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Apply Now - Bank Said No Online Application PDF Print E-mail

All fields marked with an asterisk (*) are mandatory. JavaScript must be enabled to use and submit this application.

Your privacy is important. When the Submit botton is clicked on this completed form it is sent via email directly to the Company Manager. We don't sell any information to any other companies and we're not going to telemarket to you in any way. We just want to help you with your home loan.

If you are having difficulties with this application, please call 1300 139 883 for assistance. The office phones are diverted to Mobile phones out of hours so we can help you at a time that suits YOU.

The more information you can provide the easier it is to help you with your finances. There is a comments section at the end of the application for you to give us a full picture of your troubles so feel free to tell us your life story. I can assure you we've probably heard and solved worse!

Towards the end of the application there is a box for your consent for us to do a credit check. We are authorized Veda advantage agents and our credit check does NOT appear on your credit report as an application for finance, it comes up as an Authorized Agent and will not count towards any credit scoring in the future.

 

Step 1 of 4


Applicant 1 : Details
*First Name :
 
Middle Names :
 
*Surname :
 
Drivers Licence Number : State :
 
*Date of Birth :
 
*Address :
 
*Suburb : *Postcode :
 
*Primary Phone :
 
Work Phone :
 
Mobile :
 
*Email Address :
 
If you do NOT have an email address, please call 1300 137 689
*Number of Dependent Children :    Ages:
 
Is there a second applicant? YES NO
 
Next Step

Step 2 of 4


Assets and Liabilities
Assets Address/Description Current Value
Property (Currently Owned) :
Property Type: House        Vacant Land        Unit/Townhouse
Rural (Over 50 acres)        Commercial        Other
Vehicles :
Shares :
Furniture/Personal Effects :
Super :
Business Value :
Cash In Bank :
Other :
Total Deposit Availalbe:
(If Purchasing)
Liabilities Limit (if any) How much you currently owe: Monthly Repayment: Are we paying out? Late or missed payments in the last 6 months:
Property Loans : Yes No Yes No
Vehicle Loans : Yes No Yes No
Credit Cards : Yes No Yes No
Personal Loans : Yes No Yes No
Store Cards : Yes No Yes No
Business Loans : Yes No Yes No
Over Draft : Yes No Yes No
Other : Yes No Yes No
Next Step

Step 3 of 4


Other Finanical Details
*Income Name Of Employer Years There Gross Annual Income
 
Full Time Wages :
Full Time Wages - 2nd Applicant :
(If Applicable)
Self Employed :
Registered for ABN: Yes No Date Registered:
Registered for GST: Yes No
Part Time Wages :
Casual Wages :
Pension :
Board :
2nd Job :
Government Allowance :
Rent Received :
Dividends :
Other :
*Have you ever been bankrupt? Yes No Year Discharged :
 
*Have you ever entered into a part 9 or 10 debt agreement? Yes No Year Discharged :
 
*Have you been in arrears on your mortgage in the last 12 months? Yes No How many? :
 
*Are you currently in arrears on your motgage? Yes No How many? :
 
*Do you have any unpaid rates? Yes No  
 
*Do you have any unpaid tax? Yes No  
 
*In the last 5 years have you had a default listed against you (paid or unpaid)? Yes No  
 
*In the last 5 years have you had a judgement listed against you (paid or unpaid)? Yes No  
 
*Ever been Director or shareholder of a company which has beeen liquidated or entered into receivership? Yes No If Yes, Year :
 
*Are you wanting to : Purchase Refinance  
 
 
*Please describe what you want to do :
 
Previous Step
Next Step

Step 4 of 4


Other Information
*By ticking this box you consent to a credit check.
 
*By ticking this box you indicate that you have read and understood our privacy policy.
 
Previous Step



To discuss your needs with a trained consultant call

1300 137 689
"Let us all live well within our means, even if we have to borrow to do so."

- Artemus Ward


Second Chance Mortgage Solutions is a FULL Member of FMAA


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