Nationwide Loan Line 1-300-559-164             | Home | Refinancing | Home Loans | Credit Challenged | Testimonials | Contact Us |  
 
 
 
 
 

Here is your FAST & FREE, Online Application.

Let's get started...

About You

Applicant 1

  

Applicant 2
Full Name:     Full Name:
Date of Birth:   Date of Birth:
Driver's Licence No:   Driver's Licence No:
Marital Status:   Marital Status:
Dependent Ages:   Dependent Ages:
 
Contact Details (main contact only)
Home Address:   Phone - Mobile:
Phone - Home:   E-mail Address:

Phone - Work:

      

Applicant 1

  

Applicant 2
Self Employed: Yes No   Self Employed: Yes No
Employee: Yes No   Employee: Yes No
ABN for Self Employed:   ABN for Self Employed:
Gross Yearly Income:   Gross Yearly Income:
       

Current Monthly Commitments

Please provide as much information as possible. Getting your most recent statements together will be a good starting place to find what is required. Where you cannot find the exact information, just insert what your most accurate estimate is. Please use the "Additional Information" box if there is insufficient space.
 
Estimated Value

Amount Owing

 Monthly Payments
House:
Other Real Estate:
Cars:
Credit Card (limit):
Store Cards (limit):
Other Loans:  
Living Expenses: Per Month  

Do you have any Default or Judgements?

 Yes No  
Do you have any payment arrears? Yes No  
I wish to apply for a loan of:      
Purpose of Loan

Refinance

Debt Consolidation

House Purchase

 Other

Additional Information

Please let us know any additional information that you think is necessary for us to understand your loan requirements:
       
Disclosure Information

By ticking the box(s) below you consent, in accordance with the provisions of the Privacy Act 1998, to us exchanging information with credit providers and obtaining a report from a credit reporting Agency.
 

Terms and Conditions
Any loan approval given in principle may be withdrawn at any time if anything occurs which in our opinion, adversely affects the loan proposal as we understand it.

Please note, there is no legal agreement between the lender and the applicant until settlement of the loan.

That means you are not bound to go ahead with the loan. It also means the lender has the right to change the terms and conditions of the loan agreement or to withdraw from it altogether and decline to settle the loan at any time, for any reason whatsoever.
 
Applicant 1

I agree to the terms and conditions of this application and wish to submit it.
Applicant 2

I agree to the terms and conditions of this application and wish to submit it.



 
 
Nationwide Loan Line 1-300-559-164             | Home | Refinancing | Home Loans | Credit Challenged | Testimonials | Contact Us |  
Copyright 2007 Lifeline Financial Services Pty Ltd. All rights reserved | Conditions & Credit Criteria Apply |