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DEBT CONSOLIDATION
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Type of loan:
Debt Consolidation Refinance Other
YOUR
CONTACT DETAILS
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Title
Select One Mr Mrs Miss Ms Dr
Your first and last name:
Your email:
*
*
*
How would you prefer to
be contacted?
*
Select One AM PM BH AH Any Time
How many
times have you applied for a loan in the last 6 months?
Select One None 1 2 3 4 5 or more *
PLEASE read this before you continue:
WHAT IS A DEFAULT?
DEFAULTS are payment defaults already
listed on your CREDIT FILE . It means
that steps have been taken to recover the whole, or part
of, the amount you owe on your credit cards, personal
loans, electricity bills, phone bills, etc.
If you are ONLY few days or weeks late
with your payments on your loans, credit cards and bills
these are NOT defaults.
Any PAID
defaults with finance company? (Personal loans, credit cards,
etc)
Select One None 1 2 3 4 5 or more *
Any UNPAID
defaults with finance company?
Select One None 1 2 3 4 5 or more *
Any PAID
defaults with utility company?
Select One None 1 2 3 4 5 or more *
Any UNPAID
defaults with utility company? (Phone bills, electricity
bills, etc)
Select One None 1 2 3 4 5 or more *
If you
have any paid or unpaid defaults please provide details:
How much, when and what for.
Do you own
property (House, unit, etc) or have a mortgage?
Select One Yes No *
If you have
a mortgage, with which bank?
Select One Commomwealth Bank Natioanal Australia Bank Westpac ANZ Adelaide Bank Bank of Queensland Bendigo Bank St George Building Society Other
How long
have you been at your current residential address?
Select One 1 month 2 months 3 months 4 months 5 months 6 months 7 months 8 months 9 months 10 months 11 months 1 year 2 years 3 years 4 years 5 years 6 years 7+ years *
What is
your employment status?
Select One Full time Part time Casual Contract Pensioner Unemployed *
How long
have you been employed at your current work place?
Select One 1 month 2 months 3 months 4 months 5 months 6 months 7 months 8 months 9 months 10 months 11 months 1 year 2 years 3 years 4 years 5 years 6 years 7+ years
*
Can you
provide 2 latest payslips or if you are self-employed tax
return or a letter from your accountant?
Select One Yes No *
Total amount
of your SECURED debts ?
*
Total amount
of your UNSECURED debts ?
*
Have you
been bankrupt within the last 13 years?
Select One Yes No *
Do you require
business loan?
Select One Yes No *
Have you
had previous contact with Australian Loans?
Select One Yes No *
How much
are your net assets worth?
*
Your income
before tax
Select One week fortnight month year *
Comments:
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