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Finance Details
Type of Loan Required:
Purpose of Loan
Amount of finance required:
Personal Details Borrower 1 Borrower 2
Gender:
Date of Birth:
No. of Dependants:
Home Address:
Suburb:
State:
Postcode:
Home Phone:
Work Phone:
Mobile Phone:
Credit History
If credit impaired please provide a small explanation of what happened?
Preferred Contact Method
Employment Details Borrower 1 Borrower 2
Current Employer:
Occupation
Employment Type:
No. of Yrs with Current Employer:
Previous Employer if < 2 yrs
Previous Occupation
No. of Yrs with Previous Employer:
Income Details: Borrower 1 Borrower 2
Gross Annual Income: $ $
Total Annual Rental Income, all property $ $
Total Annual Centre Link Payments $ $
Other Annual Income Type:      
Other Annual Income: $ $
Other Annual Income Type:      
Other Annual Income: $ $
Other Annual Income Type:        
Other Annual Income:  $  $
Can Income Be verified by Tax Returns?
Assets:
Home Property Market Value $
Number of Investment Properties   
Investment Property Market Value
(All Investment Properties)
$
Total of all Savings Accounts $
Household and Personal Effects $
Market Value of All Cars $
Market Value of Share Portfolio $
Market Value of Motor Bikes, Caravans etc $
Superannuation
(combined value for both applicants)
$
Other Major Assets $
Liabilities/Commitments:
Home Loan
(split 1)
Lender Repayment Type
Repayment Freq Interest Rate %
Repayment Amt $ Amount Owing $
Type of Facility Estimated MarketValue of Security $
Address for Security
Home Loan
(split 2)
Lender Repayment Type
Repayment Freq Interest Rate %
Repayment Amt $ Amount Owing $
Type of Facility Estimated MarketValue of Security $
Address for Security
Home Loan
(split 3)
Lender Repayment Type
Repayment Freq Interest Rate %
Repayment Amt $ Amount Owing $
Type of Facility Estimated MarketValue of Security $
Address for Security
Home Loan
(split 4)
Lender Repayment Type
Repayment Freq Interest Rate %
Repayment Amt $ Amount Owing $
Type of Facility Estimated MarketValue of Security $
Address for Security
Investment Home Loan 1 Lender Repayment Type
Repayment Freq Interest Rate %
Repayment Amt $ Amount Owing $
Type of Facility Estimated MarketValue of Security $
Address for Security
Investment Home Loan 2 Lender Repayment Type
Repayment Freq Interest Rate %
Repayment Amt $ Amount Owing $
Type of Facility Estimated MarketValue of Security $
Address for Security
Investment Home Loan 3 Lender Repayment Type
Repayment Freq Interest Rate %
Repayment Amt $ Amount Owing $
Type of Facility Estimated MarketValue of Security $
Address for Security
Investment Home Loan 4 Lender Repayment Type
Repayment Freq Interest Rate %
Repayment Amt $ Amount Owing $
Type of Facility Estimated MarketValue of Security $
Address for Security
Personal Loans: Repayment Freq    Interest Rate %
Repayment Amt $ Amount Owing $
Personal Loans: Repayment Freq    Interest Rate %
Repayment Amt $ Amount Owing $
Personal Loans: Repayment Freq    Interest Rate %
Repayment Amt $ Amount Owing $
Credit Card: Credit Limit $ Amount Owing $
Credit Card: Credit Limit $ Amount Owing $
Credit Card: Credit Limit $ Amount Owing $
Credit Card: Credit Limit $ Amount Owing $
Store Cards: Credit Limit $ Amount Owing $
GE Credit Line: Credit Limit $ Amount Owing $
Comments:
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David Carruthers is a credit representative (Credit Representative Number [400226]) of BLSSA Pty Ltd (Australian Credit Licence No. 391237).