Briefing "*" indicates required fields Step 1 of 5 - What you Qualify for? 20% EmailThis field is for validation purposes and should be left unchanged.What you qualify for:Are you a first home buyer?* Yes No Rental HistoryAre you currently renting?* Yes No Do you rent privately? Yes No How Long have you been renting with a Real Estate? Less than 6 months 2 years 4 years 1 year 3 years 5+ years How much rent do you pay per fortnight? IncomePrimary Annual Income (Gross)*Before taxSecondary Annual Income (Gross)*Before taxHow Much, if any, Government Assistance do you receive per fortnight?*not including Rent AssistanceHow many dependant children do you have?*012345+Do you receive Child Support?* Yes No How much per month?*Do you have any savings?* Yes No How much?*Do you have a Spouse or Partner?* Yes No What age bracket are you in?*16-2526-3536-4546-5556+ Approximate Debt LevelDo you have any debts such as car loans, personal loans or credit cards Yes No What is your debt level?*Example: 1 x Mastercard $4,000 limit 1 x Visa Card $3,000 limit 1 x Myer store card $500 limit 1 x Car Loan A $10.000 balance 1 x Car Loan B $15,000 balance 1 x Personal Loan $6,000 balance Total Debt Approx $38,500 $1.00 - $5,000$5,000 - $10,000$10,000 - $15,000$15,000 - $20,000$20,000 - $25,000$25,000 - $30,000$35,000 - $40,000$40,000 - $45,000$45,000 - $50,000$50,000 - $55,000$55,000 - $60,000$60,000 - $65,000$65,000 - $70,000$70,000+Car Loan 1*Initial loan amount-*Current amount owingMinimum repayments (monthly)*Minimum repayments (monthly)Car Loan 2*Initial loan amount-*Current amount owingMinimum repayments (monthly)*Minimum repayments (monthly)Personal Loan 1*Initial loan amount-*Current amount owingMinimum repayments (monthly)*Minimum repayments (monthly)Personal Loan 2*Initial loan amount-*Current amount owingMinimum repayments (monthly)*Minimum repayments (monthly)Other Loan 1*Initial loan amount-*Current amount owingMinimum repayment (monthly)*Minimum repayment (monthly)Other Loan 2*Initial loan amount-*Current amount owingMinimum repayment (monthly)*Minimum repayment (monthly)Credit Card 1*The limit of the card-*Current amount owingCredit Card 2*The limit of the card-*Current amount owingCredit Card 3*The limit of the card-*Current amount owingCredit Card 4The limit of the card-Current amount owingStore Card 1*The limit of the card-*Current amount owingStore Card 2*The limit of the card-*Current amount owingStore Card 3*The limit of the card-*Current amount owingStore Card 4*The limit of the card-*Current amount owingDo you pay Child Support?* Yes No How much per month?*Have you had any defaults or been contacted by a debt collection agency in the last 5 years that you know of?*NoYesHave you entered into Bankruptcy or entered into a Debt Agreement in the last 10 years?*NoYesApproximately how many times have you applied for credit in the past 12 months, including post paid mobile phones and other telephone/internet accounts?* Contact InformationName* First Last Mobile numberHome PhoneDon't forget the area codeSuburb*Postcode*Email* Day to be contacted* Monday Tuesday Wednesday Thursday Friday Saturday Sunday Time to be contacted* AM PM How did you hear about us - Priority Service*Please select the code found on the bottom of your flyer/leaflet, in your referral email or select how you heard about us from the drop down menu InternetLetterbox DropWord of MouthReferral from a friendNewspaperPriority code 23022Priority code 215250OtherI / We accept the terms and conditions of use* Yes Δ
