the more accurate your information the better our advice will be.

Please tell us about yourself.

Applicant 1 First Name
Applicant 1 Middle Name
Applicant 1 Last Name
Gender
Date of Birth
as dd/mm/yyyy
Drivers Licence Number
Expiry Date: State
Are you an Australian Citizen
Marital Status
Number of Dependants
Address
Unit No  / Street No     
Street Name
Suburb

State Postcode
Date Moved In
as dd/mm/yyyy
Telephone Home
Telephone Mobile
Email Address
Occupation
Status
Employer's Name
Address
Unit No  / Street No     
Employers Address Street Name
Suburb

State Postcode
Work Phone Number
Employment Start Date
as dd/mm/yyyy
Gross Annual Income
$ per year
Family Allowance etc.
$ per year
Invest Property Rental Income
$ per year
Do you have any other income?
Yes No

Will someone else be on the loan?

Applicant 2 First Name
Applicant 2 Middle Name
Applicant 2 Last Name
Gender
Relationship to Applicant 1
Date of Birth
as dd/mm/yyyy
Drivers Licence Number
Expiry Date: State
Are you an Australian Citizen
Marital Status (as above )
Dependants? (as above )
Address (as above )
Unit No / Street No       
Street Name
Suburb

State Postcode
Date Moved In
as dd/mm/yyyy
Telephone Home (as above )
Applicant 2 Mobile Number
Applicant 2 Email Address
Applicant 2 Occupation
Status
Employer's Name
Address
Unit No  / Street No     
Employers Address Street Name
Suburb

State Postcode
Work Phone Number
Employment Start Date
as dd/mm/yyyy
Gross Annual Income (please do not include super)
$ per year
Family Allowance etc.
$ per year
Investment Property Rental Income
$ per year
Do you have any other income?
Yes No

Please tell us what you wish to do with the loan and your lender preference?

Amount you wish to borrow.
$
Value of the property/s you wish to purchase or already own.
$
How long do you expect to remain in the credit contract?

(Do you expect to sell the property in a certain time frame?)
What kind of repayments are you considering?
Would you consider a taking a Fixed Rate Loan?
Is there any loan product type/s that you are interested in?
What is the PRIMARY purpose for seeking credit?
Are there are any lenders that you do not wish to deal with?
Do you have any preference as to the type of lender that you deal with?

What is the purpose of the credit you are considering?

Please choose from the options below, you can choose more than one.
Purchase New Home
Yes No
Purchase An Investment Property
Yes No
Refinance Current Loan
Yes No
Refinance and Payout Other Debts
Yes No
Build New Home
Yes No
Free Up Equity
Yes No
Refinance Business Debt
Yes No
Buy Vacant Land
Yes No
Reverse Mortgage
Yes No
Self Managed Super Fund (SMSF) Loan
Yes No
Any other relevant information can be added here.
Do you qualify for the First Home Owners Grant?
Yes No Not sure
Have you signed a Contract of Sale?
Yes No
If Self Employed do you have your most recent tax returns?
Yes No
Are you better at saving or paying debts?
Saving Debts Little of both.
Do you have credit defaults?

(If YES please provide details.)

Are all current credit commitments up to date?


(If NO please provide details.)
Are you concerned about rising interest rates?
(The higher the number, the higher your concern.)
How would you rate your current job security?
(The higher the number, the more secure you feel.)

How would you like to access your account?

Internet\BPay\Phone
Branches
ATM\Eftpos\Debit Card
Cheque Book
Extra Repayments
Loan Redraw
Offset Account
Portability
Other

Please list your current living expenses

Living Expense Type
Amount
Basic Living Expenses
e.g. Groceries; Transport; Utilities; Rates; Clothing
$
Discretionary Expenses
e.g. Phone (home or mobile); Internet; Pay TV; School Fees
$
Other Household Expenses
e.g. Holidays; Entertainment; Gym; Cleaning; Gardening
$
Not sure what your expenses are, you can download our budget simulator by clicking on this link. Excel

Please list ALL your current liabilities

Liability Type
Amount Owing
Payments
Limit
Refinance?
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$

Please list ALL your current assets

Asset Type
 
Property1
Is
Value $
Address (As Above )
Unit No / Street No  
Street Name
Suburb
State Postcode
     
Property 2
Is
Value $
Address
Unit No   /  Street No   
Street Name
Suburb
State Postcode
     
Property 3
Is
Value $
Address
Unit No   /  Street No   
Street Name
Suburb
State Postcode
     
Motor Vehicle 1
Year Make
$
Motor Vehicle 2
Year Make
$
Shares
 
$
Home & Contents
 
$
Savings/Cash in Bank
Who with?
$
Savings/Cash in Bank
Who with?
$
Savings/Cash in Bank
Who with?
$
Other Assets
What is it?
$
Other Assets
What is it?
$

Anticipated changes and protection?

Our ability to provide you with an accurate recommendation requires us to have an understanding of your future plans.
Do you anticipate that your INCOME will change materially in the next 6-12 months?
(e.g: Are you planning an extended break from work where your income will drop substantially? Perhaps your expecting to increase your income.)
 
Do you anticipate that your EXPENSES will change materially in the next 6-12 months?
(e.g: Are you planning on any new commitments outside of this loan that would increase your monthly expenditure, such as taking on additional credit commitments outside of this loan.)
 
Is there any other factor that you can think of that may materially affect your INCOME or EXPENSES in the next 12 months?
 
Could you afford to pay the bills if your income stopped for 6 months or more?
Could your family afford to still live comfortably if something happened to you?
Do you have sufficient insurance cover to meet all of your debt obligations?
If you answered NO or UNSURE to any of the above three questions then please take advantage of our relationships to get a free no obligation quote to protect you and your family.

Is there anything else that we can assist with?

Solicitor\Conveyancer
Yes No
Home and Contents Insurance
Yes No
Landlords Insurance
Yes No
Protection Insurance
Yes No
Building Inspection
Yes No
Accountant
Yes No
Financial Planner
Yes No
Real Estate Agent
Yes No
Buyer or Sellers Advocate
Yes No

How did you find us?

Their name:
Is there anything else you would like to add or any question?
We are committed to protecting your privacy. We use the information you provide to assist you with your credit needs, including the preparation and submission of loan applications. We also use it to send you product information and promotional material. From time to time this will include direct marketing communications but we will always give you the option of not receiving these communications. We provide your information to the companies with whom you choose to deal (and their representatives). We may also provide your information to contractors who supply services to us (e.g. to handle mailings on our behalf), and to others if we are required to do so by law. We do not trade, rent or sell your information or disclose it to overseas recipients. If you don’t provide us with full information, we can’t properly advise or assist you with loan applications. Our Privacy Policy contains information about how you can access and ask us to correct your information, or make a privacy related complaint. You can obtain a copy by clicking here.
I/We hereby request a proposal for a mortgage loan to be prepared by Money Simplicity and understand that such a proposal will be based on information provided herein which is true and correct. By asking us to assist with your credit needs, you consent to the collection and use of the information you have provided to us for the purposes described above.