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Are you applying for finance with a Co-Buyer / Spouse?

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Loan Details
Loan Amount $ * (min. $5000)
 
Applicant Details
Title: *  
First Name * Middle Name
Last Name * Date of Birth * dd/mm/yyyy
Licence No * Licence State *
Email Address * Marital Status *
Home Phone * Telephone (BH) *
Mobile No. of Dependants
 
Current Address
Living Arrangement * Unit Number
Street Number * Street Name *
Street Type * City/Suburb *
State * Post Code *
Time At Address years months *  
Loan Company Name
(If you have a current mortgage)
Loan Company Telephone
 
Previous Address (if less than 3 years at current address)
Unit Number Street Number
Street Name Street Type
City/Suburb State
Post Code Time At Address years months
 
Primary Employment Details (Please record your last 3 years of employment)
Employment Status * Job Title *
Employer Name * Employer ABN
Employer Address * Employer Suburb *
State * Employment Contact Person *
Employer Telephone * Employed For years * months *
 
Previous Employment (if less than 3 years at current job)
Job Title Employer Name
Employer Address Employer Telephone
Employed For years months  
 
Previous Employment (if less than 3 years at current job)
Job Title Employer Name
Employer Address Employer Telephone
Employed For years months  
 
 
Income
Borrower Details  
Regular Gross Monthly Income $ *
Extra Income (e.g. Family Allowance) $
 
Expenditure
Borrower Details  
Rent / Mortgage Payments Per Month $
Credit Card Min. Monthly Payment $
Other Loan Repayments Per Month $
Type of Loan    
 
Finance Reference (Companies you have borrowed money from in the past or at present)
Lenders Name Loan Type  
Loan Term years months Monthly Payment $
Outstanding Balance
(if any)
   
 
1st - Personal Reference (not living with you)
Personal Reference Name * Personal Reference Relationship *
Telephone Number (land line) * Unit Number
Street Number * Street Name *
Street Type * City/Suburb *
State * Post Code *
 
2nd - Personal Reference (not living with you)
Personal Reference Name * Personal Reference Relationship *
Telephone Number (land line or mobile) * Unit Number
Street Number * Street Name *
Street Type * City/Suburb *
State * Post Code *
 
Bank Account Details
Bank Name * Bank Account Name *
BSB Number Account Number
Type of Account Payment Method
 
Additional Information:
Please add any information that may assist us with assessing your loan application.
I / We are over 18 years of age