statement of financial position

Transcription

1 statement of financial position Once you have completed the relevant sections, please return it to us at: ING DIRECT Collections Department GPO Box 2299 SYDNEY NSW 2001 or Fax: Personal Information Loan Account Number(s): Borrower 1 Name/Guarantor 1 Name Borrower 2 Name/Guarantor 2 Name Security Property Address Security Property Address Mailing Address (if different to security address) Mailing Address (if different to security address) Contact Details Contact Details Number of Dependant(s) & Age(s): Number of Dependant(s) & Age(s): Page 1 of 5

2 2 Employment Information Borrower 1/Guarantor 1 Borrower 2/Guarantor 2 Employer Details Employer Name Employer Details Employer Name Address of current employer (if self employed, your business address) Address of current employer (if self employed, your business address) Employer Phone Number Employer Phone Number Your Position Your Position Length of time at current employment Length of time at current employment Years Months Years Months Name 3 Contact Details of any Authorised Agents Phone Number Fax Number 4 Alternative Contact Person Note: Please let this person know that you have provided us with their contact details and their information may be used if we need to contact you Name of Relative/Friend (not living with you) Name of Relative/Friend (not living with you) Page 2 of 5

3 45 Assets and Monthly Expenses Your assets Monthly Investment Postcode Value ($) Income* ($) Existing Property (home) Investment Property 1 Investment Property 2 Motor Vehicle 1 Motor Vehicle 2 Year Make Model Year Make Model Other Assets e.g. furniture, personal effects, collectables, boat, etc. Savings with (name of institution): Investments: Superannuation Shares Total assets *How to convert to monthly amounts: Weekly income multiply by 52 then divide by 12. Fortnightly income multiply by 26 then divide by 12. Yearly income divide by 12. Your liabilities and monthly expenses Loan Repayments and s Please list your liabilities and monthly expenses. Financier Amount owing ($) Facility limit/redraw ($) Gross monthly amount* ($) Home Loan Repayment (home) Other Home Loan Other Home Loan Car Loan/Lease Repayment Personal Loan Repayment TOTAL LOAN REPAYMENTS AND CREDIT CARDS Living Expenses Gross monthly amount*($) Gross monthly amount*($) Food and Groceries Rent (if not living in security property) Rates and Body Corporate Electricity, Gas and Water Child Care School Fees Phone(s), Internet and Pay TV Car Registration and Insurance Other Insurance (e.g House and Contents, Health or Life Insurance) Petrol and Parking Public Transport Costs Shoes and Clothing Sports and Entertainment TOTAL LIVING EXPENSES * How to convert to monthly amounts: Weekly multiply by 52 then divide by 12. Fortnightly multiply by 26 then divide by 12. Yearly divide by 12. Page 3 of 5

4 6 Your income details PAYG Income (salary/retired borrowers/guarantors only) Borrower 1/Guarantor 1 PAYG Gross monthly income* ($) Base Income (incl. salary paid to you by your own company) OR if no longer employed Previous Income And, if seeking new employment Expected Income Regular Overtime Second Job Income Car Allowance^ Borrower 2/Guarantor 2 PAYG Gross monthly income* ($) Base Income (incl. salary paid to you by your own company) OR if no longer employed Previous Income And, if seeking new employment Expected Income Regular Overtime Second Job Income Car Allowance^ Fully maintained car (provided by your Employer) ^^ Other Income Pension (eg. unemployment/disability) Please specify type of Pension Fully maintained car (provided by your Employer) ^^ Other Income Pension (eg. unemployment/disability) Please specify type of Pension Family Tax Benefits (Part A+B) Investment Income Existing Rental Income Proposed Rental Income Other Income (e.g. commission/bonus) Family Tax Benefits (Part A+B) Investment Income Existing Rental Income Proposed Rental Income Other Income (e.g. commission/bonus) TOTAL INCOME TOTAL INCOME * How to convert to gross monthly amounts (before tax). Weekly multiply by 52 then divide by 12. Fortnightly multiply by 26 then divide by 12. Yearly divide by 12. ^ Paid to you by your employer to cover vehicle running costs. ^^ Only tick this box if your employer is providing you a fully maintained car which is in addition to your salary Business Income (sole trader/company/partnership/trust applicant/guarantor) Profit from business distributed to all Borrowers/Guarantors (if sole trader/partnership/trust) Last financial year ($) Previous financial year ($) Net Profit Before Tax (if company) - excluding dividends paid Add back depreciation on fixed assets (Land and Building only) Add back interest on debts refinanced/repaid Other Add back(s) (e.g. non recurring expenses) Description Total income Page 4 of 5

5 7 Further Details 1. Please outline the reason(s) for your Hardship request and outline the repayment proposal that you would like us to consider. Repayment Proposal ING DIRECT Loan Account Number Repayment Proposal and frequency ($) Period assistance is required (months) 2. Do you have an arrangement(s) in place with other Credit Providers? If Yes, please outline your arrangement(s) below. Existing Arrangement(s) Type of Account (e.g. Home Loan) Financier Arrangement Amount ($) Period of Arrangement (months) 3. When will you be able to resume your regular repayment(s)? 8 Declarations 8 (Mandatory) I/We declare this information is true and correct as at the date of this application. I/We have attached all required supporting documentation Signature Borrower 1/Guarantor 1 Signature Borrower 2/ Guarantor 2 Date (DD/MM/YY) / / Date (DD/MM/YY) / / Page 5 of 5