	Credit type (e.g. MasterCard, Visa)	Credit limit	Minimum monthly repayment	Borrower	Amount owing	Clearing from this loan?

Other loans, including personal loans, vehicle leases, hire purchases, etc.

Name of lender (e.g. name of bank, finance company)	Credit type (e.g. personal loan, lease, HP)	Minimum monthly repayment	Borrower	Amount owing	Clearing from this loan?
Name of lender (e.g. name of bank, finance company)	Credit type (e.g. personal loan, lease, HP)	Minimum monthly repayment	Borrower	Amount owing	Clearing from this loan?

Other liabilities, including provisional taxation, HECS, Guarantees on loans/leases, etc

Brief description of other liabilities	Minimum monthly repayment	Debtor/Guarantor	Amount owing	Clearing from this loan?
Brief description of other liabilities	Minimum monthly repayment	Debtor/Guarantor	Amount owing	Clearing from this loan?

Loan Security

Address of the property	Market value	Property type e.g. house, villa, land	Property use	Rental income (if applicable)	Frequency	Number of bedrooms	Number of bathrooms	Number of car parks	Valuation contact name	Contact number
Address of the property	Market value	Property type e.g. house, villa, land	Property use	Rental income (if applicable)	Frequency	Number of bedrooms	Number of bathrooms	Number of car parks	Valuation contact name	Contact number

Solicitor/Conveyancer Details
Title
Name
Company Name
Work phone
Work fax
Mobile
Email Address
Mailing address

Application Form

Personal Details

Drivers License

Residential Address

Personal Details (Second Applicant)

Drivers License

Residential Address

Past Residential Address

Financial Position

Income

Expenses

Assets

Liabilities

Loan Security

Solicitor/Conveyancer Details