*Your full name:

*Phone number:

E-mail address:

Are you: buying selling or both

Please arrange for a Loans Officer to contact Me/Us in relation to My/Our Purchaser or Refinance.

Address of property buying:

The property I'm buying is: Vacant Land House Unit / Town House Commercial Property Industrial Property Time Share Please Select

It will be my: Principal Place of Residence First Principal Place of Residence Investment Property Please Select

Proposed purchase price?

Are you borrowing money to complete the purchase? Yes No

Amount you will borrow?

SELLING A PROPERTY:

Address of property being sold:

Any Restriction? Covenant Easement Other

Zoning:

Outgoings (Please fill in amounts):

Municipal $:

Water Board $:

Catchment Levy $:

Body Corporate $ :

Licence’s $:

Services (Connected or Available?):

S.E.C. Please Select Connected Available

Gas: Please Select Connected Available

Water: Please Select Connected Available

Sewerage: Please Select Connected Available Septic Only

Telephone: Please Select Connected Available

Permits - These are required for any works done in the last 7 years:

House -Cert of Occ. -Guarantee Ins. No Work Done Work Done - Permit Available Work Done - No Permit Available

Alterations / Additions: No Work Done Work Done - Permit Available Work Done - No Permit Available

Extension: No Work Done Work Done - Permit Available Work Done - No Permit Available

Garage: No Work Done Work Done - Permit Available Work Done - No Permit Available

Carport: No Work Done Work Done - Permit Available Work Done - No Permit Available

Pergola: No Work Done Work Done - Permit Available Work Done - No Permit Available

Swimming Pool: No Work Done Work Done - Permit Available Work Done - No Permit Available

Solid Fuel Heater: No Work Done Work Done - Permit Available Work Done - No Permit Available

Are you an owner/builder in respect to any permits? If YES we need owner builder report & for works over $12,000.00 builders warranty insurance as well. Yes No

If YES, details:

Orders/Notices - Do you have any current Orders or Notices?

• Kerb & Channel
• Footpath
• Tenants
• Build – over
• Body Corporate
• Sewer Scheme
• Fencing
• Other

Title of property held by? Vendor Mortgagee

Volume Number:

Folio Number:

If Mortgagee give details:

Smoke detectors fitted? Yes No

Did we previously act? Yes No

If YES, what year?

Selling agents details:

Anything else we should know? or general comments: