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Lend Connect 2022 Application Form

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Application Form 2022

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Section 1 of 5 - Loan Details

How many loan purposes are you applying for?

Is this a joint application?

Loan Purpose 1

If Other, Please Explain(Loan Purpose 1)

Amount of Loan 1

Loan Purpose 2

If Other, Please Explain (Loan Purpose 2)

Amount of Loan 2

Loan Purpose 3

If Other, Please Explain (Loan Purpose 3)

Amount of Loan 3

Loan Purpose 4

If Other, Please Explain (Loan Purpose 4)

Amount of Loan 4

Total Loan Amount

Objective

Preferred Loan Term (Years)

Preferred Loan Repayments Frequency:

Weekly

Fortnightly

Monthly

Monthly Loan Repayments (Calculated from above)

Section 2 of 5 - Applicant Information

How Many Applicants is This For?

Name

First Name: Middle Name: Last Name:

Date of birth:

Gender

Marital Status

Number of Dependents

Age of Dependent 1

Age of Dependent 2

Age of Dependent 3

Age of Dependent 4

Age of Dependent 5

Age of Dependent 6

Age of Dependent 7

Age of Dependents, if More Than 7

Mobile Number

Drivers Licence #

Residential Details

Address

Street Address Suburb State Post Code

Move in Date (Current Address)

Years at Current Address

Residential Status

How many people on rent or mortgage ?

Residential Status-other

Name of Real Estate Agent

What is the full Rent, Mortgage or board payment Schedule?

Weekly

Fortnightly

Monthly

What is the full Rent, Mortgage or board payment, per the above schedule?

Monthly Rent/Mortgage (Please calculate)

Monthly Rent/Mortgage Split

Monthly Rent Amount Paid ( For Living with Parents/Boarding/Supplied By Employer) (Please Calculate)

Who are you boarding with?

Name of Real Estate Agent

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How many people are on the lease or mortgage?

Previous Address (If Current is Under 3 Years)

Same as previous

Street Address City State Post Code Country

Move in Date (Previous Address)

Residential Status (Previous Residence)

Name of Real Estate Agent (Previous Residence)

Applicant 2 Information

Name Applicant 2

First Name: Middle Name: Last Name:

Date of birth: Applicant 2

Gender Applicant 2

Email Applicant 2

Marital Status Applicant 2

Number of Dependents Applicant 2

Age of Dependent 1

Age of Dependent 2

Age of Dependent 3

Age of Dependent 4

Age of Dependent 5

Age of Dependent 6

Age of Dependent 7

Mobile Applicant 2

Drivers Licence # Applicant 2

Is the current address same as Applicant 1 address ?

Yes

Address #Applicant 2

Street Address Suburb State Post Code

Move in Date (Current Address) Applicant 2

Years at Current Address #Applicant 2

Is the previous address the same as applicant 1

Residential Status #Applicant 2

Residential Status-other

Name of Real Estate Agent #Applicant 2

What is the full Rent, Mortgage or board payment Schedule? #Applicant 2

Weekly

Fortnightly

Monthly

What is the full Rent, Mortgage or board payment, per the above schedule? #Applicant 2

Who are you boarding with? #Applicant 2

How many people are on the lease or mortgage? #Applicant 2

Name of Real Estate Agent #Applicant 2

Previous Address (If Current is Under 3 Years) Applicant 2

Street Address Suburb State Post Code Country

Move in Date (Previous Address) #Applicant 2

Residential Status (Previous Residence) #Applicant 2

Name of Real Estate Agent (Previous Residence) #Applicant 2

Section 3 of 5 - Employment Information

Applicant 1

Name of Employer

Business Phone Number

Net Income $

Income frequency

Monthly Net Income (Please Calculate)

Job description

Start date

Employment Status

Do you have an additional income ?

Yes

Additional income

Name of Employer/Income Source (Additional)

How many forms of additional income ?

Business Phone (Additional)

What types of additional income

Total Additional Net income

Income frequency (Additional)

Monthly Additional Net Income (Please Calculate)

Job description (Additional)

Start date (Additional)

Employment Status

Have you been at your current employer for less than 3 years?

Previous employment if time at employment is less than 3 years:

Name of employer (Previous)

Job Description (Previous)

Business Phone (Previous)

Employment Status (Less than 3 years)

Start date (Less than 3 years)

Time-gap between employers in months (Less than 3 years)

Applicant 2 Employment Information

Current Income

Name of Employer (Applicant 2)

Business Phone Number (Applicant 2)

Net Income $ (Applicant 2)

Income frequency (Applicant 2)

Monthly Net Income (Please Calculate) (Applicant 2)

Job description (Applicant 2)

Start Date (Applicant 2)

Employment Status (Applicant 2)

Previous employment if time at employment is less than 3 years: (Applicant 2)

Has applicant 2 been at their job for less than 3 years?

Name of employer (Applicant 2)

Business Phone Number (Applicant 2)

Employment status at previous job (Applicant 2)

Job Description (Applicant 2)

Time-gap between employers in months (Applicant 2)

Start date (Applicant 2)

Do you have an additional income ? (Applicant 2)

Yes

Additional income (Applicant 2)

Name of Employer/ Income Source (Applicant 2)

How many forms of additional income? (Applicant 2)

What types of additional income? (Applicant 2)

Business Phone Number (Applicant 2)

Total Additional Income (Applicant 2)

Monthly Additional Net Income Applicant 2 (Please Calculate)

Job description (Applicant 2)*

Income frequency (Applicant 2)

Start date (Applicant 2)

Section 4 of 5 - Living Expenses

Joint Monthly Living Expenses

Do you share living expenses ?

Yes

Home Maintenance

Electricity

Gas

Council Rates

Water Rates

Mobile Phones

Landline and Internet

Building Contents and Insurance

Total Home Maintenance

Personal Expenses

Food and Groceries

Clothing

Total Personal Expenses

Health Expenses

Healthcare and Wellbeing

Car Expenses

Car Registration

Car Insurance

Fuel

Car Maintenance

Total Car Expenses

Other expenses

Entertainment - Pay TV

School Fees/Daycare

Others

Total Other Expenses

Total Combined Monthly Basic Living Expenses

Total Split Monthly Living Expenses

Section 5 of 5 - Liability Details

How Many Liabilities Are You Reporting For All Applicants Combined

Liability Detail 1

Credit Provider (1)

Type (1)

Original Limit (1)

Current Balance (1)

Monthly Repayment (Credit Card) (1)

Monthly Repayment (1)

To Be Closed? (1)

Name of Applicant this Liability is Associated With ? (1)

Liability Detail 2

Credit Provider (2)

Type (2)

Original Limit (2)

Current Balance (2)

Monthly Repayment (Credit Card) (2)

Monthly Repayment (2)

To Be Closed? (2)

Name of Applicant this Liability is Associated With ? (2)

Liability Detail 3

Credit Provider (3)

Type (3)

Original Limit (3)

Current Balance (3)

Monthly Repayment (Credit Card) (3)

Monthly Repayment (3)

To Be Closed? (3)

Name of Applicant this Liability is Associated With ? (3)

Liability Detail 4

Credit Provider (4)

Type (4)

Original Limit (4)

Current Balance (4)

Monthly Repayment (Credit Card) (4)

Monthly Repayment (4)

To Be Closed? (4)

Name of Applicant this Liability is Associated With ? (4)

Liability Detail 5

Credit Provider (5)

Type (5)

Original Limit (5)

Current Balance (5)

Monthly Repayment (Credit Card) (5)

Monthly Repayment (5)

To Be Closed? (5)

Name of Applicant this Liability is Associated With ? (5)

Liability Detail 6

Credit Provider (6)

Type (6)

Original Limit (6)

Current Balance (6)

Monthly Repayment (Credit Card) (6)

Monthly Repayment (6)

To Be Closed? (6)

Name of Applicant this Liability is Associated With ? (6)

Liability Detail 7

Credit Provider (7)

Type (7)

Original Limit (7)

Current Balance (7)

Monthly Repayment (Credit Card) (7)

Monthly Repayment (7)

To Be Closed? (7)

Name of Applicant this Liability is Associated With ? (7)

Liability Detail 8

Credit Provider (8)

Type (8)

Original Limit (8)

Current Balance (8)

Monthly Repayment (Credit Card) (8)

Monthly Repayment (8)

To Be Closed? (8)

Name of Applicant this Liability is Associated With ? (8)

Liability Detail 9

Credit Provider (9)

Type (9)

Original Limit (9)

Current Balance (9)

Monthly Repayment (Credit Card) (9)

Monthly Repayment (9)

To Be Closed? (9)

Name of Applicant this Liability is Associated With ? (9)

Liability Detail 10

Credit Provider (10)

Type (10)

Original Limit (10)

Current Balance (10)

Monthly Repayment (Credit Card) (10)

Monthly Repayment (10)

To Be Closed? (10)

Name of Applicant this Liability is Associated With ? (10)

Liability Detail 11

Credit Provider (11)

Type (11)

Original Limit (11)

Current Balance (11)

Monthly Repayment (Credit Card) (11)

Monthly Repayment (11)

To Be Closed? (11)

Name of Applicant this Liability is Associated With ? (11)

Liability Detail 12

Credit Provider (12)

Type (12)

Original Limit (12)

Current Balance (12)

Monthly Repayment (Credit Card) (12)

Monthly Repayment (12)

To Be Closed? (12)

Name of Applicant this Liability is Associated With ? (12)

Liability Detail 13

Credit Provider (13)

Type (13)

Original Limit (13)

Current Balance (13)

Monthly Repayment (Credit Card) (13)

Monthly Repayment (13)

To Be Closed? (13)

Name of Applicant this Liability is Associated With ? (13)

Liability Detail 14

Credit Provider (14)

Type (14)

Original Limit (14)

Current Balance (14)

Monthly Repayment (Credit Card) (14)

Monthly Repayment (14)

To Be Closed? (14)

Name of Applicant this Liability is Associated With ? (14)

Liability Detail 15

Credit Provider (15)

Type (15)

Original Limit (15)

Current Balance (15)

Monthly Repayment (Credit Card) (15)

Monthly Repayment (15)

To Be Closed? (15)

Name of Applicant this Liability is Associated With ? (15)

Total Liability

Monthly Total Liability Repayment (Please Calculate)

Asset details

How Many Assets Are you Reporting For Both Applicants Combined?

Asset details 1

Type of asset (House, cars, savings etc) (1)

Value ($) (1)

Owned Outright (1)

Name of Applicant this Asset is Associated With ? (1)

Asset details 2

Type of asset (House, cars, savings etc) (2)

Value ($) (2)

Owned Outright (2)

Name of Applicant this Asset is Associated With ? (2)

Asset details 3

Type of asset (House, cars, savings etc) (3)

Value ($) (3)

Owned Outright (3)

Name of Applicant this Asset is Associated With ? (3)

Asset details 4

Type of asset (House, cars, savings etc) (4)

Value ($) (4)

Owned Outright (4)

Name of Applicant this Asset is Associated With ? (4)

Asset details 5

Type of asset (House, cars, savings etc) (5)

Value ($) (5)

Owned Outright (5)

Name of Applicant this Asset is Associated With ? (5)

Asset details 6

Type of asset (House, cars, savings etc) (6)

Value ($) (6)

Owned Outright (6)

Name of Applicant this Asset is Associated With ? (6)

Asset details 7

Type of asset (House, cars, savings etc) (7)

Value ($) (7)

Owned Outright (7)

Name of Applicant this Asset is Associated With ? (7)

Asset details 8

Type of asset (House, cars, savings etc) (8)

Value ($) (8)

Owned Outright (8)

Name of Applicant this Asset is Associated With ? (8)

Asset details 9

Type of asset (House, cars, savings etc) (9)

Value ($) (9)

Owned Outright (9)

Name of Applicant this Asset is Associated With ? (9)

Asset details 10

Type of asset (House, cars, savings etc) (10)

Value ($) (10)

Owned Outright (10)

Name of Applicant this Asset is Associated With ? (10)

Asset details 11

Type of asset (House, cars, savings etc) (11)

Value ($) (11)

Owned Outright (11)

Name of Applicant this Asset is Associated With ? (11)

Asset details 12

Type of asset (House, cars, savings etc) (12)

Value ($) (12)

Owned Outright (12)

Name of Applicant this Asset is Associated With ? (12)

Asset details 13

Type of asset (House, cars, savings etc) (13)

Value ($) (13)

Owned Outright (13)

Name of Applicant this Asset is Associated With ? (13)

Asset details 14

Type of asset (House, cars, savings etc) (14)

Value ($) (14)

Owned Outright (14)

Name of Applicant this Asset is Associated With ? (14)

Asset details 15

Type of asset (House, cars, savings etc) (15)

Value ($) (15)

Owned Outright (15)

Name of Applicant this Asset is Associated With ? (15)

Total asset value ($)

Credit History

Have you ever been bankrupt or have any paid or unpaid defaults or court judgements?

If yes, provide details

Servicing, Monthly Expenditures

Net Monthly Income, Pre Loan

Net Monthly Income, Post Loan

Monthly Residential Expenses, Pre Loan

Monthly Residential Expenses, Post Loan

Monthly Residential Expenses, Pre Loan (Split)

Monthly Residential Expenses, Post Loan (Split)

Total Monthly Repayments (Liabilities) Pre Loan

Total Monthly Repayments (Liabilities) Post Loan

Living Expenses or HEMS, Pre Loan

Living Expenses or HEMS, Post Loan

Living Expenses or HEMS, Pre Loan (Split)

Living Expenses or HEMS, Post Loan (Split)

Surplus (Pre-Loan) Please Calculate

Surplus (Post Loan) Please Calculate

Surplus (Pre-Loan/Split) Please Calculate

Surplus (Post Loan/Split) Please Calculate

Name of Person Submitting this Form*

Notes

Lend Connect 2022 Application Form

Application Form 2022

Section 1 of 5 - Loan Details

Section 2 of 5 - Applicant Information

Residential Details

Applicant 2 Information

Section 3 of 5 - Employment Information

Applicant 1

Additional income

Previous employment if time at employment is less than 3 years:

Applicant 2 Employment Information

Current Income

Previous employment if time at employment is less than 3 years: (Applicant 2)

Additional income (Applicant 2)

Section 4 of 5 - Living Expenses

Joint Monthly Living Expenses

Home Maintenance

Personal Expenses

Health Expenses

Car Expenses

Other expenses

Section 5 of 5 - Liability Details

Liability Detail 1

Liability Detail 2

Liability Detail 3

Liability Detail 4

Liability Detail 5

Liability Detail 6

Liability Detail 7

Liability Detail 8

Liability Detail 9

Liability Detail 10

Liability Detail 11

Liability Detail 12

Liability Detail 13

Liability Detail 14

Liability Detail 15

Asset details

Asset details 1

Asset details 2

Asset details 3

Asset details 4

Asset details 5

Asset details 6

Asset details 7

Asset details 8

Asset details 9

Asset details 10

Asset details 11

Asset details 12

Asset details 13

Asset details 14

Asset details 15

Credit History

Servicing, Monthly Expenditures

Contact Info

Additional Details