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Loan Enquiry Form

Your Personal Details
  Applicant One Applicant Two
Given Name:
Surname: *
Gender:
Home Address:
Suburb:
State:
Postcode:
Home Telephone:
Work Telephone:
Mobile: *
Email address: *
Best way to contact you:
How many dependents?
Your credit rating is:
New Property Details
Current Home (to be purchased):($)  
How much deposit do you have?($)  
Are you eligible for the First Home Owners Grant? Yes No  
Are you planning construction? Yes No  
Existing Property Details and Loans
  Value of perperty($) Lender Name Balance of Loan ($) Rate(%)
Current Home:
Investment:
Investment:
Other Existing Loans
  Amount per month($) Balance of Loan($)
Personal Loans:
Other Loans / Leases etc:  
Credit/Store Cards Limit:  
Your Income
  Applicant One   Applicant Two
Gross Wage or Salary ($): p/a:   p/a:
Property / Rental Income per month ($): p/a:   p/a:
Permanent Part Time or Overtime income per month: p/a:   p/a:
(Self Employed Only)          
Do you have 2 years tax returns to confirm income? Yes No   Yes No
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