Single Application Form

• Required

Finance Details

Personal Details

Given Name	•
Surname	•
Gender	•
Date Of Birth	•
No. of Dependants	•
Home Address	•
Suburb	•
State	•
Postcode	•
Home Phone	•
Work Phone
Mobile Phone
Email Address	•
Credit History	•
If credit impaired please provide a small explanation of what happened?
Preferred Contact Method	•

Employment Details

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:

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	%
Personal Loans:	Repayment Amt	$	Amount Owing	$

Personal Loans:	Repayment Freq		Interest Rate	%
Personal Loans:	Repayment Amt	$	Amount Owing	$

Personal Loans:	Repayment Freq		Interest Rate	%
Personal Loans:	Repayment Amt	$	Amount Owing	$

Comments
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