Form
Which best describes your position:
*
Borrower
Broker
Introducer
Other
Name
*
First Name
Last Name
Company Name/Borrowing Entity
*
Company/Borrowing Entity A.B.N:
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
What is the purpose of the loan?
*
Please Select
Refinance
Equity Release
Investment
Purchase Property
Construction
What kind of security do you have?
*
Please Select
Residential
Commercial
Retail
Industrial
Land
How many properties are being offered?
*
Please Select
1
2
3
4
5
What is the loan term?
*
Please Select
1 - 3 Months
3 - 6 Months
6 - 12 Months
12 - 18 Months
18- 24 Months
How will the loan be repaid?
*
Please Select
Sale of property
Refinance
other
How will interest be serviced?
*
Please Select
Monthly
Prepaid
Capitalised
When does the loan need to settle?
*
Address of security property?
*
Valuation of security property?
*
Current debt on security property?
*
Who is the debt currently with?
*
Amount required to borrow?
*
If Construction, has a builder been appointed and who is the builder?
Have pre sales commenced, If yes, how many sold?
Please provide a share link to relevant docs (OneDrive, Dropbox, Google Drive, etc)
Please attached all relevant documentation.
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