Full Name
*
Email
*
To receive your assessment result back
Phone
*
Brief description of your unique circumstance & what you want to achieve with this loan
*
Number of Loan Applicants
*
1 Applicant
2 Applicants
3 Applicants
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APPLICANT 1
Marital Status
*
Please Select
Single
Defacto
Married
Separated
Divorced
Widowed
Other
Number of Dependant
*
Age(s) of Dependant(s) (If applicable)
Residential Status
*
Please Select
Own Out Right
Own With Mortgage
Renting
Boarding
If renting/boarding, Please specify Rent/board fee per week
Employment Status
*
Please Select
Full Time
Part Time
Casual
PAYG Contractor
ABN Contractor
Self-Employed
Seasonal or Temporary Employment
Retired
Unemployed
Start Date of Employment
*
-
Month
-
Day
Year
Date
I have HECS or other Student Loan(s)
*
Yes
No
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APPLICANT 2
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Marital Status
*
Please Select
Single
Defacto
Married
Separated
Divorced
Widowed
Other
Number of Dependant (if different than Applicant 1)
Age(s) of Dependant(s) (If applicable)
Are you living in the same house with Applicant 1?
*
Yes
No
Residential Status
*
Please Select
Own Out Right
Own With Mortgage
Renting
Boarding
If renting/boarding, Please specify Rent/board fee per week
Employment Status
*
Please Select
Full Time
Part Time
Casual
PAYG Contractor
ABN Contractor
Self-Employed
Seasonal or Temporary Employment
Retired
Unemployed
Start Date of Employment
*
-
Month
-
Day
Year
Date
I have HECS or other Student Loan(s)
*
Yes
No
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APPLICANT 3
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Marital Status
*
Please Select
Single
Defacto
Married
Separated
Divorced
Widowed
Other
Number of Dependant (if different than Applicant 1 & 2)
Age(s) of Dependant(s) (If applicable)
Are you living in the same house with Applicant 1 & 2?
*
Yes
No
Residential Status
*
Please Select
Own Out Right
Own With Mortgage
Renting
Boarding
If renting/boarding, Please specify Rent/board fee per week
Employment Status
*
Please Select
Full Time
Part Time
Casual
PAYG Contractor
ABN Contractor
Self-Employed
Seasonal or Temporary Employment
Retired
Unemployed
Start Date of Employment
*
-
Month
-
Day
Year
Date
I have HECS or other Student Loan(s)
*
Yes
No
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INCOME
Enter Your Annual Gross Incomes Before Tax
*
Applicant 1
Applicant 2
Applicant 3
Base Salary
Overtime or Allowances
Commission or Bonus Income
Centrelink Family Tax Benefit
Pension
Rental Income from Investment Property
Child Support Income
Dividends
Foreign Income
If Self-employed, Please Provide Annual Figures From Tax Return or Financial Statements:
Applicant 1
Applicant 2
Applicant 3
Self-employed Business Net Profit
Depreciation Expenses
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LIABILITY
List All Your Liabilities Here
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OTHER INFORMATION
How Much Do You Have In Savings To Put Toward This Transaction?
*
Have You Had Any Credit Impairment Before?
Never
Default
Arrears
Financial Hardship Agreement
Part IX Debt Agreement
Part X Personal Insolvency Agreement
Bankruptcy
Court Judgement
For More Accurate Assessment, Please Upload Your Most Recent 2 Pay Slips, Any Centrelink Statement, Pension Statement, Or If Self-employed: Most recent Company & Individual Tax Return
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