* Required Fields

Street Number
Street Name
How long have you lived at your current address?
What weekly rent do you pay?
Start date of current employment
Gross Annual Income
Family Allowance
Other Income
YesNo
Marital Status
No. of Children
Home Phone *
Mobile *
Home Loan
YesNo
Investment Loan
YesNo
Building Loan
YesNo
Land Loan
YesNo
What is the price of your purchase?
Will you be occupying the house?
Yes, I will be occupyingNo, renting as investment
If you are buying an investment house, what weekly rental income do you expect to receive?
 
What is the Address of the house you are purchasing?
 
Street Number
Street Name
Do you have any savings?
Have you had a deposit?
Please list known defaults below
(If you're unsure, we can perform a check as your agent)
 
Amount
Payment Date
Amount
Payment Date
Please list all current loans
 
Please list all credit cards
 
Your contact details
 
Please add any additional comments that may help us *
 

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