John Powell AMC Mobile: 0412074133   John Harris AMC Mobile: 0416204096 Home About us		157 Main Road, Blackwood SA 5051 Tel: (08) 8178 0606 Fax: (08) 8278 1400 ACN 053 288 35 APPLY FOR FAST, OBLIGATION FREE  PRE-APPROVAL Complete your application on-line and click on the Submit button. Within 48 hours, we will call you to set up a face-to-face free consultation. The information that you provide will be used to prepare your home loan proposal and for no other purpose without your express, written permission. In completing this application, you are under no obligation to accept any offer without proper consideration. First Applicant Second Applicant (if applicable) First Name:  Surname: Income: $ Employment Status: <--- select ---> Employee Working Director Self Employed Not employed Pensioner <--- select ---> Employee Working Director Self Employed Not employed Pensioner Occupation: Age: First Home Buyer? <--- select ---> Yes No <--- select ---> Yes No Number of Dependents: <--- select ---> none 1 2 3 4 5 6 7 8 9 <--- select ---> none 1 2 3 4 5 6 7 8 9 Age of Dependents: Your Credit History: <--- select ---> good fair impaired <--- select ---> good fair impaired   Your Contact Details: Note: Please provide your telephone and email contact details. Current Address:  State: <--- select ---> NSW Vic Qld WA SA Tas ACT NT Postcode: Daytime Telephone: Evening Telephone: Email Address: Your Loan Requirements: Purpose of Loan: <--- select ---> Buying a home Refinancing existing mortgage Buying investment property Other Loan Amount Required: $  Your Assets Property Value: $ This is the value of the property you wish to finance / refinance. Other Property: $  Including investment property, vacant land, etc. Savings: $ Please include cash and bank deposits Shares & Equities: $ Other Assets: $ Your Liabilities Existing Mortgage:$ If you are refinancing, this is the amount you currently owe. Otherwise leave blank. Other Mortgages:$ Enter the amount of any other loans secured by this or other properties. Credit Cards: $ Your spending limit. Total amounts owing. $ Other Loans:$ Car finance, personal loans, etc. Tax:$ Please enter the amount of any outstanding personal tax liabilities (if any) Comments: Please make any additional comments that you feel may be relevant in the box provided below. Note: Please check that all questions have been answered correctly and accurately (to the best of your knowledge) for us to be in a position to help you. You will be contacted by a home loan consultant for verification prior to preparing your submission. PLEASE PRINT this application for your own records BEFORE you click on the Submit Application button.