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Applicant Fact Find

As of 1st January 2011 we, as a registered NCCP Finance Broker, are required by law to obtain the following information. please therefor complete the required fields as accuratley as possible giving all the information requested. Submission of this application commits you the applicant to responding promptly to our requests for further documentation, valuation fees etc: necessary for us to fulfil our obligations. It is also incumbent on you to be 100% open and honest in the information you supply. Failure to co-operate quickly and expeditiously will result in the loss of priority status.

No guarantee is given that we will be able to place you with a lender, as it is entirely dependent on your individual circumstances. We do guarantee that we will do everything we can, as quickly as we can, to secure a successful outcome for you.

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First Name *
Surname *
Street *
Suburb *
State *
Postcode *
Daytime Phone *
Mobile *
Fax
Email *

Payment Situation *      
If yes, please give details
Situation *            
Assets *   Home $ K               Invest. property $ K
  Land $ K      Commercial Property $ K
  Other, please specify
Employee p.a.y.g. Salary. Gross p.a.   Applicant $ K     Joint application.       Partner $ K
Self Employed / Casual. Gross p.wk.   Applicant $ K     Joint application.       Partner $ K
Liabilities/Debts   Credit Card $ K     I have a mortgage.       Mortgage $ K
I am interested in:      
     
Preferred method of contact:                  
Explain your income:
Is there anything in the near future that may affect your current position?
Loan Purpose:
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