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Office

Use Only

Client ID:
Joint Application: Yes / No

1.

Client Needs Analysis

This Confidential Questionnaire is an important document, because it helps your Right Finance
Representative gather information about you: your current situation, current and future financial needs and
what you ultimately hope to achieve in the future. Without this information, it wont be possible for your
Representativetocreatetheplanthattakesintoaccountallofthesefactors.Notonlyisthisgoodpractice,itis
alsoalegalrequirementandweacceptnoliabilityforanyadvicegivenonthebasisofinaccurateorincomplete
information.

There is also legislation requiring your Representative to take your confidentiality seriously. However, we
may disclose your personal information to lenders, managers, contractors or third party service providers to
whomwemayoutsourceservices.Wemayalsogatherhealthinformationaboutyouanddiscloseittoinsurers
asnecessarytoorganiseinsurancecoverforyou.

We may also use your personal information to tell you about other products and services available from
otherrelatedcompanies.PleasecontactyourRepresentativeifyoudonotconsenttoususingordisclosingyour
personalinformationintheseways.ItisimportantthatyoucontactusbecausebyappointingRightFinanceas
yourRepresentative,youwillbetakentohaveconsentedtotheseusesanddisclosures.

Inmostcases,youcangainaccesstothepersonalinformationthatyourRepresentativeholdsaboutyou.
Weaimtoensurethatthepersonalinformationweretainaboutyouisaccurate,completeanduptodate.To
assistuswiththis,pleasecontactusifanyofyourdetailschange.Ifyouhaveconcernsaboutthecompleteness
oraccuracyofyourinformation,wewilltakestepstocorrectit.

InterviewDate:

NextInterviewDate:

Representative:

Referredby:

RightFinanceSystemsABN:51160385286

2089_01

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REAS ON INTEREST
Mortgage First Home

Mortgage Investment

Self-Managed Superannuation Funds Loan

Refinance

Personal Loan

Car Loan/Lease

Business Loan

Other: ____________________________

PERSONAL DETAILS - APPLICANT 01


First Name:

Middle Name:

Last Name:

Date of Birth: dd / mm / yyyy

E-mail:

Single

Mobile PH

Married to App 2

Married but not app 2

Home PH

Dependents

YES / NO

How many?

Work PH

Age/s

RESIDENTIAL ADDRESS
Address:

(Street number and name)

Since: dd / mm / yyyy

Residential Status:

PREVIOUS RESIDENTIAL ADDRESS/S Only


Address:

Own

Own with mortgage

Rent (Private)

Rent (Trough REA)

( Suburb)

To: dd / mm / yyyy

Residential Status:

Own

(Postcode)
With parents

(State)

Own with mortgage

(Street number and name)

From: dd / mm / yyyy

(State)

If The Current Address Is Less Than Three (03)Years

(Street number and name)

From: dd / mm / yyyy
Address:

( Suburb)

With parents

( Suburb)

To: dd / mm / yyyy

Residential Status:

Own

(Postcode)
Other :

(State)

Own with mortgage

With parents

(Postcode)
Other :

EMPLOYMENT DETAILS
Occupation

Employer

Since

Email:

Contact person

Address:

Do you own the business where you work?YES / NO

PREVIOUS EMPLOYMENT DETAILS


Occupation

(State)

(Postcode)

Casual / Part Time Casual / Part Time Permanent / Part Time / Permanent /Temporary / Contract end__/___,

Only If The Current Employment Is Less Than Three (03) Years


Employer

Since

Email:

Address:

Contact number

( Suburb)

(Street number and name)

PAYG / SELF EMP

Contact person

(Street number and name)

Contact number

( Suburb)

Do you own the business where you work?YES / NO

PAYG / SELF EMP

(State)

(Postcode)

Casual / Part Time Casual / Part Time Permanent / Part Time / Permanent /Temporary / Contract end__/___,

FINANCIALLY DEPENDANTS
Age

Relationship

RightFinanceSystemsABN:51160385286

2065_rev02

Number of years to Support

Notes

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PERSONAL DETAILS - APPLICANT 02


First Name:

Middle Name:

Last Name:

Date of Birth: dd / mm / yyyy

E-mail:

Single

Mobile PH

Married to App 2

Married but not app 2

Home PH

Dependents

YES / NO

How many?

Work PH

Age/s

RESIDENTIAL ADDRESS (Only if different to applicant 1)


Address:

(Street number and name)

Since: dd / mm / yyyy

Residential Status:

PREVIOUS RESIDENTIAL ADDRESS/S Only


Address:

Own

Own with mortgage

Rent (Private)

Rent (Trough REA)

( Suburb)

To: dd / mm / yyyy

Residential Status:

Own

(Postcode)
With parents

(State)

Own with mortgage

(Street number and name)

From: dd / mm / yyyy

(State)

If The Current Address Is Less Than Three (03)Years

(Street number and name)

From: dd / mm / yyyy
Address:

( Suburb)

With parents

( Suburb)

To: dd / mm / yyyy

Residential Status:

Own

(Postcode)
Other :

(State)

Own with mortgage

With parents

(Postcode)
Other :

EMPLOYMENT DETAILS
Occupation

Employer

Since

Email:

Contact person

Address:

Do you own the business where you work?YES / NO

PREVIOUS EMPLOYMENT DETAILS


Occupation

(State)

(Postcode)

Casual / Part Time Casual / Part Time Permanent / Part Time / Permanent /Temporary / Contract end__/___,

Only If The Current Employment Is Less Than Three (03) Years & Only if different to applicant 1
Employer

Since

Email:

Address:

Contact number

( Suburb)

(Street number and name)

PAYG / SELF EMP

Contact person

(Street number and name)

Contact number

( Suburb)

Do you own the business where you work?YES / NO

PAYG / SELF EMP

(State)

(Postcode)

Casual / Part Time Casual / Part Time Permanent / Part Time / Permanent /Temporary / Contract end__/___,

FINANCIALLY DEPENDANTS
Age

Relationship

RightFinanceSystemsABN:51160385286

2065_rev02

Number of years to Support

Notes

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INCOME DETAILS

Income Details

Applicant 01

Salaried/PAYG (Annual / Monthly /Fortnightly/ Weekly)


Last FYear

Self-Employed (Taxable Income)

Nett/ Gross

Applicant 02

Nett/ Gross
Current FYear
Nett/ Gross

Last FYear
Nett/ Gross

Nett/ Gross
Current FYear
Nett/ Gross

Business or other income


Overseas Rental Income
Salary Packaging / Additional Benefits
Overtime/ Bonus / Commissions
Business Income (NPBT)
Super Pension / Annuity Income
Investment Income
Lease Income - Commercial
Family Trust Distributions
Maintenance Payments
Work Compensation Payments
Centre Link Benefits
Type of Centre Link Benefits

COMPANY BORROWER DETAILS


Company Name or Trading Name
ABN or ACN :

Date of Incorporation :

Trading Address:

(Street number and name)

Since: dd / mm / yyyy

Status:

( Suburb)
Own Own with mortgage

Lease (Private)

(State)
Lease (Trough REA)

(Postcode)

License Lease

PREVIOUS RESIDENTIAL ADDRESS/S IF THE CURRENT ADDRESS IS LESS THAN THREE (03) YEARS
Address:

(Street number and name)

Since: dd / mm / yyyy
Business Structure : Sole Trader

Status:

( Suburb)
Own Own with mortgage

Partnership Company

Lease (Private)
Is the Company a Trustee?
Name of Trust:

(State)

(Postcode)

Lease (Trough REA)


No
Yes

License Lease

No. of Directors

Principal Place of Business Activity


After Settlement Trading Address:

(Street number and name)

Registered Address
(if different to trading address):

(Street number and name)

Postal Address
(if different to trading address):

(Street number and name)

Business Turn Over (approximate)


Outstanding Tax Debit
Investment Capital

RightFinanceSystemsABN:51160385286

( Suburb)

(State)

(Postcode)

( Suburb)

(State)

(Postcode)

( Suburb)

(State)

(Postcode)

Current Financial Year:

Last Financial Year:

Current Financial Year:

Last Financial Year:

Current Financial Year:

Last Financial Year:

2089_01

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ASSETS,LIABILITIES & WEALTH PROTECTION

ASSETS

CURRENT LIABILITIES

Description

Rent received
per week

Estimated Current Value


Real Estate Details/Address

Existing Financier

Min Monthly
Repayment

Amount
Owing

Loan Limit

Mortgages

Own Home Address


Inv.Property 1:
Inv.Property 2:
Inv.Property 3:
Inv.Property 4:

N/A

Bank

Bank

Bank

Bank

Bank

Motor Vehicles/Boat Details


Make Year & Model:
Make Year & Model:
Make Year & Model:

N/A

Bank

N/A

Bank

N/A

Bank

Savings and deposits


Bank
Bank
Bank
Bank

Personal Loans/Overdraft
Genuine Savings
Yes NO
Genuine Savings
Yes NO
Genuine Savings
Yes NO
Genuine Savings
Yes NO

Other Assets
Home Content

Savings/ Term

Bank

Savings/ Term

Bank

Savings/ Term

Bank

Savings/ Term

Bank

Credit Cards
$

N/A

Bank

Shares

N/A

Bank

Superannuation/ Super Provider

N/A

Bank

Other

Bank

Rent per moth

IF RENTING

Total Assets

N/A

Total Liabilities

RightFinanceSystemsABN:51160385286

2065_rev02

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N/A

Office Use Only: INTERVIEW DECLARATION

THISSECTIONMUSTBECOMPLETEDBYTHEMORTGAGECONSULTANT/INTRODUCERONLY
1. Has the applicant / each of the applicants demonstrated sufficient English fluency to understand
the loan and its implications? YES / NO
If No, please provide details:

2. Has the applicant / each of the applicants demonstrated sufficient financial literacy to understand
the loan and its implications? YES / NO

If No, please provide details:

Protecting Lifestyle & Assets

We offer a no obligation review of our insurance needs by a financial adviser to ensure you do not suffer
financial hardship in the event of your death, disability, or critical illness.

Life Insurance, Trauma and TPD Cover

Client1

Client2

Do you have any Life Insurance,


Trauma Cover or TPD cover?

No Yes (please specify)

No Yes (please specify)

Contact to discuss Life Insurance,


Trauma or TPD cover?

Yes, please have an Adviser


contact me about this matter

Yes, please have an Adviser


contact me about this matter

Income Protection

Client1

Client2

No Yes (please specify)

No Yes (please specify)

Yes, please have an Adviser


contact me about this matter

Yes, please have an Adviser


contact me about this matter

No Yes (please specify)

No Yes (please specify)

Yes, please have an Adviser


contact me about this matter

Yes, please have an Adviser


contact me about this matter

Do you have any Income


Protection?
Contact to discuss Income
Protection?

General Insurance
Do you have building and contents
insurance, or business insurance?
Contact to discuss General
Insurance?

Type of Loan Facility


Purpose of Loan
Requested Loan Amount
Requested Loan Term

Standard Loan Low Doc Construction Commercial


Owner Occupied Investment New Purchase Refinance
Construction Increase

Credit Assistance Provider Details

This assessment is valid for 90 days from the date of this assessment, or 120 days if the credit is for the
purchase of a residential property secured by a mortgage.

Consultants Name
Date of Assessment
Signature

Australian Credit License


or Credit Representative
Number

RightFinanceSystemsABN:51160385286

2065_rev02

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Notes:

RightFinanceSystemsABN:51160385286

2065_rev02

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