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Contact Details

First Name	*
Surname	*
Email Address	*
Mobile Number	And/Or
Home Number
Best Time to Call
Post code	*
Comments

Application Details

Loan term
Number of Dependants

Income

Applicant 1

Gross salary or wages	$ per annum
Gross rental income	$ per month
Other income (net)	$ per month

Applicant 2

Gross salary or wages	$ per annum
Gross rental income	$ per month
Other income (net) (eg social security payments, net allowances)	$ per month

Monthly Expenses

General living expenses (eg food, petrol, rent)	$ per month
Ongoing repayments to other loans (eg personal loan, car)	$ per month
Other expenses	$ per month

Additional Details

Combined limit of credit cards (including store cards)	$

Important Disclaimer: This pre-approval is valid for 3 months. This is intended as a guide only. Details of terms and conditions, interest rates, fees and charges are available upon application. Mortgage House's prevailing credit criteria apply. We recommend you seek independent legal and financial advice before proceeding with any loan.