Full Legal Name
*
First Name
Last Name
Date of Birth
MM
DD
YYYY
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email
*
Home Phone
Country
(###)
###
####
Mobile Phone
Country
(###)
###
####
Work Phone
Country
(###)
###
####
Full Legal Name
First Name
Last Name
Date of Birth
MM
DD
YYYY
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email
Home Phone
Country
(###)
###
####
Mobile Phone
Country
(###)
###
####
Work Phone
Country
(###)
###
####
Property being purchased?
Real Estate Agency
Agent's Details
(Include: Name, Mobile, Email)
Are you borrowing money for this purchase?
Yes
No
If yes: Name of Financial Institution:
Brokers/Bankers name
(Include: Name, Phone Number, Email)
Are you a first home buyer?
Yes
No
Will you pay the deposit out of your own funds by direct deposit OR is the deposit included in your loan, Requiring payment of the deposit by Deposit Bond?
If cash, will you pay a 10% deposit or do you require us to negotiate a lesser deposit on your behalf?
Are you purchasing the property for Investment or to live in?
Are you an Australian Citizen/Permanent Resident.
Yes
No
If not, please advise your Residency status
Are you purchasing the property in Equal 50/50 shares or in unequal Shares?
Yes
No
If unequal shares, please provide further details.
Will you be joint tenants (in the event of the death of one of you, the property would automatically be transferred to the survivor) or tenants in common (in the event of the death of one of you, the deceased would have to will their share [not automatically transferred to the survivor]).
Joint Tenants
Tenants in Common
Is the stamp duty included in your loan?
Yes
No
Pest Report
Yes
No
Building Report
Yes
No
Strata Report
Yes
No
Date Signed
*
MM
DD
YYYY