Personal note that Phillip Martin Finance is unable to accept your personal information unless you can honestly declare to the following: * - I consent to the collection of my personal information on the understanding that the information will not be shared and it will only be used for the purpose of credit assessment. - I understand that if I qualify a separate privacy form will be used to obtain my consent to the collection, use and share of documents with a lender of choice for the purpose of obtaining credit for the purchase of a home. - I am over the age of 18 years of age. I understand that upon giving my consent: - I will be updated on my borrowing capacity. - A credit report will not be sought unless a separate privacy form is signed after I am advised of my borrowing capacity and consequently authorise the collection of a credit report by Phillip Martin Finance. I understand that I may apply personally to Equifax for a free copy of my credit report. This will take approximately ten business days. - Documents will be requested for loan assessment including pay slips and Centrelink statements if applicable. I declared that I have read, understood and agree with all points outlined above. Applicant 1 Details Applicant 1 (Full Name) * First Name Last Name Date of Birth (Applicant 1) Australia Cititzen/Resident? (Applicant 1) Are you a first home buyer? (Applicant 1) Address (Applicant 1) Phone (Applicant 1) * Email (Applicant 1) * Applicant 2 Details Applicant 2 (Full Name) First Name Last Name Date of Birth (Applicant 2) Australian Citizen/Resident? (Applicant 2) Are you a first home buyer? (Applicant 2) Address (Applicant 2) Phone (Applicant 2) Email (Applicant 2) Personal Details Have either applicants owned property anywhere before? If yes, where? Are you currently renting? How long in current rental (Applicant 1)? How long in current rental (Applicant 2)? If less than 1 year, how long in previous rental? Rent paid per week? (Applicant 1) Rent paid per week? (Applicant 2) Renting Type Renting Via Agent Shared Rental Private At Home Onsite Manager Name/s on current lease Loan Purpose? Build Invest Refinance Consolidate Deposit Saved Amount can save per week Marital Status Number of children Ages of children Income Applicant 1 Occupation (Applicant 1) Date Started (Applicant 1) Employment Type NA Full Time Perm Part Time Part Time Casual Contract Self Employed Gross Base Income (Applicant 1) Weekly Fortnightly Monthly Yearly Overtime Income (Applicant 1) Weekly Fortnightly Monthly Yearly Bonuses Income (Applicant 1) Weekly Fortnightly Monthly Yearly Family Assistance Part A (Applicant 1) Weekly Fortnightly Monthly Yearly Family Assistance Part B (Applicant 1) Weekly Fortnightly Monthly Yearly Superannuation Balance (Approx) 0 10k+ 50k+ 100k+ 200k+ Income Applicant 2 Occupation (Applicant 2) Date Started (Applicant 2) Employment Type NA Full Time Perm Part Time Part Time Casual Contract Self Employed Gross Base Income (Applicant 2) Weekly Fortnightly Monthly Yearly Overtime Income (Applicant 2) Weekly Fortnightly Monthly Yearly Bonuses Income (Applicant 2) Weekly Fortnightly Monthly Yearly Family Assistance Part A (Applicant 2) Weekly Fortnightly Monthly Yearly Family Assistance Part B (Applicant 2) Weekly Fortnightly Monthly Yearly Superannuation Balance (Applicant 2) 0 10k+ 50k+ 100k+ 200k+ Other Income Do you get any rental income? If yes, than how much and the property address? Weekly Fortnightly Monthly Yearly Do you receive income from other sources? If so, where from and how much? Weekly Fortnightly Monthly Yearly Expenses Existing Mortgage Repayment Weekly Fortnightly Monthly Property Value Mortgage Balance Car Loan Repayment 1 Weekly Fortnightly Monthly Car Loan Amount 1 Car Loan Balance 1 Car Loan Repayment 2 Weekly Fortnightly Monthly Car Loan Amount 2 Car Loan Balance 2 Personal Loan Repayment 1 Weekly Fortnightly Monthly Personal Loan Amount 1 Personal Loan Balance 1 Personal Loan Repayment 2 Weekly Fortnightly Monthly Personal Loan Amount 2 Personal Loan Balance 2 Afterpay Repayments Weekly Fortnightly Monthly Afterpay Loan Amount Afterpay Loan Balance ZipPay Repayment Weekly Fortnightly Monthly ZipPay Loan Amount ZipPay Loan Balance Credit Card Credit Card 1 Owning Credit Card 1 Limit Credit Card 2 Owning Credit Card 2 Limit Credit Card 3 Owning Credit Card 3 Limit Debt Agreement Yes No Debt Amount Debt Balance Have you been bankrupt in the last 5 years? Yes No Comments Private School Fee Per Month Any other loans, GE Cards, Certigy, Rent to buy etc? (Details) Paying Child Maintenance Per Month Receiving Child Maintenance Per Month Child Care Cost Per Month Do you have any credit impairment, defaults or judgement? If yes, please provide details Have you overdrawn or made late payments on any credit facility (loan, credit card etc)? If yes, how much, when and which financial institution was this with? Have you or your partner ever made any enquires to the following lenders (Cash Converters, Wallet Wizard, Deferit, Nimble, Credit 24, Harmoney)? Preferred Area Preferred Contact Time Comments Thank you!