Loan Application

To apply for finance, simply fill out the fields marked with an asterisk (*), then click submit application, it's as easy as that! Remember if you are applying for a loan with a co-buyer or spouse, be sure to click yes to the question below before you begin to complete the form.

Are you applying for finance with a Co-Buyer / Spouse?

   

Fields marked with an asterisk (*) are mandatory.
Loan Details
$
Loan Amount		 * (min. $5000)    
Applicant Details
Title: *      
First Name * Middle Name  
Last Name * Date of Birth *
Licence No * Licence State *
Email Address * Marital Status *
Home Phone   Telephone (BH) *
Mobile   No. of Dependants  
Current Address
Living Arrangement * Unit Number  
Street Number * Street Name *
Street Type * City/Suburb *
State * Post Code *
Time At Address yrs mths *      
Landlord Name
(If renting)		   Landlord Telephone
(If renting)		  
Previous Address (If less than 3 years at current address)
Unit Number   Street Number  
Street Name   Street Type  
City/Suburb   State  
Post Code   Time At Address yrs mths  
Primary Employment Details (Please record your last 3 years of employment)
Employment Status * Job Title *
Employer Name * Employer ABN  
Employer Address * Employer Suburb *
State * Employment Contact Person *
Employer Telephone * Employed For yrs mths *
Previous Employment Details (If less than 3 years at current job)
Job Title   Employer Name  
Employer Address   Employer Telephone  
Employed For yrs mths    
Income
Borrower Details    
$
Regular Gross Monthly Income		 *
$
Extra Income (e.g. Family Allowance)		  
Expenditure
Borrower Details    
$
Rent/Mortgage Payments Per Month		  
$
Credit Card Min. Monthly Payment		  
$
Other Loan Repayments Per Month		  
Type of Loan  
Finance Reference (Companies you have borrowed money from in the past or at present)
Lenders Name   Loan Type  
Loan Term yrs mths   Monthly Payment  
Outstanding Balance (if any)        
1st - Personal Reference (Not living with you)
Personal Reference Name   Personal Reference Relationship  
Telephone Number (land line)   Unit Number  
Street Number   Street Name  
Street Type   City/Suburb  
State   Post Code  
2nd - Personal Reference (Not living with you)
Personal Reference Name   Personal Reference Relationship  
Telephone Number (land line or mobile)   Unit Number  
Street Number   Street Name  
Street Type   City/Suburb  
State   Post Code  
Bank Account Details
Bank Name   Branch  
Additional Information:
Please add any information that may assist us with assessing your loan application.
Privacy Policy

Your privacy is important to us. The information that you provide will only be used to prepare your loan proposal. See our privacy policy for more information.

I/We acknowledge I/we have read and understand the declaration & privacy consent and that the information given by me/us is/will at all times be true and correct and I/we authorise you to contact any person or persons/companies/services listed within the declaration & privacy consent to obtain further information and/or verification of information provided here in or held by the person/persons/company/service.
* *
 
 
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