BSB: 802-143
02 4350 5255

Loan Enquiry

Your Personal Details

 

Home Address

Previous Home Address

Employment Details

Partner Personal Details

Employment

If under 24 months, state

Loan Details

Purpose of the Loan Amount
Existing Loan Balance*
Total Amount Required $0

Do you know of any changes to your circumstances in the future that will impact on your ability to make contracted repayments*?


Existing Debts

Items Financed Payable To Joint Debts Y/N Repayments Repayment Frequency Balance Limit
1st Mortgage
2nd Mortgage
Other Real Estate
Rent/Board
Credit Union Loan
Personal Loan
Credit Card
Store Account
Child Maintenance
Other

Existing Assets

Asset
Joint Asset?
$ Value

Income

Terms and Agreements

Under the National Credit Code you may be liable to a criminal penalty if you make any false or misleading representation that is material to the Credit Union’s decision to approve this loan.


By Submitting this application you acknowledge the following:
  • I/We have read and agree to the Disclosure Statement (click to view)
  • I/We authorise the credit union to make any relevant enquiries into reference mentioned, my employer or any other credit provider
  • I/We acknowledge that a credit reporting agency report will be obtained.
  • I/We are comfortable with our ability to make repayments under the proposed loan without difficulty.
  • I /We hereby apply for a loan as above and certify that the foregoing statements are true and complete in every particular.

CENTRAL COAST CREDIT UNION LTD

ABN 29 087 650 897
Australian Credit Licence 241716
Anzac Avenue Wyong NSW 2259
Phone: 02 43505224 Fax 02 43512594
LOAN APPLICATION

Human Check

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* Compulsory Field.