NAME OF APPLICANT/S
DATE
ASSETS DESCRIPTION
LIABILITIES VALUE
AMOUNT OWING
Owner Occupied Residence Investment Property Investments Property Investments Property Investments Property Investments Property Investments Property Investments Property Investments Property Investments Property Investments Property Motor Vehicle Motor Vehicle Motor Vehicle Other Vehicle Cash Institution
Credit Card Limit
Cash Institution
Credit Card Limit
Shares / Investments / Term Deposits / ETFS
Credit Card Limit
Deposit Paid
Credit Card Limit
Furniture
Credit Card Limit
Superannuation
Personal Loan Limit
Other
TOTAL ASSETS TOTAL LIABILITIES SIGNATURE
MONTHLY REPAYMENTS
LENDER
OWNERSHIP