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Please provide your details in the finance enquiry form below.
If there are two applicants, please add a second applicant at the end of this form.
YOUR DATE OF BIRTH:
MARITAL STATUS:
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CONTACT DETAILS:
BEST TIME TO CONTACT:
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Time you have lived at this address
Years
Months
Current Residential Status
Please SelectOwn HomeMortgagedLiving with FamilyRentingBoarding
If Renting
Please SelectReal EstatePrivate Rental
Rent Paid Per Week
Previous Address (If current is less than 3 years):
Time you have lived at previous address
DEPENDANTS
What is the status of your credit history
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Credit history details
Work Status:
Please SelectFull TimePart TimeCasualSelf-EmployedPAYGNot Working/RetiredRetiredHome Duties
Occupation:
Date Started:
Employer Name/Business Name:
Gross Salary (or base wage):
Average Overtime / Allowances:
Current Centrelink (Family Benefits):
Current Centrelink (Rental Assitance):
Date Finished:
Home Contents:
Car 1:
Car 2:
Cash at Bank/Savings:
Superannuation 1:
Superannuation 2:
Other:
Fill out each that apply
HECS Debt:
Car Finance 1:
Car Finance 2:
Personal Loan 1:
Personal Loan 2:
Credit Card:
Store Card:
If there is a second applicant, please add below.
Add 2nd Applicant
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Real EstatePrivate Rental
"I / We confirm that the information contained in this enquiry form is true and correct."