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Customer Information Form – Fact Find

BROKER NAME *

BROKER COMPANY *

INTERVIEW DATE AND TIME *

Date

Time

REFERRER *

LOAN AMOUNT REQUIRED *

EXPECTED SETTLEMENT DATE

Date

Time

TYPE OF INTERVIEW: *

PHONE
FACE TO FACE
ONLINE
OTHER

DATE PROVIDED CREDIT GUIDE

SALUTATION

GIVEN NAME/S *

SURNAME *

CURRENT ADDRESS *

START DATE AT ADDRESS *

ADDRESS STATUS *

MORTGAGE
OWN
RENT
OTHER

PREVIOUS ADDRESSES *

DATE FROM *

DATE TO *

DRIVER LICENCE NUMBER *

STATE *

DATE OF BIRTH *

PHONE/FAX NUMBER *

EMAIL ADDRESS *

NATIONALITY *

RESIDENCY STATUS *

MARITAL STATUS *

SINGLE
MARRIED
DE FACTO

AGES OF DEPENDENTS *

NEAREST RELATIVE *

RELATIONSHIP TO YOU *

CONTACT PHONE NUMBER *

LOAN OBJECTIVES – TICK THE APPROPRIATE BOX AND PROVIDE NARRATIVE IN THE BOX PROVIDE – MUST BE COMPLETED

Checkboxes

PURCHASE OWNER OCCUPIED
PURCHASE AN INVESTMENT PROPERTY
PURCHASE LAND

Checkboxes (copy)

CONSTRUCT/RENOVATE (OWNER OCCUPIED)
CONSTRUCT/RENOVATE (INVESTMENT)
REFINANCE

Checkboxes (copy) (copy)

EQUIPMENT/VEHICLE FINANCE
BUSINESS
REDUCE MONTHLY REPAYMENTS

Checkboxes (copy) (copy) (copy)

OTHER (PROVIDE DETAILS BELOW)

LOAN OBJECTIVES NARRATIVE – MUST BE COMPLETED

Paragraph Text

IF REFINANCING, WHAT ARE THE REASONS

Checkboxes

LOWER REPAYMENTS
SERVICE
CONVENIENCE/FLEXIBILITY

Checkboxes (copy)

EQUITY RELEASE
LOWER TOTAL COSTS/DEBTS
OTHER (PROVIDE DETAILS BELOW)

Provide details here:

IF REFINANCE RISKS HAVE BEEN IDENTIFIED HAVE THESE RISKS BEEN DISCUSSED WITH THE APPLICANT/S?

EXTENDING A LOAN TERM MAY INCREASE THE OVERALL COST OF THE FACILITY

YES
NO
N/A

REFINANCING TO AN I/O LOAN MAY INCREASE THE TIME IT TAKES TO PAY OFF THE LOAN OR RESULT IN A LARGE LUMP

YES
NO
N/A

LEAVING CLEARED FACILITIES OPEN AFTER REFINANCING (E.G. CREDIT CARDS)

YES
NO
N/A

THERE ARE COSTS ASSOCIATED WITH REFINANCING WHICH MAY AFFECT THE FINANCIAL BENEFITS. ALL COSTS HAVE BEEN CONSIDERED

YES
NO
N/A

LOAN REQUIREMENTS

Checkboxes

VARIABLE RATE
FIXED RATE [ YEARS]
PRINCIPAL & INTEREST
INTEREST ONLY [ YEARS]

Checkboxes (copy)

BRIDGING FINANCE
REVERSE MORTGAGE
LINE OF CREDIT
LOW DOC

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FIXED RATE LOCK
OFFSET ACCOUNT
REDRAW
ADDITIONAL PAYMENTS

Checkboxes (copy) (copy) (copy)

REPAYMENT HOLIDAY
NO MONTHLY FEES
LINKED CREDIT CARD
NON-CONFORMING

PREFERRED REPAYMENT FREQUENCY

WEEKLY
FORTNIGHTLY
MONTHLY

LOAN REQUIREMENTS – EXPLANATION

H

HAVE YOU DISCUSSED THE RISKS ASSOCIATED WITH THE REQUIRED LOAN FEATURES?

YES
NO
N/A

EMPLOYMENT – CURRENT

TYPE OF EMPLOYMENT *

PAYG
SELF-EMPLOYED
NOT EMPLOYED

STATUS *

FULL TIME
PART TIME
CASUAL
CONTRACT

EMPLOYER NAME *

EMPLOYER ADDRESS *

EMPLOYER CONTACT NAME *

EMPLOYER CONTACT NUMBER *

POSITION / ROLE *

START DATE IN POSITION *

Date

Time

GROSS ANNUAL INCOME *

PREVIOUS EMPLOYMENT

TYPE OF EMPLOYMENT

PAYG
SELF-EMPLOYED
NOT EMPLOYED

STATUS

FULL TIME
PART TIME
CASUAL
CONTRACT

EMPLOYER NAME *

POSITION / ROLE *

DATE FROM *

Date

Time

DATE TO *

Date

Time

INCOME

BASE INCOME (NET) – WHAT FREQUENCY DOES THE APPLICANT RECEIVE THE INCOME LISTED:

WEEKLY
FORTNIGHTLY
MONTHLY
ANNUALLY

REGULAR OVERTIME

REGULAR MOTOR VEHICLE ALLOWANCE

REGULAR ALLOWANCES OTHER:

EXISTING RENTAL INCOME

PROPOSED NEW RENTAL INCOME

INVESTMENT INCOME

GOVERNMENT PAYMENTS

FAMILY PAYMENTS
PENSION
CARERS

SELF EMPLOYED APPLICANTS

BUSINESS NAME *

TYPE OF ENTITY *

ABN/ACN *

NATURE OF BUSINESS *

TRUSTEE (IF APPLICABLE)

BENEFICIARIES *

NET PROFIT CURRENT *

NET PROFIT PREVIOUS YEAR *

ADD BACKS CURRENT *

ADD BACKS PREVIOUS YEAR *

ACCOUNTANT DETAILS *

OWNERSHIP

APP1
APP2

YES
NO

CHILDCARE

CHILDCARE INCLUDING NANNIES

CURRENT

AFTER SETTLEMENT

CLOTHING AND PERSONAL CARE

CLOTHING, FOOTWEAR, COSMETICS, PERSONAL CARE

CURRENT

AFTER SETTLEMENT

EDUCATION

PUBLIC OR TERTIARY SCHOOL FEES/UNIFORMS, TEXT BOOKS

CURRENT

AFTER SETTLEMENT

GROCERIES

TYPICAL SUPERMARKET SHOP FOR GROCERIES INCLUDING FOOD AND TOILETRIES.

CURRENT

AFTER SETTLEMENT

INSURANCE

INSURANCE ALL INSURANCE INCLUDING HEALTH, HOME AND CONTENTS, MOTOR VEHICLE, LIFE, INCOME PROTECTION

CURRENT

AFTER SETTLEMENT

INVESTMENT PROPERTY UTILITIES, RATES AND RELATED COSTS

HOUSING AND PROPERTY EXPENSES ON INVESTMENT PROPERTY INCLUDING RATES, TAXES, LEVIES

CURRENT

AFTER SETTLEMENT

MEDICAL AND HEALTH

MEDICAL AND HEALTH COSTS INCLUDING DOCTOR, DENTAL, OPTICAL AND PHARMACEUTICAL ETC.

CURRENT

AFTER SETTLEMENT

OWNER OCCUPIED PROPERTY UTILITIES

HOUSING AND PROPERTY EXPENSES ON OWNER OCCUPIED PROPERTY INCLUDING RATES, TAXES, LEVIES, BODY CORPORATE AND STRATA FEES

CURRENT

AFTER SETTLEMENT

RECREATION AND ENTERTAINMENT

RECREATION AND ENTERTAINMENT INCLUDING ALCOHOL, TOBACCO, GAMBLING, RESTAURANTS, MEMBERSHIP FEES

CURRENT

AFTER SETTLEMENT

TELEPHONE, INTERNET, PAY TV AND MEDIA STREAMING SUBSCRIPTIONS

TELEPHONE, INTERNET, PAY TV AND MEDIA STREAMING SUBSCRIPTIONS TELEPHONE ACCOUNTS (HOME AND MOBILE)

CURRENT

AFTER SETTLEMENT

TRANSPORT

PUBLIC TRANSPORT, MOTOR VEHICLE RUNNING COSTS INCLUDING FUEL, SERVICING, PARKING AND TOLLS

CURRENT

AFTER SETTLEMENT

OTHER

UNIQUE ITEMS NOT COVERED IN ABOVE CATEGORIES

CURRENT

AFTER SETTLEMENT

DISCRETIONARY EXPENSES

ANYTHING WHICH IS NOT ESSENTIAL FOR THE OPERATION OF THE HOME

CURRENT

AFTER SETTLEMENT

TOTAL MONTHLY EXPENSES

CURRENT

AFTER SETTLEMENT

FUNDS TO COMPLETE – WHERE ARE YOU OBTAINING THE FUNDS THAT YOU ARE CONTRIBUTING TO THE TRANSACTION

PROCEEDS OF PROPERTY SALE

SAVINGS

GIFT

GRANT

OTHER

SOLICITOR / CONVEYANCER DETAILS – IF KNOWN

BUSINESS /CONTACT NAME

CONVEYANCING FIRM

ADDRESS

WEBSITE

PHONE / FAX

EMAIL

CREDIT HISTORY

HAVE YOU EVER HAD ANY DEFAULTS, FINANCIAL JUDGMENTS OR LEGAL PROCEEDINGS AGAINST YOU?

YES
NO

ARE YOU HAVING DIFFICULTY MEETING YOUR FINANCIAL COMMITMENTS?

YES
NO

ARE ANY EXISTING DEBTS CURRENTLY IN ARREARS?

YES
NO

IF YES TO ANY OF THE ABOVE, PLEASE PROVIDE FURTHER DETAILS

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CHANGES TO CURRENT CIRCUMSTANCES

DO YOU EXPECT ANY SIGNIFICANT CHANGES TO YOUR FINANCIAL SITUATION IN THE FORESEEABLE FUTURE THAT WOULD

YES
NO

IF YES, PLEASE EXPLAIN THE NATURE OF THE CHANGES.

HOW WILL YOU CONTINUE TO MEET YOUR COMMITMENTS?

PROTECTING LIFESTYLE AND ASSETS

HAVE YOU REVIEWED YOUR PERSONAL RISK INSURANCE REQUIREMENTS IN THE LAST 12 MONTHS?

YES
NO
NOT SURE

DO YOU HAVE SUFFICIENT LIFE INSURANCE TO COVER, AS A MINIMUM, YOUR EXISTING AND PROPOSED DEBTS?

YES
NO
NOT SURE

IF YOUR INCOME REDUCES, DUE TO ILLNESS OR INJURY, DO YOU HAVE THE INSURANCE TO COVER YOUR LOAN?

YES
NO
NOT SURE

IF YOUR INCOME REDUCES, DUE TO ILLNESS OR INJURY, DO YOU HAVE THE INSURANCE TO COVER YOUR LOAN?

HOME BUILDING AND CONTENTS

YES
NO
NOT SURE

MOTOR VEHICLE

YES
NO
NOT SURE

LANDLORD PROTECTION

YES
NO
NOT SURE

BOAT OR CARAVAN

YES
NO
NOT SURE

COMMERCIAL INSURANCE

YES
NO
NOT SURE

I WISH TO PURSUE A FREE AND NON-OBLIGATION CONSULTATION TO DISCUSS MY INSURANCE NEEDS

YES
NO
NOT SURE

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