[EXAMPLE ONLY]

AUSTRALIAN MORTGAGE APPLICATION FORM

Also See:
http://www.mortgageseek.com.au/blog/basics/applying-for-a-home-loan-how-banks-assess-you/
http://www.mortgageseek.com.au/blog/basics/applying-for-a-home-loan-the-process/

Are you a First Home Buyer?

Facility Required

Yes

No
Standard
Variable

Classic

Fixed

Basic

Split Loan

Loan
Purpose

Home Equity

Interest Only

Full Purchase Price $

Price Less Deposit $
Amount Required $

Address of
property to
be purchased

Repayment Frequency

W/F/M
years

Loan Term

Do you expect to earn rental income from the property?

Do you wish to apply for a VISA Card?

Yes

Yes

No

W/F/M

Expected Rental Income $

No

Limit Required $

MAX $20,000

PERSONAL PARTICULARS OF APPLICANT(S)

APPLICANT 2

APPLICANT 1
Male

Membership No.
Title

Female

Male

Membership No.
Title

Surname

Surname

First Name(s)

First Name(s)

Driver's Licence No.

& Expiry Date

/
Ages

No. of dependent children

Marital Status

Date of Birth

Marital Status

Date of Birth

//

Driver's Licence No.

& Expiry Date

/
Ages

No. of dependent children

Residential
Address
Postcode

Complete if information differs to that of Applicant 1

Residential
Address
Postcode
Postal
Address

Postal
Address

Postcode

Postcode
Status: Home Owner / Buyer / Renting / Boarding / Other

Status: Home Owner / Buyer / Renting / Boarding / Other

Years

Period at current address

Years

Period at current address

Previous
Address

Previous
Address

Postcode

Postcode
Years

Period at previous address

Status: Home Owner / Buyer / Renting / Boarding / Other

Status: Home Owner / Buyer / Renting / Boarding / Other

Home Phone No.

Work Contact No.

Work Contact No.

Mobile Contact No. (

Years

Period at previous address

Home Phone No.

Email

Female

Mobile Contact No. (

Email

ADDITIONAL CONTACT
(Details of closest relative or friend in Australia NOT living with you)
Surname

Title

First Name(s)

Address

Postcode

Home No. (

Work No.

Relationship

EMPLOYMENT DETAILS
APPLICANT 1

APPLICANT 2

Occupation

Occupation

Status: Full Time / Part Time / Casual / Self Employed / Retired / Unemployed

Status: Full Time / Part Time / Casual / Self Employed / Retired / Unemployed

Current Employer

Current Employer

Employer's Address

Employer's Address

Phone No. (

Length

Years

Phone No. (

If less than 3 years in current position

If less than 3 years in current position

Previous Employer

Previous Employer

Phone No. (

Length

Years

Phone No. (

Length

Years

Length

Years

INCOME DETAILS (supporting evidence required)

APPLICANT 1

APPLICANT 2
(Weekly / Fortnightly / Monthly)

Net

(Weekly / Fortnightly / Monthly)

Net

Other Income Source

Other Income

Source

TOTAL NET INCOME

Source

Source

$
$

TOTAL NET INCOME

ASSETS AND LIABILITIES

Home Owned
Loan Amount
$
Outstanding

Property Value $
Mortgaged to

Repayment
$
Amount

per week / fortnight / month

Insured with

Motor Vehicle Details

Make & Model

Year

Value

Amount
Outstanding

Financed
With

Insured With

Repayment
Amount

Frequency To be paid out

(W/F/M)
with this loan
Yes / No

Yes / No

Yes / No

Other Real Estate (if more than one attach on a separate piece of paper)
Loan Amount
Outstanding

Property Value $

Address
Mortgaged to

Repayment
$
Amount

per week / fortnight / month

Rent received $

per week / fortnight / month

Insured with

Other Assets
Description
e.g. furniture etc

Approximate Value

Insured With
$

ASSETS AND LIABILITIES (cont)

Savings and Term Deposits
Financial Institution

Branch

Account Type

Amount
$
$
$
$
$
$

Shares
Company

No. of Shares

Estimated Value
$
$
$

Rent or Board
Amount

per week / fortnight / month

Paid to:

Name
Address

Phone No:

Phone No.

Other Loans (including credit and store accounts)

Credit Provider

Balance

Credit Limit

Repayment Frequency
Amount
(W/F/M)

$$

$$

$$

Yes / No

$$

$$

$$

Yes / No

$$

$$

$$

Yes / No

$$

$$

$$

Yes / No

$$

$$

$$

Yes / No

Other Commitments

Repayment Frequency
Amount
(W/F/M)

Description

Yes / No

$$

Yes / No

$$

Yes / No

$$

Yes / No

$$

Yes / No

Has any party to the loan ever been bankrupt or had any legal
proceedings against them in the past 5 years?
No

If yes, please provide details

APPLICANT 1
I/we agree to pay any fee associated with this application, as indicated in
Schedule of Fees and Charges.

I/we declare that the information stated in this application is true, correct
and accurate.

Signature

Date

I/we authorise to make any relevant enquiries into the references

mentioned, my/our employer or any other credit provider at any time during
the conveyancing of this facility.
I/we acknowledge that a (Credit Reporting Agency) report will be
obtained.

APPLICANT 2
Signature

Date

To be paid out
with this loan

$$

APPLICANT DECLARATION

Yes

To be paid out
with this loan

PRIVACY PROTECTION OF INFORMATION

GENERAL FORM FOR APPLICATION FOR CREDIT
IMPORTANT NOTICE TO APPLICANT(S) FOR CREDIT
(Section 18E(8) (c) Privacy Act 1988)
PLEASE READ CAREFULLY.

4. ACCESS TO COMMERCIAL CREDIT INFORMATION

You can obtain a full copy of our privacy policy from your local Branch
may give information about you to a credit reporting agency, but only
limited kinds of information allowed by the Privacy Act 1988
(Commonwealth).
This includes:
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identity particulars - this only includes your name, sex, date of birth,
current known address, two immediately previous addresses, y o u r
current or last known employer, and your drivers licence number;
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that you have applied for credit and the amount;
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that is a credit provider to you;
payments overdue for at least 60 days, when has
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taken steps to recover;
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that payments are no longer overdue;
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cheques for an amount greater than $100, drawn by you which have
been dishonoured more than once;
a serious credit infringement;
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when the credit provided to you has been discharged.
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5. DISCLOSURE OF INFORMATION TO PERSONS FUNDING

MORTGAGE CREDIT BY SECURITISATION

STATEMENT BY APPLICANT(S) FOR CREDIT

Please read carefully before signing. Where more than 1 applicant,
each applicant must sign.

1. DECLARATION OF PURPOSE
In accordance with section 13 of the National Credit Code this
Declaration is required where the purpose of credit is not wholly or
predominantly:
(a) for personal, domestic or household purposes;
(b) to purchase, renovate or improve residential property for
investment purposes; or
(c) to refinance credit that has been provided wholly or
predominantly to purchase, renovate or improve residential
property for investment purposes.
I/We declare that the credit to be provided to me/us by the credit
provider is to be applied wholly or predominantly for:
(a) business purposes; or
(b) investment purposes other than investment in residential
property.

IMPORTANT
You should only sign this Declaration if this loan is wholly or
predominantly for:
business purposes; or
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investment purposes other than investment in residential
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property.
By signing this declaration you may lose your protection under the
National Credit Code.

(Section 18L(4) Privacy Act 1988).

For the purpose of assessing my/our application for credit, I/we
consent to obtaining a report containing information about my/
our commercial activities or commercial credit worthiness, from
a business which provides information about the commercial
credit worthiness of persons.

(Section 18N(1) (bg) Privacy Act 1988).

If proposes to fund the credit I am/we are applying for by an
arrangement involving mortgage securitisation, I/we consent to
disclosing information about my/our personal credit worthiness
to persons or bodies so involved to enable them to do what is
necessary in the funding of the mortgage credit by such means.

6. ACCESS TO CONSUMER CREDIT INFORMATION

FOR COMMERCIAL CREDIT APPLICATION

(Section 18K(1) (b) Privacy Act 1988).

If my/our application is for commercial credit, I/we consent to
obtaining from a credit reporting agency a credit report about me/
us containing consumer credit information in order to assess my/
our application.

7. ACCESS TO CONSUMER CREDIT INFORMATION

BY TRADE INSURERS (Section 18K(1) (e) Privacy Act 1988).
If my/our application is for commercial credit, I/we consent to a trade
insurer obtaining a credit report about me/us containing consumer
credit information, in order to assess whether to insure the credit
provider for the credit given to me/us, of the risk of providing
insurance, or to assess the risk of default by me/us on this credit.

8. DISCLOSURE TO GUARANTORS (Section 18N(1) (bh)).

I/we authorise the disclosure of information to any person who
proposes to guarantee the payment of credit provided to me/us.

9. TRANSACTION MONITORING
I/we acknowledge that is required by law to monitor transactions
on any account and may disclose threshold and suspicious
matters to the Australian Transaction Reports Analysis Centre
AUSTRAC(
)
in compliance with anti-money
laundering and counter-terrorism laws.

Signed:. Signed:.

2. GIVING INFORMATION TO A CREDIT REPORTING AGENCY

(Section 18E(8) (c) PRIVACY ACT 1988)

SERVICE ONE has informed me/us that it may give certain
personal information about me/us to a credit reporting agency. I/we
understand that SERVICE ONE can only give limited kinds of
information which are set out in the Privacy Act 1988 and examples
of which are listed above.

3. EXCHANGING INFORMATION WITH OTHER CREDIT

PROVIDERS (Section 18N(1) (b) PRIVACY ACT 1988).
I/we agree to SERVICE ONE checking personal information about
me/us with any credit provider named in my credit application, and
with other credit providers that may be named in a credit report
issued by a credit reporting agency, for any of the following
purposes:
to assess my/our credit worthiness;
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to assess an application by me/us for credit;
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to help me/us avoid defaulting on my credit obligations;
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to notify a default by me/us;
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the collection of overdue payments.
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APPLICANT 1
Name (Please print)
Signature

Date

Date

APPLICANT 2
Name (Please print)
Signature

organ transplant, Insurance will pay the lesser of the

insurance, Insurance will pay the outstanding loan balance at

the period of insurance, Insurance will pay the monthly loan

retrenchment, Insurance will pay the monthly loan repayment

I/We hereby apply for Mortgage Insure Cover and I/We authorise LENDER to charge my/our loan account with the premium if my/our insurance is accepted. If my/our
loan is repaid early, my/our account will be credited with the appropriate refund.

PROPERTY/LEGAL DETAILS
Title to be in the name(s) of:
(Full name(s) required)
Title details ACT: Block

District

Section

NSW:

Deposit Plan No.

For Refinancing: Details compulsory - please attach copy of current insurance policy.
Policy No.

Name of Insurance Company

Amount Insured
Solicitor

Insurance renewal date

Firm

Contact

Address
Tel
Contact name for Access to
Property for Valuer's Assessment

Tel

Fax
Anticipated settlement
date (if known)

Fax

I/we give permission to arrange for a valuation to be carried out on the above property.
I/we understand that if the loan does not proceed for any reason, I am/we are responsible for payment of the valuation fee.

Applicant 1 Signature

Date

Applicant 2 Signature

Date

DOCUMENTATION TO BE SUPPLIED PRIOR TO APPROVAL

The following information (where appropriate) must be supplied when lodging your Loan Application form:
- Permanent employees: Last two (2) payslips are required. If this is a joint loan or if two incomes are required to support the loan, evidence of both
incomes is required.
- Part Time / Casual employees: A letter from your employer(s) on a company letterhead confirming the length of your employment(s) and current
income. Last two years Tax Assessment Notices if casually employed.
- Self employed: If the first or joint borrower is self employed, a copy of the last two years' tax return(s) and assessment notices for personal and
business must be supplied.
- If you own your own home: please include a current rates instalment notice.
- If you own your own car: please include a copy of the registration papers.
- Confirmation of any other income listed: for example Centrelink benefits, child support, rental income, second job etc.
- Refinancing or consolidating: Where the purpose of the loan is to refinance or consolidate existing debts, we require a copy of the last 6 months
statements for home loans and 3 months statements for each account that you wish to pay off.

THE NEXT STEP

Have ALL relevant questions been answered?

Yes

No

Have all applicant(s) completed the Income section on page 2 to support this loan?

Yes

No

Has the Applicant Declaration been signed and dated by all applicant(s)?

Yes

No

Has the Privacy Protection of Information on page 3 been signed and dated by all applicant(s)?

Yes

No

Has the evidence of total income been attached to this page as detailed above?

Yes

No

If the applicant(s) require Loan Repayment Insurance, has the information required been completed on page 5?

Yes

No