* Required Fields

    First Name *

    Middle Name

    Last Name *

    Street Number

    Street Name

    Suburb

    Postcode

    State

    How long have you lived at your current address?

    What weekly rent do you pay?

    Date of Birth

    Occupation

    Employer

    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

    Suburb

    Postal Code

    State

    Do you have any savings?

    Have you had a deposit?

    Are you eligible for first home Grant?
    YesNo

    Have you signed a contract to purchase?
    YesNo

    Do you have any credit defaults?
    YesNo

    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

     

    Lender (e.g. Westpac etc)

    Amount Owing?

    Monthly repayments

    Lender (e.g. Westpac etc)

    Amount Owing?

    Monthly repayments

    Lender (e.g. Westpac etc)

    Amount Owing?

    Monthly repayments

    Please list all credit cards

     

    Issuer (e.g, Westpac etc)

    Card Limit

    Currently Owing

    Issuer (e.g, Westpac etc)

    Card Limit

    Currently Owing

    Issuer (e.g, Westpac etc)

    Card Limit

    Currently Owing

    Issuer (e.g, Westpac etc)

    Card Limit

    Currently Owing

    Your contact details

     

    Email Address *

    Daytime Phone *

    Best time to call

    Please add any additional comments that may help us *

     

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