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Contact Information

Applicant 1 Full Name:

Applicant 2 Full Name:

Address Line 1: Address Line 2:
Suburb: Postcode:
Applicant Income

Occupation of Applicant 1:

Years in Current Job:
Gross Income: per 

Occupation of Applicant 2:

Years in Current Job:
Gross Income: per 
Other Income:
No. of Dependents: Age(s) of dependents:
Family Allowance: fortnight Parenting Allowance: fortnight
Rental Income: per  Other Income: per 
Particulars of Loan Required
Loan Purpose: First Home?
Loan Amount Required: Property Value:
Deposit: 5% Savings:
Existing Loans and Credit Cards
Lender Loan Type Min Mth Payment Credit Limit Balance
Any other Comments