WISE understands that prudent people are cautious about the information they supply to others.  For this reason, none of the data entry fields on this form are mandatory.  This means that you can enter as much or as little information as you wish.

If you choose to supply less information, please accept that Brad's ability to accurately determine your borrowing capacity is diminished.

CONTACT INFORMATION
Your full name:  
Partner's full name:  
Home Phone:
(include area code)		  
Home Fax:
(include area code)		  
Mobile Phone:  
Work Phone:
(include area code)		  
Email: (required)  
Postal Address:  
Suburb:  
State:   Postcode:
INCOME
Number of Dependants:  
Your Annual Gross Income:  
Time in Current Employment:  
Partner's Annual Gross Income:  
Partner's Time in Current Employment:  
HOME
Market Value:  
Current Home Loan Debt:  
Monthly Repayment:  
Lender's Name:  
Property Type:  
INVESTMENT PROPERTY 1
Market Value:  
Current Loan Debt:  
Monthly Repayment:  
Weekly Rent:  
Lender's Name:  
Property Type:  
INVESTMENT PROPERTY 2
Market Value:  
Current Loan Debt:  
Monthly Repayment:  
Weekly Rent:  
Lender's Name:  
Property Type:  
INVESTMENT PROPERTY 3
Market Value:  
Current Loan Debt:  
Monthly Repayment:  
Weekly Rent:  
Lender's Name:  
Property Type:  
INVESTMENT PROPERTY 4
Market Value:  
Current Loan Debt:  
Monthly Repayment:  
Weekly Rent:  
Lender's Name:  
Property Type:  
INVESTMENT PROPERTY 5
Market Value:  
Current Loan Debt:  
Monthly Repayment:  
Weekly Rent:  
Lender's Name:  
Property Type:  
INVESTMENT PROPERTY 6
Market Value:  
Current Loan Debt:  
Monthly Repayment:  
Weekly Rent:  
Lender's Name:  
Property Type:  
INVESTMENT PROPERTY 7
Market Value:  
Current Loan Debt:  
Monthly Repayment:  
Weekly Rent:  
Lender's Name:  
Property Type:  
INVESTMENT PROPERTY 8
Market Value:  
Current Loan Debt:  
Monthly Repayment:  
Weekly Rent:  
Lender's Name:  
Property Type:  
LINE OF CREDIT
Limit:  
Balance Owing:  
Lender's Name:  
CASH AT BANK
Value:  
OTHER DEBTS
Outstanding Amount:  
Monthly Repayment:  
Outstanding Amount:  
Monthly Repayment:  
CREDIT CARDS
Credit Card 1 Limit:  
Credit Card 1 Bank Name:  
Credit Card 2 Limit:  
Credit Card 2 Bank Name:  
Credit Card 3 Limit:  
Credit Card 3 Bank Name:  
RENTING
Weekly Rent:  
SHARES
Market Value:  
Please contact me by: Fax Email Post
Does Brad need more information? This form may not be able to collect all the finance information you feel Brad may need in order to determine your borrowing capacity figure. In this case, type extra information or comments into the comments box, or send Brad information via email. If you send an email to Brad, it is possible to attach a document file containing the additional information, to the email.
Thank You...    

 

 

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