FINANCE APPLICATION. First Name(s): Date of Birth: Length of Employment: Annual salary: Contact phone: Home Loan Provider: Contact Phone:

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1 Details of Borrower/Guarantor 1 FINANCE APPLICATION First Name(s): Surname: Date of Birth: Phone: Mobile: Employer: Length of Employment: Annual salary: Contact phone: Home Loan Provider: or Guarantor: Signature of Applicant: STATEMENT BY BORROWER/S (APPLICANT/S) By submitting this electronic finance enquiry form, I/we agree to: - understand and acknowledge that The Lender is not a finance provider. This is a private lending agreement. - supply the details contained in this application for the purpose of enabling The Lender' to determine whether to proceed with an application for finance. - understand and acknowledge that the submission of this enquiry does not imply any acceptance by the Lender to grant me/us a loan. - understand that any decision of The Lender', to accept this enquiry is made in reliance on the information given by me/us in this enquiry and that The Lender the right to accept or refuse this application in its absolute discretion. - authorise the Lender to make any inquiries in relation to this application as it considers necessary. - hereby enquire into the finance described herein to be secured by mortgage and/or lien or other protective measure on the property described herein and represent that all statements made in this enquiry are true and made for the purpose of obtaining finance. Verification may be obtained from any source named herein. - acknowledge that the establishment fee is to be included in the financed amount and will accrue interest along with any other amount outstanding, at a rate as agreed. - confirm and declare that all of the information provided as part of this application is true and correct even if the information is not in their own handwriting. Attention is drawn to the fact that if any false information or statements have been made in this application, the applicants may be made subject to: i ) A penalty of imprisonment and/or fine and/or legal action ii ) Requirement to pay the full loan amount immediately on demand

2 Details of Borrower/Guarantor 2 First Name(s): Surname: Date of Birth: Phone: Mobile: Employer: Length of Employment: Annual salary: Contact phone: Home Loan Provider: or Guarantor: Signature of Applicant: STATEMENT BY BORROWER/S (APPLICANT/S) By submitting this electronic finance enquiry form, I/we agree to: - understand and acknowledge that The Lender is not a finance provider. This is a private lending agreement. - supply the details contained in this application for the purpose of enabling The Lender' to determine whether to proceed with an application for finance. - understand and acknowledge that the submission of this enquiry does not imply any acceptance by the Lender to grant me/us a loan. - understand that any decision of The Lender', to accept this enquiry is made in reliance on the information given by me/us in this enquiry and that The Lender the right to accept or refuse this application in its absolute discretion. - authorise the Lender to make any inquiries in relation to this application as it considers necessary. - hereby enquire into the finance described herein to be secured by mortgage and/or lien or other protective measure on the property described herein and represent that all statements made in this enquiry are true and made for the purpose of obtaining finance. Verification may be obtained from any source named herein. - acknowledge that the establishment fee is to be included in the financed amount and will accrue interest along with any other amount outstanding, at a rate as agreed. - confirm and declare that all of the information provided as part of this application is true and correct even if the information is not in their own handwriting. Attention is drawn to the fact that if any false information or statements have been made in this application, the applicants may be made subject to: i ) A penalty of imprisonment and/or fine and/or legal action ii ) Requirement to pay the full loan amount immediately on demand

3 Details of Borrower/Guarantor 3 First Name(s): Surname: Date of Birth: Phone: Mobile: Employer: Length of Employment: Annual salary: Contact phone: Home Loan Provider: or Guarantor: Signature of Applicant: STATEMENT BY BORROWER/S (APPLICANT/S) By submitting this electronic finance enquiry form, I/we agree to: - understand and acknowledge that The Lender is not a finance provider. This is a private lending agreement. - supply the details contained in this application for the purpose of enabling The Lender' to determine whether to proceed with an application for finance. - understand and acknowledge that the submission of this enquiry does not imply any acceptance by the Lender to grant me/us a loan. - understand that any decision of The Lender', to accept this enquiry is made in reliance on the information given by me/us in this enquiry and that The Lender the right to accept or refuse this application in its absolute discretion. - authorise the Lender to make any inquiries in relation to this application as it considers necessary. - hereby enquire into the finance described herein to be secured by mortgage and/or lien or other protective measure on the property described herein and represent that all statements made in this enquiry are true and made for the purpose of obtaining finance. Verification may be obtained from any source named herein. - acknowledge that the establishment fee is to be included in the financed amount and will accrue interest along with any other amount outstanding, at a rate as agreed. - confirm and declare that all of the information provided as part of this application is true and correct even if the information is not in their own handwriting. Attention is drawn to the fact that if any false information or statements have been made in this application, the applicants may be made subject to: i ) A penalty of imprisonment and/or fine and/or legal action ii ) Requirement to pay the full loan amount immediately on demand

4 Asset and Liability Statement for Borrower(s) 1 You must complete one form for each borrower/guarantor Name Residential Address ASSETS Description $ Property 1 _ Property 2 _ Cash/Shares _ Motor vehicles _ Furniture etc. _ Total Assets LIABILITIES Description $ Property 1 _ Property 2 _ Credit Cards _ Total Liabilities NET ASSETS Signature of Subject:

5 Asset and Liability Statement for Borrower(s) 2 You must complete one form for each borrower/guarantor Name Residential Address ASSETS Description $ Property 1 _ Property 2 _ Cash/Shares _ Motor vehicles _ Furniture etc. _ Total Assets LIABILITIES Description $ Property 1 _ Property 2 _ Credit Cards _ Total Liabilities NET ASSETS Signature of Subject:

6 Asset and Liability Statement for Borrower(s) 3 You must complete one form for each borrower/guarantor Name Residential Address ASSETS Description $ Property 1 _ Property 2 _ Cash/Shares _ Motor vehicles _ Furniture etc. _ Total Assets LIABILITIES Description $ Property 1 _ Property 2 _ Credit Cards _ Total Liabilities NET ASSETS Signature of Subject:

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