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1. Loan Details
*
Are you a member? *
$
$
 
Please complete either of the following preferred items.
Years
Months
$

2. Primary Member
Personal Particulars
Please answer all questions as it is illegal for us to use information previously supplied.
*
*
Years
Months
Years
Months
*
Number
Ages
Number
Expiry
 
Employment Details
Years
Months
Years
Months
 
Other Contacts (List The Names And Addresses Of Two Relations In Australia)
Contact 1
 
Contact 2

3. Co-Borrower
Personal Particulars
Years
Months
Years
Months
Number
Ages
Number
Expiry
 
Employment Details
Years
Months
Years
Months
 
Other Contacts (List The Names And Addresses Of Two Relations In Australia)
Contact 1
 
Contact 2

4. Income
  You will need to provide 3 recent payslips for each applicant and confirmation of other income, or last two years’ tax returns for self-employed applicants.
Net Income (Current Employer)
$
$
 
Pension
$
$
 
Family Allowance
$
$
 
Parenting Allowance
$
$
 
Maintenance
$
$
 
Rental Income
$
$
 
Second Job
$
$

5. Assets
Home
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Investment Property
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Vacant Land
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Motor Vehicle 1
$
Motor Vehicle 2
$
Motorbike
$
Furniture
$
Shares
$
Savings - Credit Union
$
Savings - Other
$
Superannuation
$
Boat/Caravan
$
Other - Please List
$

6. Liabilities
You will need to provide statements etc to confirm all debts listed below including any Credit Cards held.
First Mortgage
$
$
$
Investment Mortgage
$
$
$
Mortgage
$
$
$
Rent/Board
$
Personal Loan
$
$
$
Personal Loan
$
$
$
Credit Card
$
$
$
Credit Card
$
$
$
Store Card
$
$
$
Lease
$
$
$
Overdraft
$
$
$
Maintenance
$
$
$
Other (After Pay, Zip Pay etc.)
$
$
$

7. Variable Living Expenses Declaration
Standard Expenses
Food and Groceries
$
Rates
$
Water Rates
$
Electricity
$
Gas
$
Phone
$
Fuel
$
Mobile Phone
$
Building and Contents Insurance
$
Car Registration
$
Car Insurance
$
Other Registration (Caravan, Boat, Motorcycle etc.)
$
Other Insurance (Caravan, Boat, Motorcycle etc.)
$
School Fees
$
Hospital and Medical Fund
$
Chemist
$
Other
$
Discretionary Expenses
Pay TV Subscription
$
Other Subscriptions and Memberships
$
Entertainment
$
Vet Fees
$
Holidays
$
Other
$

8. Consent for Electronic Delivery of Statements & Notices

I consent to your giving me documents such as loan offers (in the form of a contract for us to accept), precontractual documents, statements, and notices electronically.

By consenting to receive these documents electronically, I understand that:

  • you may not give me these documents in paper form in the future
  • I need to regularly check for electronic communications from you e.g. via emails, SMS and/or internet banking alerts
  • I can withdraw this consent at any time and revert to receiving paper documents in the post

For loan documents, I understand that you must sign any loan offer you make to me.

I consent to that requirement being met by your attaching the offer document to an email addressed to me.



9. Agreement

I/We hereby authorise my/our employer/s and/or accountants and/or real estate agent to divulge personal information to Central West Credit Union on their request.

I/We agree to re-imburse the credit union for expenses incurred by the credit union in:

  • obtaining a valuation, even if the credit union decides not to approve the loan.
  • preparing security documents even if we do not complete the loan for any reason at all

Credit Reports for Commercial Loan Applicant Applications

By submitting this application you expressly consent to our obtaining a credit report containing your credit information in order to assess your commercial loan application.


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