4/6 Steele Street, Winnellie 0820, NT
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0407 922 360, (08) 8947 3800
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What is your relationship status?
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Full Name #1
Gender
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DOB
Address
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NT
VIC
SA
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QLD
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Email
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Employment Status:
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What is your gross annual salary (before tax)?
Do you receive Centrelink Family Tax Benefits?
Yes
No
If so how much and what is it for?
How long have you been employed at your current job?
Do you have any bad credit ratings?
Yes
No
Full Name #2
Gender
Male
Female
DOB
Address
- State -
NSW
NT
VIC
SA
WA
QLD
ACT
Email
Contact Phone Number
Employment Status:
Full time
Part time
Casual
Self Employed
What is your gross annual salary (before tax)?
Do you receive Centrelink Family Tax Benefits?
Yes
No
If so how much and what is it for?
How long have you been employed at your current job?
Do you have any bad credit ratings?
Yes
No
Do you own a house?
Yes
No
Is it mortgaged?
Yes
No
If yes what is the loan balance?
What is the monthly repayments?
What is the value of your house?
What is your total personal loan borrowings excluding credit cards?
(Personal loans and credit cards are assessed differently)
What is your estimated monthly minimum loan repayment?
What is your total credit limit?
What is your total current savings?
Are you renting?
Yes
No
What is your rental cost per week?
Who do you rent through?
Are you a first home buyer?
Yes
No
Do you have a family member that will guarantee your loan?
Yes
No
Do you have children?
Yes
No
How many?
How old are they?
What is your residency status
#1
:
Australian citizen
Permanent resident
Visa
Other
What is your residency status
#2
:
Australian citizen
Permanent resident
Visa
Other
I authorize the Broker to share the financial information with Habitat NT Pty Ltd staff
Yes
No
By submitting this form, you authorise the exchange of your information that may be considered Private, between Darwin House and Land Packages, its' chosen financial lenders and agents.
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0407 922 360, (08) 8947 3800 |
Email us
Habitat (NT) Pty Ltd
OFFICE ADDRESS 1
4/6 Steele Street
Winnellie 0820 NT
OFFICE ADDRESS 2
5/65 Stuart Hwy
Stuart Park 0820 NT
POSTAL ADDRESS
PO Box 12
Nightcliff NT 0814
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NT Rotary Barra Fishing Competition
Football Federation Northern Territory
Palmerston Golf Course
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