1800 199 302
Home Loan Application
Purchase or Refinance?
*
-- Select --
Purchase
Refinance
Purchase Price
Security Address
Refinance Amount
Any Additional Cash Needed?
Security Address
How Many Borrowers?
-- Select --
1
2
Borrower One
First Name
Middle Name
Last Name
Phone
Email
DOB
Address
How long have you been at this Address
-- Select --
Under 3 years
Over 3 years
Previous Address
Marital Status
-- Select --
Single
Married
Defacto
How Many Dependants?
Select
One
Two
Three
Four
Five
Age of Depenants
Residency
Select
Australian Citizen
Australian Resident
Visa Holder
What Type of Visa?
Employee or Self Employed?
-- Select --
Employee
Self Employed
Name of Employer
Annual Base Income
Annual other Income (Please Specify)
How long have you been with this Employer
-- Select --
Less than 3 years
More than 3 years
Name of Employer
How many years were you Employed there
ABN
Borrower Two
First Name
Middle Name
Last Name
Phone
Email
DOB
Employee or Self Employed?
-- Select --
Employee
Self Employed
Name of Employer
Annual Base Income
Annual other Income Specify
How long have you been with this Employer
-- Select --
Less than 3 years
More than 3 years
Name of Employer
How many years were you Employed there
Assets & Liabilities
Assets
Home value
Address
Add another Home
-- Select --
Yes
No
Home Value
Address
Add another Home
-- Select --
Yes
No
Home Value
Address
Add another Home
-- Select --
Yes
No
Home Value
Address
Add another Home
-- Select --
Yes
No
Home Value
Address
Investment Property Value
Address
Add another Property
-- Select --
Yes
No
Investment Property Value
Address
Add another Property
-- Select --
Yes
No
Investment Property Value
Address
Add another Property
-- Select --
Yes
No
Investment Property Value
Address
Add another Property
-- Select --
Yes
No
Investment Property Value
Address
Vehicle Value
Cash in bank
Shares
Super
Home Contents
Other Assets Total
Liabilities
Home Loan
Balance
Lender
Monthly Payments
Add another Home Loan
-- Select --
Yes
No
Balance
Lender
Monthly Payments
Add another Home Loan
-- Select --
Yes
No
Balance
Lender
Monthly Payments
Add another Home Loan
-- Select --
Yes
No
Balance
Lender
Monthly Payments
Add another Home Loan
-- Select --
Yes
No
Balance
Lender
Monthly Payments
Investment Property Loans
Balance
Lender
Monthly Payments
Add another Investment Loan
-- Select --
Yes
No
Balance
Lender
Monthly Payments
Add another Investment Loan
-- Select --
Yes
No
Balance
Lender
Monthly Payments
Add another Investment Loan
-- Select --
Yes
No
Balance
Lender
Monthly Payments
Add another Investment Loan
-- Select --
Yes
No
Balance
Lender
Monthly Payments
Car, Equipment or Other Loans
Type of loan
-- Select --
Car Loan
Truck Loan
Equipment Loan
Personal Loan
Payday Loan
Other Loan
Balance
Monthly Payment
Lender
Add Car, Equipment or Other Loans
-- Select --
Yes
No
Balance
Monthly Payment
Lender
Credit card
Limit
Lender
Add Credit card? 1
-- Select --
Yes
No
Limit
Lender
Previous Finance
Additional Notes
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1800 199 302
