222 David Low Way Peregian Beach QLD 4573
3/35 Thomas Street, Noosaville QLD 4566
Ph 07 5474 9834 
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Which office would you prefer to work with? *
Source of Deposit
Reason for transaction
 
Do you agree to us emailing you a Privacy Consent to obtain a copy of your credit file? (this is at a cost to our business of $15 - $40 per applicant) *
What is your Australian Citizenship / Residency status? *
Applicant 2: Do you agree to us emailing you a Privacy Consent to obtain a copy of your credit file? (this is at a cost to our business of $15 - $40 per applicant) *
Applicant 2: What is your Australian Citizenship / Residency status? *

Applicant 1

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Do you own an investment property(s)? *
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Applicant 2

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Is your home address the same as Applicant 1? *
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Do you own an investment property(s) separate to Applicant 1? *
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Assets

 Name of Bank$ Balance
Savings Account
 Name of Bank$ Balance
Savings Account
 Name of Bank$ Balance
Savings Account
Applicant 1: Day-to-day bank account
 Name of Bank$ Balance
Transaction account for wages / living expenses
Applicant 2: Day-to-day bank account
 Name of Bank$ Balance
Transaction account for wages / living expenses
Owner occupied home
 Date purchasedApproximate Value
Owner occupied home
Investment property
 AddressApproximate Value
Investment property
Applicant 1: Vehicles
 List Make, Model and YearApproximate Value
Car or motorbike
Car or motorbike 2
Car or motorbike 3
Applicant 2: Vehicles
 List Make, Model and YearApproximate Value
Car or motorbike
Car or motorbike 2
Car or motorbike 3
Superannuation
 Name of Super CompanyApproximate Value
Superannuation
Superannuation Applicant 2
 Name of Super CompanyApproximate Value
Superannuation
Other Assets
 DescriptionApproximate Value
Tools
Home Contents
Shares
Boat
Jewellery
Other

Liabilities

 Bank/LenderIn name of Applicant 1, Applicant 2 or BothAmount OwingCredit LimitMonthly repayment
Home loan Owner Occupied
Home loan Investment property
Home loan Investment property 2
Home loan Investment property 3
Car loan
Car loan 2
Personal loan
Personal loan 2
Credit Card
Credit Card 2
Credit Card 3
Credit Card 4
Store Card / GE card
Zip Money
Afterpay
HECS
Child Maintenance Payments
ATO Tax debt (outstanding debt personal or business)
Other

Monthly Living Expenses

Current Total:
0.00
Weekly rent you pay (if applicable)
 $
Rent

Anything important we should know?

COVID Questions *
Applicant 2 COVID Questions *
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Mortgage Choice Peregian Beach
222 David Low Way Peregian Beach QLD 4573 
3/35 Thomas Street, Noosaville QLD 4566
Gordon MacVicar 0447 905 133, gordon.macvicar@mortgagechoice.com.au
Larissa Barton 0419 716 439, larissa.barton@mortgagechoice.com.au