Application for a Mortgage Loan

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1 Application for a Mortgage Loan Branch Name OFFICE USE ON LY Please print neatly in block letters using black or blue pen Lender s Name Loan Purpose & Term Buy a House Buy Land Buy a Unit Purchase Price/Amount Req. Build a House Extensions/Renovations Refinance Additional costs - Please Specify CU Loans to be refinanced Sub Total Less your own contribution Owner Occupied Investment Total Loan Required Is this your First Home Purchase: No Requested Term: Years Mths Is this loan predominantly for investment or business purposes? No - complete declaration on page 5 Personal Details Membership Number: Membership Number: Borrower Guarantor Borrower Guarantor Title: First Name: Title: First Name: Middle Name(s): Middle Name(s): Surname: Surname: Date of Birth: Gender: Male Female Date of Birth: Gender: Male Female Driver s Licence No.: Expiry Date: Driver s Licence No.: Expiry Date: Marital Status: Single Married Defacto Marital Status: Single Married Defacto No. of Dependants: Ages: No. of Dependants: Ages: Home Work No.: Home Work No.: Mobile No.: Mobile No.: Residential Residential (Tick box if same as 1st Applicant) Postal (If different to residential address) Postal (If different to residential address) Renting / Boarding - Weekly payment Rent / Board Payable to: Current term at this address: Renting / Boarding - Weekly payment Rent / Board Payable to: Current term at this address: Previous Address Details: (If at current address for less than 3 years) Previous Address Details: (Tick box if same as 1st Applicant) Renting Boarding Term at previous address: Renting Boarding Term at previous address: 1

2 Authorisation for Employer/Accountant to Disclose Employment/Income Details. Authorisation for Employer/Accountant to Disclose Employment/Income Details. Full Name of 1st Applicant: Full Name of 2nd Applicant: Employment Details Current Occupation: Employment Details Current Occupation: Employment Status: Employment Status: Minimum Weekly Hours: Base Wage: Gross Net Minimum Weekly Hours: Base Wage: Gross Net Weekly Fortnightly Weekly Fortnightly Monthly Annually Monthly Annually Employer s Name: Employer s Name: Employer s Employer s Name of Personnel Manager/Payroll Officer: Name of Personnel Manager/Payroll Officer: Accountant s Details (For Applicants) Accountant s Details (For Applicants) Accountant s Name: Accountant s Accountant s Name: Accountant s (Tick box if same as 1st Applicant) Declaration Declaration I authorise my employer or accountant to disclose any salary, employment or financial details to the Credit Union to assist in the assessment of my loan application. I also acknowledge that the Credit Union will provide a copy of this authority to my employer or accountant if they ask for details of the Credit Union s authority to obtain that information. I understand that the Credit Union will not disclose any part of my loan application. I authorise my employer or accountant to disclose any salary, employment or financial details to the Credit Union to assist in the assessment of my loan application. I also acknowledge that the Credit Union will provide a copy of this authority to my employer or accountant if they ask for details of the Credit Union s authority to obtain that information. I understand that the Credit Union will not disclose any part of my loan application. Signature of 1st Applicant Signature of 2nd Applicant 2

3 Previous Employment Complete this section if in present employment for less than 3 years. 1st Applicant 2nd Applicant Previous Occupation: Previous Occupation: Employer/Acct s Name: Employer/Acct s Name: Date Ceased: Date Ceased: Statement of Position Assets Real Estate Property (Show Address Details) Weekly Rent received: Property Type: Value: Deposit Accounts (Show Financial Institution) Account Numbers: Balance: Motor Vehicles/Caravans/Boats etc Model: Year: Value: Make: Make: Investments/Superannuation/Shares etc (Show Financial Institution) Assests/Deposits Paid (Give Description) Investment Type: Value: Value: Home contents and other personal effects Total Assets (a): Liabilities Mortgages (Show Lender and Account Number) Monthly Repayment: Refinance: Balance/Limit: Personal and Loans (Show Lender and Account Number) Monthly Repayment: Balance/Limit: Credit Cards/Store Cards/Overdrafts etc (Show Lender) Credit Limit: Balance: Payments Please specify Monthly Repayment: Balance: Please specify Total Liabilities (b): Net Assets (a-b): 3

4 Financial Details Additional Monthly Income Details Social Security: Private Pension: Rental Income: Gross per month: 80% of Gross Monthly Figure: Rental Income: Gross per month: 80% of Gross Monthly Figure: Income: Total: Referee Details Closest relative not living with you Title: Surname: Given Names: Relationship to applicant: Home Phone: Work Phone: Mobile: State: Security Details House Land Unit House Land Unit (Please Specify) (Please Specify) Price or estimated value Price or estimated value Owner Occupied Investment Owner Occupied Investment Area of Property: sqm/ha Area of Property: sqm/ha Full names to be on Title (including middle names): Full names to be on Title (including middle names): Real Estate Agents/Builders Details Name: Name: Builder s Licence Number (if applicable): Contact Name: Office Use Only: Loan Types Loan 1 Type: Term: Rate: % P & Interest Interest Only Fixed Rate Term: Mthly Repayment Amount: Loan Amount: Loan 2 Type: Term: Rate: % P & Interest Interest Only Fixed Rate Term: Mthly Repayment Amount: Loan Amount: Pre-Approved MasterCard required No - print MasterCard Application from CUDP 4

5 Nomination to Receive Notices I/we nominate: to receive notices and other documents under the National Credit Code on my/our behalf. Note: All pa rties must reside at the same address and the nominee may only be the person first named on this loan applicatio n. Signature of 1st Applicant: Signature of 2nd Applicant: Important Notice: Each of the Applicants signing this nomination is entitled to receive a copy of any notice or other document under the National Credit Code. By signing this fo rm, you are giving up the right to be provided with info rmation direct from the Credit Union. Any of the Applicants who have signed this fo rm can advise us at any time in writing that they wish to cancel their nomination and accordingly wish to receive directly a copy of any notice or other document under the National Credit Code. Business/Investment Purpose Declaration I/We declare that the credit to be provided to me/us by the credit provider is to be applied wholly or predominantly for: business purposes; or investment purposes other than investment in residential property. Signature of 1st Applicant: Signature of 2nd Applicant: Important Notice: You should only sign this declaration if this loan is wholly or predominantly for: business purposes; or investment purposes other than investment in residential pro perty. By signing this declaration you may lose your protection under the National Credit Code. Loan Repayment Insurance (Direct Debit option available. Terms & Conditions apply) The Credit Union can introduce you to QBE Life (Australia) Limited &/or QBE Insurance (Australia) Limited if you are interested in insuring your loan repayments against sickness, accident, unemployment or death. Before deciding to acquire or continue to hold an insurance product(s) you should carefully read and consider the Product Disclosure Statement(s) (PDS) available from the Credit Union. Please indicate your Loan Repayment Insurance needs by ticking the appropriate boxes below. The decision to take out Loan Repayment Insurance is not a condition of loan approval and rests solely with the applicant/s. I/we am/are adequately insured and do not require Loan Repayment Insurance. I/we are interested in insurance cover from QBE Life (Australia) Limited &/or QBE Insurance (Australia) Limited as detailed below. I/we understand that I/we will need to complete an application form and the premium will be charged to my loan account before being covered by any insurance: 1st Applicant 2nd Applicant Death only Death and Disability Death, Disability and Trauma Death, Disability and Involuntary Unemployment Death, Disability, Trauma and Involuntary Unemployment Disability Only Disability and Trauma Disability and Involuntary Unemployment Disability, Trauma and Involuntary Unemployment Signature of 1st Applicant: Signature of 2nd Applicant: 5

6 Privacy Notification Outline This Privacy Notification sets out: why we collect and use your information how we collect and use your information what happens if you do not wish to provide us with information whether we provide your information to other entities the availability of our Privacy Policy when we can disclose certain information to a credit reporting body how a credit reporting body may use your information whether we disclose your information overseas and if so, where how you can contact us. Collection & use of your information We collect and use your information to: provide you with membership benefits, financial services and products or information about those benefits, services and products provide you with information about financial services and products from 3 rd parties we have arrangements with conduct market and demographic research in relation to the products and services you and other members acquire from us establish your eligibility for a loan establish your capacity to repay a loan. The law also requires us to collect and hold your information: for our register of members under the Corporations Act to verify your identity under the AML/CTF Act to assess your capacity to pay a loan under the National Consumer Credit Protection Act. If you are a Prospective Guarantor, we collect and use your information to: assess whether to enter into an arrangement with you for you to guarantee a loan we propose to make to one of our customers. How we collect your information We will collect information about you and your financial position from you directly When you apply for a loan, we will collect information about your credit history from a credit reporting body If you are a Prospective Guarantor, we may collect information about your credit history from a credit reporting body. However, you must provide us with your written consent to do so. How you can access your information You can request access to your information at any time. What if you do not wish to provide us with information? If you do not give us the information we require, we may not be able to admit you to membership or provide you with the financial service or product you have applied for. Or, if you are a Prospective Guarantor, we will not proceed with the loan to our customer. Providing your information to credit reporting bodies The credit reporting body we disclose information to is Veda Advantage. If you do not make your repayments when they fall due or commit a serious credit infringement, we may disclose this to Veda Advantage. Or, if you are a Prospective Guarantor and our customer does not make their repayments when they fall due or commit a serious credit infringement and you do not remedy their default, we may disclose this to Veda Advantage. Any information we provide to Veda Advantage will be included in reports provided to credit providers to help them to assess your creditworthiness. You can ask Veda Advantage not to use your information for prescreening of direct marketing by a credit provider. You can also ask them not to use or disclose your information if you reasonably believe that you have been or are likely to be a victim of fraud. Veda Advantage s policy on the management of information is available at You can contact Veda Advantage by: Phone Web Providing your information to other entities We may disclose your information to other entities. We only disclose your information as needed and as required by law. We can disclose your information to: entities that verify identity lawyers, conveyancers, accountants, brokers and agents who represent you contractors for statement printing and mail out, card and cheque production, market research or direct marketing affiliated product and service suppliers to provide information to you about their services and products credit reporting bodies and other financial institutions that have previously lent to you persons you use as referees for property loans property valuers and insurers lenders mortgage insurers mortgage documentation service trustee and manager of securitised loan programs any proposed guarantor of a loan debt collection agencies, lawyers, process servers our auditors. We will also disclose your information to law enforcement and government agencies as required by law. Our Privacy Policy Our Privacy Policy is available at or The Policy contains information about: how you can access your information how you can seek correction of your information how you make a complaint and how we will deal with it in what overseas countries we are likely to disclose your information. Disclosure to overseas recipients We do not currently disclose your information to overseas recipients. How to contact us You can contact us by: Phone Fax (02) Declarations and Consents Bankruptcy Declaration I/we declare that I/we have never been declared bankrupt, insolvent or had judgments listed against me/us, or I/we have attached full details to this application to allow the Lender to assess this issue at a subsequent loan interview. General Declarations I/we confirm that the information contained in this application and the financial information supporting it are true and accurate, and all financial commitments are fully stated. I/we confirm that I/we are permanent residents of Australia. I/we have been given or have been advised where to access your Privacy Notification document and, if I am a Prospective Guarantor I/we confirm that my signature below is consent for you to obtain information about my credit history from a credit reporting body. Signatures 1 st Applicant/Guarantor 2 nd Applicant/Guarantor Date / / / / ABN: Australian credit licence

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