Southern Financial Group

Mortgage Application

Borrower(s)

1: Name:	Date of Birth:	eg. 21/4/1970
2: Name:	Date of Birth:	eg. 21/4/1970
If you are a company please provide your ACN and details of all directors below

Mortgagor

Address

Phone

Fax

Amount Required

Estimated Valuation

Estimated Settlement Date

Address of Security

Improvements

Yes No eg. dwelling / buildings / yards etc.

** If yes, please complete insurance details below **

Agent/Broker

Name
Address
Phone
Fax
Policy Number (if known)

Title Particulars

1.	Vol: Fol:
2.	Vol: Fol:

Current Mortgagee/s

Purpose of Loan

Occupation

Accountant

Name
Contact name	Phone Number:
Address

Bank

Branch

** Complete if new purchase **

Vendor
Real Estate Agent
Agent Address
Phone Number

Personal

Name

Address

Phone Number

Business(1)

Name

Location

Account No

Phone Number:

Business(2)

Name

Location

Account No

Phone Number:

Any Additional Comments

(a) Have you even been declared bankrupt or assigned your estate for the benefit of creditors or have you had any unsatisfied court judgements or maintenance orders against you?

Yes No If yes, give details

(b) Has any fee or charge been paid or promised to any person as consideration for obtaining the approval of this loan?

Yes No If yes, give details

(c) Will you be living on the property immediately on settlement?

Yes No If no, give details of occupancy including rental

(d) Have you had a previous mortgage loan?

Yes No If yes, give details

(e) Has a building been erected or extended in the last seven (7) years?

Yes No If yes, give details

(f) Has any building permit been issued in the last seven (7) years regarding the property?

Yes No If yes, give details

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