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Refinance Form
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REFINANCE FORM
First Name *
Second Name
Last Name *
Street Number *
Street Address *
Suburb *
Postcode
State *
QLD
NSW
VIC
ACT
TAS
SA
WA
NT
How long have you lived here
Years
Months
What weekly rent do you pay
Date of Birth *
Occupation *
Employer
Term of Employment
Years
Months
Gross Annual Income ($) *
Family Allowance etc. per fortnight($)
Do you have any other income?
Yes
No
Marital Status
Number of Children
Telephone Home
Mobile
What is your finance refinance for?
Looking for Better Loan
Yes
No
Cash Takeout
Yes
No
Business Loan
Yes
No
Renovation
Yes
No
What loan amount will you require?
Who is you current loan with? *
Is it Fixed or Variable? *
Fixed
Variable
If you are buying an investment house, what weekly rental income do you expect to receive? Estimated Weekly Rental ($)
What is the address of the home you own or are refinancing?
Street Number *
Street Name *
Suburb *
State *
QLD
NSW
VIC
ACT
TAS
SA
WA
NT
Postcode *
Do you have any credit defaults? *
Yes
No
Please list known defaults below (If you do not know what is on your file then we can perform a check as your agent)
Amount ($)
Date Paid
Amount ($)
Date Paid
Please list all current loans
Lender (e.g. GE Finance etc.)
Amount Owing
Monthly Repayments
Please list all credit cards
Issued by (e.g. ANZ Visa)
Card Limit
Currently Owing
Your contact details
What is your Email Address?*
What is the best DAYTIME number to phone you on? *
What is the best time during the day to phone you? *
Any other comments of information that may help us
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