Application

Personal Information

Address Line 1:

Address Line 2:

City:

State:

Postcode:

Time at Address:

Marital Status:

Single
Married
De Facto
Divorced
Separated
Widowed

Residency:

Australian Citizen
Permanent Resident
Work Visa

Date of Birth:

License Number:

License Expiry:

Number of Dependants:

Emploment Information

Type of Employment:

Employed
Self Employed
Not Employed

Employment Status:

Full Time
Part Time
Casual
Contractor

Employer Name:

Employer Location:

Employer Contact:

Employer Contact Number:

Position:

Assets - please tell us what your current assets are worth

Home

Investment Properties

Motor Vehicles

Savings

Superannuation

Investments

Other Assets

TOTAL ASSETS

Liabilities - please tell us about your current loans / credit cards

Balance

Limit

Mortgage (Home)

Balance

Limit

Mortgage (Other)

Balance

Limit

Motor Vehicle Loans:

Balance

Limit

Personal Loans:

Balance

Limit

Other Loans:

Balance

Limit

Credit Cards:

Balance

Limit

Loans as Guarantor:

Balance

Limit

TOTAL LIABILITIES:

Balance

Limit

Income

Net Monthly Income

/month

Rental Income

/month

Other Income

/month

Government Benefits

/month

TOTAL MONTHLY INCOME (A)

/month

Expenses

Minimum Expenses

Existing Mortgage (Home):

Minimum Expenses

/month

Existing Mortgage (Investment):

Minimum Expenses

/month

Existing Mortgage (other):

Minimum Expenses

/month

Car Loans:

Minimum Expenses

/month

Other Loans:

Minimum Expenses

/month

Credit Cards at 3% of limit:

Minimum Expenses

/month

School Expenses:

Minimum Expenses

/month

Rental cost/board:

Minimum Expenses

/month

Average Monthly Living Expenses:
including food / utilities / entertainment / etc...

Minimum Expenses

/month

Total Monthly Expenses:
not including proposed loan

Minimum Expenses

/month

Net Surplus (A-B)

/month

Credit History

1. Has there ever been, or are there currently, any financial judgements or legal proceedings against any of the borrowers?

No Yes

Yes

2. Are any of the borrowers having difficulty meeting existing commitments?

No Yes

Yes

3. If "yes" has been indicated to question 2 above, are any existing debts currently in arrears?

No Yes

Yes

4. If "yes" to above, have the borrowers employed any strategies to reduce payments and/or clearing any/all instance of arrears on existing debt?

No Yes

Yes

5. If "yes" to question 3 or 4 above, have the borrowers formally or informally applied for hardship with their existing lender?

No Yes

Yes