Customer Contact Name:

*

Date (dd/mm/yyyy):

/ /

Phone Number:

*

Borrowers Name:

Email Address:

*

Is there a Trust involved?

Yes No

If "Yes" please specify the name of the trust:

No. of Years Experience:

No. of Previous Projects:

Amount Required:

Purpose:
(please provide a description of development)

Term Required (Years):
(ie how many months to build and sell)

Repayment Basis:

[Please Select] Paid by client (interest only) Added to loan (capitalising)

Security Offered:
(include additional security if applicable)

Registered Proprietor:

Address:

Description:
(including current use)

Project Costing:
(Note: Detailed costing, provided by the customer, must be attached)

Land Value (estimated)

Construction Cost (estimated)

Contingency (minimum 5%)

GST Cost (total project)

Professional Fees

Council Fees

Legal Fees

Other Fees (statutory/govt.)

Estimated Interest Costs

Total Project Costs ($)

Value on completion:
(eg 20 units x $100K = )

Pre sales – will any of the project be pre-sold?
(please provide details)

Requirements upon completion?

[Please Select] Hold Sell

Method of Building:

[Please Select] Owner Builder Contract Builder

Customer contribution:
(cash or other security – please provide details)

Have council approvals been obtained?
(ie DA, Construction Cert, Planning Permit etc)

Has Approach been made to other Lenders?

If so, who?

Was an offer made?

Yes No

Are there any Lenders borrower does not want us to approach?

Additional Notes