Business Hours Ext Hours Mobile Preferred Contact BH / AH / Mob Email Address PERSONAL DETAILS Marital Status Name of Spouse Number of Dependants Driver’s Licence No. Date of Birth (DD / MM / YY) CITIZENSHIP NON-RESIDENTS Please check if you are an Australian citizen Please if you are not an Australian resident EMPLOYMENT DETAILS (If self employed, please provide details of your business and industry) Occupation Employed By Years Employed Annual Income from Employer PAYG Applicants: Income Confirmation Payroll Department /Person Contact No. Ext Other Sources of Income Income Source Income Source Total Other Annual Income Previously Employed By PLEASE PROVIDE A. Wages and Salary Earners Last tax return or employer letter stating basic rate of pay, overtime, allowances, etc. – Commission Earners A monthly breakdown of last 12 months commissions signed by your employer plus last tax return. – Self Employed Persons Supply last 2 years tax returns plus ABN. – 1ST INDIVIDUAL / GUARANTOR ASSET & LIABILITY POSITION (2 of 6) STATEMENT OF ASSETS & LIABILITIES Name 1 Name 2 CURRENT ASSETS ADDRESS / DETAILS INCOME (PM) ASSET VALUE % OWNED Property 1 % Property 2 % Cash / Savings % Investments %
Business Hours Ext Hours Mobile Preferred Contact BH / AH / Mob Email Address PERSONAL DETAILS Marital Status Name of Spouse Number of Dependants Driver’s Licence No. Date of Birth (DD / MM / YY) CITIZENSHIP NON-RESIDENTS Please check if you are an Australian citizen Please if you are not an Australian resident EMPLOYMENT DETAILS (If self employed, please provide details of your business and industry) Occupation Employed By Years Employed Annual Income from Employer PAYG Applicants: Income Confirmation Payroll Department /Person Contact No. Ext Other Sources of Income Income Source Income Source Total Other Annual Income Previously Employed By PLEASE PROVIDE A. Wages and Salary Earners – Last tax return or employer letter stating basic rate of pay, overtime, allowances, etc. Commission Earners – A monthly breakdown of last 12 months commissions signed by your employer plus last tax return. Self Employed Persons – Supply last 2 years tax returns plus ABN. 1ST INDIVIDUAL / GUARANTOR (2 of 6) ASSET & LIABILITY POSITION STATEMENT OF ASSETS & LIABILITIES Name 1 Name 2 CURRENT ASSETS ADDRESS / DETAILS INCOME (PM) ASSET VALUE % OWNED Property 1 % Property 2 % Cash / Savings % Investments %