LOAN APPLICATION FORM

Please select one of these options Reverse Mortgage Investment Property Mortgage Accommodation Bond Loan LOAN APPLICATION FORM FOR EACH APPLICANT Title: Mr Mrs Ms Miss Other: First name: Middle name: Surname: Gender: M F DOB: / / Marital status: Married Single Divorced Separated De Facto Widowed Address Line 1: Line 2: City/town: FOR EACH APPLICANT Title: Mr Mrs Ms Miss Other: First name: Middle name: Surname: Gender: M F DOB: / / Marital status: Married Single Divorced Separated De Facto Widowed Address Line 1: Line 2: City/town: State: Postcode: State: Postcode: Phone: ( ) Phone: ( ) Mobile: Mobile: Email: Email: Postal Address (leave blank if same as above): Line 1: City/town: Postal Address (leave blank if same as above): Line 1: City/town: State: Postcode: State: Postcode: Are all applicants on title? Yes No Will the loan be signed under a Power of Attorney? Yes No Do you receive a Government pension? Yes No Have you discussed this loan with potential beneficiaries? Yes No Is any business activity undertaken at the property? Yes No Does anyone else reside in the property? Yes No How did you hear about ABN AMRO? Vision Equity Living

Security property details (leave address blank if same as previous page) Property title: (tick as appropriate): Freehold Strata Leasehold (lease must be greater than 50 years) Estimated value of property: $ What is the zoning (if known)? e.g. rural, residential etc Is the property over 10 acres (4 hectares) in size? Yes No If yes, how large? Is the property used for taxable purposes? Yes No Is any part of the property rented to others? Yes No Is there an existing mortgage or other encumbrance on the property? Yes No If yes, provide details: Amount owed? $ Will the property be leased? Yes No Term of lease (must be less than 12 months) DETAILS OF TENANTS (if applicable) Title: Mr Mrs Ms Miss Other: First name: Middle name: Surname: Gender: M F DOB: / / DETAILS OF TENANTS (if applicable) Title: Mr Mrs Ms Miss Other: First name: Middle name: Surname: Gender: M F DOB: / / How many tenants aged over 18 live in the property? (if more than two please attach an additional sheet listing the details above) Details of Lease AND LETTING AGENT (if applicable) Date lease signed: Name: City/Town: State: Postcode: Contact Phone Number: Loan required (a combination of all options is allowed) Please see our website www.abnamroreversemortgage.com.au for loan calculators, or call us on 1800 999 959 if you have any questions. Amount Lump sum fixed rate: $ Lump sum variable rate: $ Flexible drawdown facility: $ Monthly income required: $ Term 5 10 15 20 years or Lifetime 5 10 15 20 years Protected equity option required? Y N If yes%? (Maximum 25%) Note: Accommodation Bond Loans have a maximum term of 5 years. Investment Property Mortgages have a term of 5 or 20 years.

Alternative contact (friend or relative in case we need to contact you)* Contact name: Relationship to you: Contact phone number: ( ) Contact fax number: ( ) * This contact should not live at the same address as you If there is any other information relevant to your particular situation, please detail below: Introducer Details Please complete the below with the appropriate information. If you do not have a representative in any of these categories, then please leave that section blank. ABN AMRO Contact Name: Mortgage Broker details Contact name: Firm: Contact phone number: ( ) Contact fax number: ( ) Email address: Introducer signature: Financial Adviser details Contact name: Firm: Contact phone number: Contact fax number: ( ) Email address:

Solicitor details Contact name: Firm: Contact phone number: ( ) Contact fax number: ( ) Privacy Act 1988 Consent Reverse Mortgage Services Pty Ltd (ABN 87 114 594 080) ( The Manager ). Part of the ABN AMRO Group. The applicant/s acknowledge and consent to the Manager collecting the applicant/s personal information to: assess the applicant/s and provide this product and related services to them; monitor, audit, evaluate and otherwise administer this product and related services; comply with relevant laws including the Anti-Money Laundering and Counter Terrorism Financing Act 2006 (Cth); and keep the applicant informed of other ABN AMRO products and services. If the applicant would prefer not to receive information of this nature please tick this box. If the applicant does not provide all of the information required in this application form the Manager may not be able to process or accept this application. The applicant/s acknowledge that they have made an application for credit from the Manager. By signing below in Applicant Signature they agree that the Manager (and any other financier who at any time provides or has any interest in the credit) can do any of the following at any time: 1. Commercial or consumer credit information. Seek and use commercial or consumer credit information about them to assess an application for consumer credit or commercial credit. 2. Collection of overdue payments. Seek and use a credit report about them provided by a credit reporting agency to collect overdue payments from them. 3. Exchange of information between credit providers. Seek from and use or give to another credit provider (including any other credit provider who has lent money on the same security) any information about their credit worthiness, credit standing, credit history or credit capacity. In particular, the Manager may provide a reference on them. 4. Exchange information with advisers. Seek from and use to give to any broker, introducer, financial consultant, accountant, lawyer, Agent of the Manager or other adviser acting in connection with any financing provided or proposed to be provided to them any customer or commercial credit information. 5. Provide information for securitisation. Disclose any report or personal information about me/us to another person in connection with funding financial accommodation by means of an arrangement involving securitisation. They also understand and agree that the Manager may be paid and retain fees, margins and commission in respect of the credit arranged by the manager in consideration for its role as Mortgage Originator and Mortgage Manager. The manager may disclose your personal information to: related companies, located both in Australia and overseas jurisdictions, within the ABN AMRO group of companies when providing credit facilities; our agents, contractors or third party service providers including, but not limited to, mortgage insurers, mortgage managers, loan statement producers, ratings agencies, organisations involved in a transfer/sale of all or part of our assets or business and organisations that provide administrative and other support services to the Manager. Such agents, contractors and third party suppliers may be located both in Australia and/or overseas jurisdictions.; and where the disclosure is required by law, for example to government agencies and regulatory bodies as part of our statutory obligations, or for law enforcement purposes. On request the Manager will provide the applicant with a copy of personal information the Manager holds about them. The Manager will inform the Applicant beforehand if there is any charge associated with providing this information to them. Further information about ABN AMRO Group s Privacy Practices can be found by requesting a copy of ABN AMRO Group s Privacy Policy.

APPLICANT/S Declaration I/We apply for a loan through ABN AMRO. I/We understand that loan(s) through ABN AMRO will be available only on the Lender s approval of this application. I/We declare that they are over the age of 60 and confirm that the information contained in this application and the financial information supporting this application is true and correct and it is upon this basis that: I/We make this application for credit. I/We also confirm our agreement to the matters set out above. I/We authorise ABN AMRO to arrange a valuation of the security property by a licensed valuer approved by ABN AMRO. I/We authorise my/our solicitor to accept any notification on my/our behalf in relation to this application. I/We also agree to pay all costs and expenses regarding this application including but not limited to legal, valuation, documentation and search fees even though the application may not proceed or may be withdrawn. Please read and complete the statements below by ticking the appropriate boxes and signing and dating the form. Has any Applicant: ever been declared bankrupt or insolvent, or made arrangements with creditors? Yes No ever been Directors/Officers of any company to which a Manager, Receiver, Controller Administrator and/or Liquidator has been appointed? Yes No ever had legal action instituted against them for default under any credit contract within the last 5 years? Yes No If yes, please provide details: Please sign here: Applicant (1) signature: Date: / / Applicant (2) signature: Date: / / Tick if enclosed Copy of Lease (if applicable) Copy of Landlord Insurance Certificate (if applicable)

Reverse Mortgage Investment Property Mortgage Accommodation Bond Loan LOAN APPLICATION FORM Contact details Customer enquiries: 1800 999 959 Advisers hotline: 1300 858 981 Fax: 1300 724 190 Email: au.loans@au.abnamro.com Website: www.abnamroreversemortgage.com.au Other comments (information that is not covered elsewhere in the application) Please send the completed application form, required documents and valuation payment to: ABN AMRO, Locked Bag 31002, Flinders Lane, VIC 8009 What happens next: 1. We will contact you to arrange a valuation of your property 2. After we receive an appropriate valuation we will send the loan documents to you and your solicitor 3. When you have signed and returned these documents we will transfer the money to your account

What happens next? Any decision involving your finances is important and involves much discussion and consultation. Once you have read all the available information and are comfortable that an ABN AMRO loan provides the best choice for you, here s how to proceed and what happens next. Step 1 Complete the application form Step 2 Send the application form and documents to our address Step 3 We will contact you to arrange a valuation of your property Step 4 Valuation completed and returned to ABN AMRO Step 5 Loan documentation sent to you and your solicitor Step 6 Arrange a time to meet your solicitor to sign the documents Step 7 Sign the documents and return them to ABN AMRO Step 8 Funds paid into your bank account If you have not had the opportunity to discuss the application with a financial adviser before submitting the application, then we will contact you to arrange this as an additional step in the process. Thank you for considering ABN AMRO for your loan. It is our objective to provide transparent and customer-friendly solutions. If you have any questions please do not hesitate to call our team on 1800 999 959.

Postal address: ABN AMRO Locked Bag 31002 Flinders Lane VIC 8009 Customer enquiries:1800 999 959 Advisers hotline:1300 858 981 Fax:1300 724 190 Email: au.loans@au.abnamro.com Web: www.abnamroreversemortgage.com.au Our website includes loan calculators to help you determine: how much you can borrow? how you can structure the loan? how much equity you might have left at the end of the loan? You or your adviser can also complete an application online. DISCLAIMER The information contained in this brochure has been prepared by Reverse Mortgage Services Pty Ltd (ABN 87 114 594 080), part of the ABN AMRO Bank N.V. Group ( ABN AMRO ). It is provided as general information only, without taking into account the objectives, financial situation and needs of any particular individual or couple. For this reason, any individual or couple should, before acting on any of the information contained in this brochure, consider the appropriateness of the information with regards to their individual objectives, financial situation or needs. This brochure is not to be taken as a substitute for the recipient exercising their own judgement and seeking their own advice. We recommend that all applicants seek appropriate professional, financial, legal and taxation advice. While the information contained in this brochure is believed to be reliable, no representation, warranty, or assurance of any kind, expressed or implied is made as to the accuracy or completeness of the information and may be subject to change without notice. ABN AMRO, its officers, directors, employees and agents accept no liability or responsibility whatsoever for any loss arising from any use of this document or its contents. ABN AMRO accepts no obligation to any recipient to update or correct any information contained in this brochure. This brochure does not purport to identify or suggest all the risks (direct or indirect) or material considerations which may be associated with this product. Any examples shown in this brochure are used only to demonstrate how features of ABN AMRO s Reverse Mortgage products work. The examples used are for illustrative purposes only and are not an estimate or guarantee of future interest rates or property growth rates. 2008 ABN AMRO Reverse Mortgage Services Pty Ltd.