BUY SELL INVEST ABOUT

Congratulations on your decision to break free
of the rental cycle and own your own home!

Please complete this brief application form and we will
be in touch with you shortly.

You may also Download a form and fax to 0756770222.
Section 1: Buyer Details / Applicant 1
Desired Property
Details of desired property:
Personal Details
First Name:
Middle Name:
Last Name:
Home Phone #:
Mobile Phone #:
Work Phone #:
Email Address:
Date of Birth:
Drivers License #:
Car Registration:

Current Living Address:
Type of occupancy:
Length of Tenancy:
Current Landlord Name:
Current Landlord Phone:
Current Weekly Rent:

Previous Living Address:
Type of occupancy:
Length of Tenancy:
Previous Landlord Name:
Previous Landlord Phone:
Previous Weekly Rent:
Employment Details
Current Employer:
Employers Phone #:
Date Employed:
Gross Pay (Per Week)
Emergency Contact Details
First Name:
Last Name:
Address:
Contact Phone #:
Section 1: Buyer Details / Applicant 2
Personal Details
First Name:
Middle Name:
Last Name:
Home Phone #:
Mobile Phone #:
Work Phone #:
Email Address:
Date of Birth:
Drivers License #:
Car Registration:

Current Living Address:
Type of occupancy:
Length of Tenancy:
Current Landlord Name:
Current Landlord Phone:
Current Weekly Rent:

Previous Living Address:
Type of occupancy:
Length of Tenancy:
Previous Landlord Name:
Previous Landlord Phone:
Previous Weekly Rent:
Employment Details
Current Employer:
Employers Phone #:
Date Employed:
Gross Pay (Per Week)
Emergency Contact Details
First Name:
Last Name:
Address:
Contact Phone #:
Section 2: Other Incomes
Details of other income you receive(rent assistance, 2nd job, pension etc)
Description:
Payment Frequency:
Amount:
Description:
Payment Frequency:
Amount:
Section 3: Other Occupants
Details of any other occupants that will be regularly living in the property:
People (Children, other family, flat mates etc):
Pets (Type, Age):
Section 4: Other Disclosures
How much deposit can you invest to own your own home?
Amount:
Is this the first home you have ever purchased?
Yes or No?:
Do you qualify for the First Home Owners Grant??
Yes or No?:
Please provide details of any outstanding loans (including Credit Cards):
Item 1
Total amount outstanding
Monthly repayment
Item 2
Total amount outstanding
Monthly repayment
Item 3
Total amount outstanding
Monthly repayment
Section 6: Declaration








Please type the words "I AGREE" in the space provided to acknowledge the above statement in place of your signature.