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First Name *
Second Name
Last Name *
ADDRESS*
Street No
Street Name
Suburb
State
Postcode

How long have you lived here?	Years Months
What weekly rent do you pay	$
Date of birth *
Occupation *
Employer
Term of Employment	Years Months
Gross Annual Income *	$
Family Allowance etc.	$ per fortnight
Do you have any other income?	Yes No
Marital Status
Number of Children
Telephone Home	( )
Telephone Mobile

WHAT IS YOUR FINANCE REQUIRED FOR ?
Home Purchase	Yes No
Investment Property	Yes No
Build New Home	Yes No
Buy Vacant Land	Yes No

WHAT LOAN AMOUNT WILL YOU REQUIRE ? *
What is the purchase price or value of the home or investment?	$
Will you be occupying the house yourself?	Yes I/We will be occupying the house.
	No, I/We will rent out this investment property
If you are buying an investment house, what weekly rental income do you expect to receive?	Estimated Weekly Rental $

WHAT IS THE ADDRESS OF THE HOME YOU OWN OR ARE BUYING?
Street No	Street Name	Suburb
State	Postcode

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

DO YOU HAVE ANY CREDIT DEFAULTS?

Yes No

PLEASE LIST KNOWN DEFAULTS BELOW (If you do not know what is on your file then we can perform a check as your agent)
	Applicant 1
Amount	$
Date Paid

Amount	$
Date Paid

PLEASE LIST ALL CURRENT LOANS
Lender (e.g. GE Finance etc.)	Amount Owing	Monthly Repayments
	$	$
	$	$
	$	$
	$	$

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 OR INFORMATION THAT MAY HELP US