Please Complete Application Form Below





Applicant 1 First Name
Title 
Applicant 1 Middle Name
Applicant 1 Last Name
Gender
Address
Unit No 
Street No 
Street Name

Suburb
State
Postcode 
Date moved in?
Date of Birth
Driver’s Licence
Licence Number 
Expiry Date 
State 
Marital Status
Number of Children
Home Phone
Mobile
Email Address
Occupation
Status 
Employer’s Name
Employer’s Address
Unit No 
Street No 
Street Name

Suburb
State
Postcode 
Work Phone Number
Date started?
Gross Annual Income
$  per year
Family Allowance etc.
$  per year
Investment Property Rental Income
$ per year
Do you have any other income?
Yes No

Applicant 2 First Name
Title 
Applicant 2 Middle Name
Applicant 2 Last Name
Gender
Relationship to Applicant 1
Address (as above)
Unit No 
Street No 
Street Name

Suburb
State
Postcode 
Date moved in?
Date of Birth
Driver’s Licence
Licence Number 
Exp
State
Marital Status (as above)
Number of Children (as above)
Telephone Home (as above)
Applicant 2 Mobile
Applicant 2 Email
Applicant 2 Occupation

Status 
Employer’s Name
Employer’s Address
Unit No 
Street No 
Street Name

Suburb
State
Postcode 
Work Phone Number
Date started?
Gross Annual Income
$  per year
Family Allowance etc.
$  per year
Investment Property Rental Income
$  per year
Do you have any other income?
Yes No

Details 
Please tell us what you wish to do with the loan?
Amount you wish to borrow
$ 
How long do you intend to keep this loan?
 Years
You may choose more than one of the following.
New Home Purchase
Yes No
New Investment Property
Yes No
Refinance Current Loan
Yes No
Refinance and Payout Other Debts
Yes No
Build New Home
Yes No
Free Up Equity
Yes No
Refinance Business Debt
Yes No
Buy Vacant Land
Yes No
Reverse Mortgage
Yes No
Self Managed Super Fund Loan
Yes No
Other
Do you quailify for the First Home Owners Grant?
Yes No Not sure
Have you signed a Contract of Sale?
Yes No
If Self Employed do you have your most recent tax returns?
Yes No
Do you have credit defaults?
Yes No
How would you like to access your account?
InternetBanking
Yes No Don’t Care
Branch Access
Yes No Don’t Care
ATM\Eftpos\Debit Card
Yes No Don’t Care
Cheque Book
Yes No Don’t Care
Other
Please list ALL your current liabilities.
Liability Type
Amount Owing
Payments
Limit
Refinance?
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
List ALL Assests.
Asset
Property 1 (as above)
Owner Occupied   Investment
Value $
Address
Unit No 
Street No 
Street Name

Suburb
State
Postcode



Property 2
Owner Occupied   Investment
Value $
Address
Unit No 
Street No 
Street Name

Suburb
State
Postcode



Property 3
Owner Occupied   Investment
Value $
Address
Unit No 
Street No 
Street Name

Suburb
State
Postcode



Motor Vehicle 1
 Year    Make 
$
Motor Vehicle 2
 Year    Make 
$
Shares
$
Home & Contents
$
Savings
 Who with? 
$
Savings
 Who with? 
$
Savings
 Who with? 
$
Other Assets
 What is it? 
$
Other Assets
 What is it? 
$
Is there anything else that we can assist with?
Solicitor\Conveyancer
Yes No
Home and Contents Insurance Quote
Yes No
Landlords Insurance Quote
Yes No
Protection Insurance
Yes No
Building Inspection
Yes No
Accountant
Yes No
Financial Planner
Yes No
Real Estate Agent
Yes No
Buyer or Sellers Advocate
Yes No
How did you find us?

Their name: 
Anything else you would like to add.