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RESPONSIBLE LENDING FORM - Short Fact Find
PERSONAL DETAILS
Full Name
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First
Last
Current Residential Address
Street
Suburb
State
Post Code
Time at Address
Address Status
Mortgage
Own
Rent
Other
Previous Address ( if within the last years )
Drivers License Number ( include expiry date )
Date of Birth
*
Day
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Phone Number (s)
*
Email Address
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Enter Email
Confirm Email
Marital Staus
Single
Married
De Facto
Name and D.O.B of Dependants
Mother's Maiden Name
Next of Kin - Not living with
CURRENT EMPLOYMENT
Type of Employment
PAYG
Self Employed
Not Employed
Employment Status
Full Time
Part Time
Casual
Contract
Employer Name
Employer Address
Employer Contact Name
Employer Contact Number
Position
Time in Position
Gross Annual Income
Net Monthly Income
PREVIOUS EMPLOYMENT
Type of Employment
PAYG
Self Employed
Not Employed
Employment Status
Full Time
Part Time
Casual
Contract
Employer Name
Employer Address
Employer Contact Name
Employer Contact Number
Position
Time in Position
Gross Annual Income
SELF EMPLOYED BORROWERS ( if applicable )
Name of Business ( include ABN )
Type of Business
Sole Trader
Partnership
Company
Name of Business
Gross Turnover
Net Profit
Has the income been consistent in the last two years ?
Yes
No
Notes
LOAN OBJECTIVES
Purchase owner occupied
Purchase an investment property
Purchase Land
Construction for owner occupation
Construction for investment
Finance vehicle or equipment
Refinance
Equity release / Top up
Other ( provide details )
Loan Objective Details ( if required )
LOAN REQUIREMENTS
Loan 1 - Amount of credit sought
Proposed loan term ( in years )
Requirements
Interest Only
Fixed Rate
Standard Variable
Basic Variable
Introductory Loan
Line of Credit
Low Doc
Non - Conforming Loan
Offset Account
Make Additional Payments
Low Fees and Charges
Other Features Required
Additional Notes on Requirements and Objectives
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