Purchaser Form

1

Full Name* This field is required.Just include one person's details - additional purchasers can be added later

First and Middle Name/s

Last Name

2

Address* This field is required.

Street Address

Street Address Line 2

City

State

Postcode

Country

3

Mobile Number

4

Home Phone Number

5

Work Phone Number

6

E-mail* This field is required.

7

Date of birth* This field is required.

Date

8

Is there a second property purchaser?* This field is required.

YESNO

9

Full Name

First and Middle Name/s

Last Name

10

Address/es same as for the first property purchaser?

YESNO

11

Address

Street Address

Street Address Line 2

City

State

Postcode

Country

12

Mobile Number

13

Home Phone Number

14

Work Phone Number

15

E-mail

example@example.com

16

Date of birth

Date

17

Have you found a property to purchase yet or are you still looking?

Found a property

Still looking

18

AddressAddress of the property being purchased

Street Address

Street Address Line 2

City

Postcode

Country

19

Is the property you are purchasing

residential (including vacant residential land)?

commercial or industrial (including vacant commercial or industrial land)?

20

Do you have the contract for the property yet?

YESNO

21

Please provide the selling agent's details:We will contact the agent to ask them to send a copy of the contract to us as soon as it is available so we can check it before you sign.

Name

Real Estate firm name

Agent's phone number

Agent's emaill

22

Please provide a copy of the contract

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

23

Will you be borrowing money to purchase the property?* This field is required.

YESNO

24

Is your purchase to be conditional on your loan being approved?* This field is required.

YESNO

25

Please provide details of your lender or mortgage broker:

Name of Bank/Lender

Name of contact person

Phone number of ontact person

Email address of contact person

26

Approximate amount you will be borrowing

28

Could you tell us who referred you to us so we can thank them?