Finance Application
Full Name
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First Name
Middle Name
Last Name
Mobile Number
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Format: (0000) 000-000.
E-mail
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Birth Date
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Day
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Year
Relationship Status
*
Single
Married
Defacto
Divorced
Separated
Number of Dependants
*
0
1
2
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9
ID - Drivers Licence Number (or Proof of Age)
*
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Address
*
Street Address
Street Address 2
Suburb
State
Post Code
Time at Current Address
*
Rows
Years
Months
Details
Residential Status
*
Owner
Mortgaged
Renting
Boarding
Parents / Relatives
Weekly Payment
*
Landlord / Mortgage / Real Estate Name
*
Rows
Name of Landlord/Bank/ Parent
Phone Number
Details
Previous Address (If current Address less than 3 years)
Street Address
Street Address Line 2
Suburb
State
Post Code
Time at Previous Address
Rows
Years
Months
Details
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Work Type
*
Full Time
Part Time
Casual
Self Employed
Pensioner
Newstart
Job Seeker
Working / Job Keeper
Seasonal Worker
Occupation
*
eg. Manager, Electrician, Customer service
Name of Current Employer
*
Current Employer Phone number
*
Time in Current Position
*
Rows
Years
Months
Details
Previous Employers Name - if less than 3 years
Name & Suburb
Time in Previous Position
Rows
Years
Months
Details
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Current Assets
*
Rows
Value
Asset Details (if applicable)
Property
Investment
Vehicle
Contents
Cash on Hand
Super
Other / Tools
Current Liabilities - Loans (type n/a in first box if nil)
*
Rows
Lender/Bank
Amount Borrowed
Balance Outstanding
Monthly Repayment
Loan 1
Loan 2
Loan 3
Loan 4
Loan 5
Current Liabilities - Credit Cards (type n/a if nil)
*
Rows
Lender
Limit
Balance
Credit Card 1
Credit Card 2
Credit Card 3
Credit Card 4
Credit File - if known
*
Excellent
Unsure
Paid Default(s)
Unpaid defaults(s)
Court Judgments
Poor repayment history
Current Bankrupt
Previous Bankrupt
We will do a "soft touch" on your Credit File before submission
Year, Make & Model of Asset you wish to purchase
Put any deposits or trade ins in comments
Amount you would like to Borrow
Put any deposits or trade ins in comments
Total Liabilities per month
Monthly Income
*
Monthly Centrelink Income (if applicable)
Monthly Living Expenses
*
Rows
Amount $
Utilities - Electricity, rates, water
Connections - home phone, mobile, internet
Education - Child car, fees, uniforms
Food - Groceries
Transport - Petrol, rego, car insurance
Sports - Hobbies, memberships, gym
Insurances- Home & contents, Life/Unemploy
Household - Maintence
Medical - Private health & Medical bills
Entertainment - Dining out, Movies, Gifts, etc
Other regular expenditure
Purposed weekly repayment budget for new loan (if pre-approved)
Let us know a repayment you will be comfortable with after all expenses are paid, we will work toward that repayment for you
Calculation
Total Income
Total Expense
Uncommitted Income
Comments - Deposits / Trade Ins / Needs
*
eg. I want a loan that I can pay out quickly and have no or low break costs
By signing below you are agreeing that you have advised us of all current liabilities, as well as providing an accurate value to your assets & monthly living expenses.
*
Signed by
*
First Name
Last Name
Date
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Submit
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