Professional Documents
Culture Documents
Applicant 1
Applicant 2
Surname
Surname
Date of Birth
Given Names
Female
Status
Male
Date of Birth
Given Names
Female
Status
Work Phone
Work Phone
Home Phone
Home Phone
Mobile Number
Mobile Number
Current Address
Current Address
Suburb
Date moved in
Post Code
State
Suburb
Residential Status
Post Code
Previous Address
Suburb
Post Code
Date moved in
State
Date moved in
State
Suburb
Residential Status
Post Code
State
Date moved in
Current Employment
Occupation
Occupation
Date Started
Employer
Employment Status
Employment Status
Gross income
Gross income
Gross bonuses
Gross bonuses
Gross overtime
Gross overtime
Previous Employment
Previous Employment
Occupation
Occupation
Employer
Employer
Employment Status
Employment Status
Date Started
Residential Status
Previous Address
Current Employment
Employer
Male
Date Finished
Date Started
Residential Status
Date Started
Date Finished
Description
Total Value
Monthly
income
Percentage Owned
App1
App2
Joint
Type
O/O
Inv
Property 1
Property 2
Property 3
Total shares/managed funds
Investment 1
Investment 2
Total savings/transaction accounts
Account 1
Account 2
Total Superannuation Funds
Fund 1
Fund 2
Motor Vehicles and Other Assets (provide year, make and model)
Motor Vehicle 1
Motor Vehicle 2
Other Asset 1
Other Asset 2
Lender
Interest
Rate
Limit
Monthly
Payments
Mortgage Loans
Property 1
Property 2
Property 3
Credit Card/store cards
Card 1
Card 2
Card 3
Card 4
Personal/Car Loans
Loan 1
Loan 2
Loan 3
Line of credit/Overdrafts
Account 1
Account 2
Other Fixed Liabilities (Leasing, Taxation, HECS, Child Maintenance etc)
Current Rent
Other 1
Other 2
Balance
Percentage Owned
App 1
App 2
Joint
To cease
Over 10 years
5 to 10 years
Dont care
Nice to have
Dont care
Nice to have
Must have
Loan redraw
Dont care
Nice to have
Dont care
Nice to have
Must have
Offset Account
Dont care
Nice to have
Dont care
Nice to have
Must have
Portability
Dont care
Nice to have
Dont care
Nice to have
Must have
Internet access
Dont care
Nice to have
Dont care
Nice to have
Must have
Packaged loan
Major Bank
Line of Credit
Fixed Rate
Interest Only
Mortgage Manager
Basic Variable
Unsure
Unsure
Regional Bank
Building Society
Unsure
10
Are you concerned about rising interest rates? (the higher the number, the higher your concern)
1
Yes
10
No
Yes
No
Yes
No
Yes
No
Do you have adequate Home and Contents Insurance as well as Insurance to meet your loan
repayments should you not be able to work i.e mortgage protection or income protection
If you answered NO, would you like one of our associates to contact you regarding insurance?
Yes
No
Yes
No
I/we authorise Mates Rates Mortgage Brokers to use the information to determine a suitable lender and loan product. I/we confirm
that all information gathered in this questionnaire is confidential and subject to the Privacy Act. Essentially, any personally identifiable information provided by me/us will not be released to anyone outside Mates Rates Mortgage Brokers without my/our prior written consent.
I/we confirm the information in this questionnaire is true and correct to the best of my/our knowledge as per the date signed.
_____________________________________________
Applicant 1
Date
_____________________________________________
Application
Date
Applicant 22