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Loan Enquiry Form

Please complete the following details below to provide us with a brief overview of your loan enquiry. This will give us an indication of which lender and loan package is more suitable to your current circumstances and financial situation. We can lend from $5000 to $150 Million to qualified applicants.

You can apply online now
or download a printable pdf loan enquiry form.

* Indicates a required field *

1. Loan Details


*Loan Amount:	$

*Type of Loan:

Name of person who referred you to us: (Optional)

2a. Applicant 1



*First Name:		*Last Name:

*Contact Number:		*Email Address:

*Date of Birth:		Marital Status:

*Current Address:

Date moved there:
	(if less than three years, please provide previous address)

Previous Address:

Driver's License #:		# of Dependents:

(required for personal loans only >> Mother's Maiden Name:

2b. Employment


*Occupation:		Name of Employer:

Address of Employer:

Date Started:		Employment Status:

Contact Person:		Telephone #:

(if less than 3 years at current employment, please provide details of previous employment)

Name of Previous Employer:

Address of Previous Employer:

Contact Person:

Telephone #:


*Gross Income p/a:	$

Total rental income of investment properties:	$	Other Income:	$

3. Applicant 2 (optional)


First Name:		Last Name:

Occupation:		Name of Employer:

Address of Employer:

Date Started:		Employment Status:

Contact Person:		Telephone #:

(if less than 3 years at current employment, please provide details of previous employment)

Name of Previous Employer:

Address of Previous Employer:

Contact Person:

Telephone #:


Gross Income p/a:	$

Total rental income of investment properties:	$	Other Income:	$

(required for personal loans only >> Mother's Maiden Name:

4. Reference


*Full name of relative not living with you:

*Current Address:

*Contact Number:		Relation:

5. Assets


Home market value:	$	Car market value:	$

Amount Owing:	$	Amount Owing:	$

Monthly Repayments:	$	Monthly Repayments:	$

Home contents value:	$

Shares:	$	Superannuation:	$

6. Credit Cards


Master Card		Visa Card

Credit Limit:	$	Credit Limit:	$

Amount Owing:	$	Amount Owing:	$

7. Bank Details for funds transfer and direct debit


Name of Bank:		BSB:

Account Name:		Account Number:

Default:

If yes please explain:

Note:

One of our client relation managers will contact you by email or phone to arrange a suitable date, place and time for verification/confirmation of information or for contract signing.

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