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First Name:	*
Surname:	*
Email:	*
Contact No:	*
Best Contact Time:	Any Time Morning Afternoon Evening
Postcode:	*
Suburb/State:	*
Marital Status:	Single Married De facto Seperated Divorced *
Dependants under 18:	0 1 2 3 4 5 More than 5 *
Work status:	Full-time Part-time Casual Contracter PAYG/Self Employed Unemployed *
Time at current job:	Less than a year 1-2 years 3-5 years More than 5 years *
Home Loan Details and Home Loan Features
Loan Purpose:	Refinancing/Consolidation Moving or Renovating Building Investing in Property Reverse Mortgage Pre-approval First Home Buyer *
Loan Amount:	*
Estimated purchase price or existing property value $:	*
I am buying/refinancing:	House Unit Flat Vacant Land Town house Villa Holiday home *
I want to buy/refinance:	Immediately 1 month 2-3 months 3-5 months More than 6 months *
Home Loan Type:	Any Home Loan Type Variable Rate Home Loans Intro Rate Home Loans Fixed Rate Home Loans Professional Package Home Loans Basic Home Loans Line of Credit Home Loans Low Doc Home Loans Bridging Home Loans Reverse Mortgage Home Loans *
Loan Features:	Redraw Facility Offset Account Owner/Occupier Resi Investment Interest Only Split Loans Portability Nill Ongoing Fees Fortnightly Repayments Vacant Land Non Resident
Financial Details
Do you have 5% genuine savings?:	Yes No *
Can you get a 15% deposit elsewhere?:	Yes No *
Can a family member provide a security guarantee over their home?:	Yes No *
Do you have equity in an existing property?:	Yes No *
Annual household income $:	*
Monthly repayments on all existing outstanding loans $:	*   No existing loans enter 0.
Total credit card limits $:	*   No credit cards enter 0.
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