Consumer Loan Application Form

FINANCIALS - PRIMARY APPLICANT

The Household expenses relate to the full expenses of the household
INCOME
Annual Income*
Annual InvestmentProperty Income:*
Annual Other Taxable Income*
Annual Other Non Taxable Income*
Annual Family Tax Benefit (FTB):*
MONTHLY HOUSEHOLD EXPENSES
Food and Drink*
Transportation, Fuel and Utilities*
Clothing/Footwear, Medical, Phone/Internet*
Discretionary – Recreation/Alcohol*
Your information is secure, please refer to our Privacy Policy
OTHER COMMITMENTS
Monthly Mortgage/Rent
Household*
Applicant Portion*
Total Credit Card Limit*
Credit Card Details*
Monthly Car Payments*
Car Payments Details*
Monthly Payments for Other Loans*
Other Loan Details*
Monthly Payments for Investment Property Loans*
Investment Property Loan Details*
Status*

SingleCouple
Number of dependants*
Postcode*
Check box if customer foresees change

Yes
Do you foresee any changes to your personal or financial situation during the loan term that would impact on your ability to make repayments? For example, are you about to reduce your work hours to embark on some further study? If so, please provide details below:*
Your information is secure, please refer to our Privacy Policy

PAYMENT METHOD
PAYMENT METHOD*

Set up Direct Debit (bank details below)Customer will set up own BPAY payments
Name of Financial Institution*
BSB Number*
Account Number*
Account Name*
Your information is secure, please refer to our Privacy Policy
DECLARATION
By signing the declaration below, you declare that everything you have disclosed in this Consumer Loan Application Form is true, up-to-date and not misleading.
Primary Customer's Signature

Clear
Date

MonthDayYear
Date
Related Party's Signature

Clear
Date

MonthDayYear
Date
Please refer to the Terms and Conditions and Privacy Policy
I agree and consent to Terms and Conditions and Privacy Policy