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Australian Credit Licence No 387406
Client Needs Analysis
Dated / /
YOUR DETAILS:
Full name (Client 1):
Full name (Client 2):
Number of Dependants: Age of Dependants:
If Company and/or Trust:
Company/Trust name:
ABN/ACN:
Registered address:
YOUR REQUIREMENTS AND OBJECTIVES: For example; purchase home, buy land, building, investment property, refinance,
renovate, debt consolidation, study, holiday, car, boat, extra cash, etc.
What are the primary reasons for seeking credit (how will the funds be used) or the reason for a review of an existing credit contract?
1. $
2. $
3. $
Additional notes:
Amount of credit sought: $ Term of credit sought: Years
Location and estimated value of Security Property.
If purchasing property, how long are you looking at retaining the property for?
< 2 years
2 – 5 years 5 – 10 years 10 years plus
Please provide reasons:
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YOUR CASH FLOW POSITION: The following information provides a snapshot of your current cash flow position.
CURRENT MONTHLY INCOME
Applicant 1. Applicant 2.
PAYG Income
Rental Income
Government Benefit/Pension
Dividends/Interest
Other
Total $ $
TOTAL COMBINED NET MONTHLY INCOME (A) $
CURRENT MONTHLY LOAN REPAYMENTS/ RENT
Rent $
Will this expenditure continue after settlement? *Yes
No
Existing home loan $
Will this expenditure continue after settlement? *Yes
No
Existing investment loan $
Will this expenditure continue after settlement? *Yes
No
Credit cards/ store cards
(Combined monthly payment)
$
Will this expenditure continue after settlement? *Yes
No
Personal loan/ car loan $
Will this expenditure continue after settlement? *Yes
No
Other loans $
Will this expenditure continue after settlement? *Yes
No
CURRENT MONTHLY REPAYMENTS (B) $ REPAYMENT FOR THE PROPOSED LOAN (C) $
FUTURE MONTHLY REPAYMENTS* (D) $
CURRENT MONTHLY LIVING EXPENSES
* Subtotal of all current repayments
marked as continuing after settlement
plus the proposed loan repayment
Food/ Housekeeping $
Insurance:
(eg motor vehicle, home contents/
building, medical, life/ income protection)
$
Utilities:
(eg rates, gas, electrical, telephones) $
Transport:
(eg public transport, petrol,
registration, repairs)
$
Education:
(eg school, college, university) $
Dependants support:
(eg childcare, child maintenance)
$
Entertainment $
Other: ______________________________ $
CURRENT MONTHLY LIVING EXPENSES (E) $ FUTURE MONTHLY LIVING EXPENSES * (F) $
TOTAL CURRENT MONTHLY LIVING
EXPENDITURE (G) (B+E=G)
$
TOTAL FUTURE MONTHLY EXPENDITURE (H)
(D+F = H)
$
TOTAL CURRENT MONTHLY NET SURPLUS
(A-G)
$
TOTAL FUTURE MONTHLY NET SURPLUS
(A-H)
$
Please provide details of any expected changes between current and future living expenses.
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ASSETS $
Bank Deposits/ Institution:
Savings:
Term:
Cheque:
Other Cash Investments:
Principal Dwelling:
Investment Properties:
Deposit Paid:
Superannuation (Current Value):
Motor Vehicles:
Share Portfolio:
Furniture / Fittings:
Personal Effects:
Other:
Net Business Equity
Total Assets:
Deficiency:
LIABILITIES
MONTHLY
PAYMENTS
$
Credit Cards/ Institution:
Non-Continuting Liabilty
Limit $
Limit $
Limit $
Overdraft/ Institution:
Mortgages / Institution:
Mortgages / Institution:
Personal Loans
/ Institution:
Hire Purchase / Lease:
List Institution:
Guarantees /
Other Liabilities:
Other:
Total Liabilities:
Surplus:
NB: Please tick those liabilities to be refinanced by this loan application
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YOUR FINANCIAL SECURITY:
Have you had any difficulties in meeting your financial commitments in the past 2 years? Yes No
If yes, please provide details below:
Have you received advice from an accountant, solicitor or financial planner regarding your requirements or financial objectives?
Yes
No
If yes, please provide details below:
CHANGES TO YOUR CURRENT CIRCUMSTANCES:
Do you anticipate any material changes to your financial situation? For example, change in employment, income or expenditure?
Yes No
If yes, what are the reasons for the changes and what is the expected impact?
IF YOU’RE REFINANCING OR INCREASING A LOAN:
Purpose of refinancing/ top up? Current loan balance: $
Need extra cash
Restructure
Building
Other
Better rate
Consolidate debts
Investing
Renovating
Lender application/ Valuation fees $
Legal fees $
:
LMI: Add to loan? Yes No
$
Property value
(property being refinanced)
$ Discharge costs $
Total amount owed $ Other exit fees: _________________ $
Property status:
Investment property
Owner occupied
Vacant land
SUBTOTAL REFINANCE AND LOAN COSTS (A) $
ADDITIONAL LOANS FUNDS SOUGHT (B) $
TOTAL LOAN AMOUNT (A + B) $
ADDITIONAL DETAILS – IF YOU’RE REFINANCING/ CONSOLIDATING DEBTS:
EXISTING LOANS/ CREDIT CARDS/ OTHER LIABILITIES:
Lender name:
Loan/ Credit card
liability type:
Estimated payout
amount:
Current interest rate: Remaining term of loan:
Debt
1
Debt 2
Debt 3
Debt 4
Other debt: As part of the proposed consolidation of debt, are credit card limits going to be reduced or cancelled? Yes
No
If yes, please provide details below
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YOUR PREFERRED LOAN FEATURES:
FEATURES REQUIRED
Portion 1 Portion 2 Portion 3
Fixed rate/ repayments
It is important to have certainty about the interest rate and/or
repayment amount for a fixed time.
Yes
No Optional
Interest Only
It is important to make interest only repayments for a specified
time
Yes
No Optional
Fixed or Variable
It is important to have a loan with a combination of fixed and
variable interest rates.
Yes
No Optional
Pay off quickly/ additional payments
It is important that the loan is paid off quickly and that
additional payments are allowed without penalty.
Yes
No Optional
Split account/ offset
It is important to have more than one loan such as a sub
account/s, or a separate account for savings/investment funds,
for tax, accounting or personal expense purposes.
Yes
No Optional
Re-draw
It is important to have access to additional repayment funds
should it be required
Yes
No Optional
Line of credit
It is important to have a revolving facility that allows you to
draw to a limit.
Yes
No Optional
Top up
It is important to have access to additional funds for future use
subject to sufficient equity.
Yes
No Optional
Product flexibility
It is important to have the ability to switch between lender’s
mortgage products.
Yes
No Optional
Transaction capability
It is important to be able to access available funds via EFTPOS,
ATM, Internet or Cheque.
Yes
No Optional
Portability
It is important to have the option to transfer the loan to an
alternative property to save money and time.
Yes
No Optional
Other features sought:
Additional information/comments:
FOR THE CREDIT ASSISTANCE PROVIDER: Disclose to the client and note any significant costs and/or risks associated with the
features being sought. For example, costs of refinancing, fees for credit assistance services etc.
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CONFLICT OF INTEREST DISCLOSURE:
Has any conflict of interest that may disadvantage the client been identified in relation to the recommended product?
No conflict of interest has been identified
A conflict of interest has been identified:
But does not disadvantage the client as set out below. Details:
May disadvantage a client as set out below. Details:
SUITABILITY:
Based upon the information provided in this assessment, we recommend the following product:
CREDIT ASSISTANCE PROVIDER DETAILS:
This assessment is valid for 90 days from this assessment, or 120 days if the credit is for the purchase of a residential property secured
by a mortgage.
Provider's name: Work phone number:
Company name: Email address:
Registration/ Licence/ Credit Representative number: Signature:
CLIENT ACKNOWLEGEMENT:
This assessment is based on the requirements and objectives, income and expenses that you have provided to us. You should check
carefully that the information provided is accurate and up to date and doesn’t leave out any material details that may impact your ability
to meet the payment requirements on the credit contract for which you have applied. This includes any foreseeable changes to your
circumstances that may impact on your ability to meet your contractual obligations.
Client 1 name:
Signature: Date: / /
Client 2 name:
Signature: Date: / /
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