Short Loan Applicaton Form

Completion of this form will enable us to quickly determine your borrowing capacity.
* indicates mandatory fields.

A. Applicant Details
1st Applicant's Name:
2nd Applicant's Name:
Contact Number:
Alternate Number:
Residential Address:
Email Address:
Date:
Loan Purpose:
Loan Amount:

B. Property Offered as Security
 1st Security2nd Security
Address:*
Suburb:*
Postcode:
State:
Estimated Value: $*
Amount Owing: $
Zoning:

C. Liabilities
Liability TypeTotal AmountMonthly RepaymentsDebt to be
Consolidated
$ $ Yes
$ $ Yes
$ $ Yes
$ $ Yes
$ $ Yes
$ $ Yes

D. Income Details
 1st Applicant2nd Applicant
Are you self-employed?* Check if Yes Check if Yes
Income per annum: $*
If self-employed show Net taxable income, otherwise show Gross income
Other Income 1st Applicant2nd Applicant
$ p.a. $ p.a.
$ p.a. $ p.a.
$ p.a. $ p.a.
Do not include Social Security benefits.

E. Submit Details
Comments:
Please provide details of the most convenient way for a Starfund consultant to contact you.
Best time to call:

F. Print
Thank you for taking the time to complete this form. Please print and fax to: 02 9750 7966 and a Starfund consultant will be in touch with you.