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麦西亚会计师事务所
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Personal Information
Borrower One Name
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
Prefix
First
Last
Borrower Two Name
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
Prefix
First
Last
Borrower One Date of Birth
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Borrower Two Date of Birth
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Year
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
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2005
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2003
2002
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1940
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1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Home Phone
Mobile Phone
Email
Enter Email
Confirm Email
Residential Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
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Austria
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Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
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Greenland
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Guinea
Guinea-Bissau
Guyana
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Heard and McDonald Islands
Holy See
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Latvia
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Libya
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Macau
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Madagascar
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Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
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Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
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Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
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Saint Lucia
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Samoa
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Slovenia
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United States
Uruguay
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Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Is your POSTAL ADDRESS the same as the above?
Yes
No
Postal Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Number of Dependents
0
1
2
3
4
5
6+
Employment Information
What is your Occupation
Borrower One
Borrower Two
Are either of you Self-Employed?
No
Yes
Who is Self-Employed?
Borrower One
Borrower Two
Both
Are either of you on probation?
No
Yes
Who is on probation?
Borrower One
Borrower Two
Both
What is your Employment Status?
Casual, Part Time, Full Time or Contract
Borrower One
Borrower Two
Income Information
Gross Income
You can enter up to FOUR gross incomes, simply press the (+) for another row.
Gross $$
Initials of Person
Rental Income
Gross $$
Initials of Person
Family Allowance
Gross $$
Initials of Person
Investments
Gross $$
Initials of Person
Other Income
You can enter up to FOUR gross incomes, simply press the (+) for another row.
What is it?
Gross $$
Initials of Person
Property Management Statements
Drop files here or
Accepted file types: jpg, png, pdf.
Family Allowance Statements
Drop files here or
Accepted file types: jpg, png, pdf.
Tax Return Statements showing investments
Drop files here or
Accepted file types: jpg, png, pdf.
Assets
Please list each individual asset and loan, please do not combine.
What Assets Do you Have?
Please check all that apply.
Home Market Value
Investment Properties
Shares
Investment Fund
Cash
Car Value
Other Assets
Home Market Value
Initials of Owner
Amount ($)
Investment Properties
You can enter up to FIVE properties, simply press the (+) for another row.
Initials of Owner
Amount ($)
Shares
Initials of Owner
Amount ($)
Investment Fund
Initials of Owner
Amount ($)
Cash
Initials of Owner
Amount ($)
Car Value
You can enter up to TWO Cars, simply press the (+) for another row.
Initials of Owner
Amount ($)
Other Assets
You can enter up to FIVE Other Assets, simply press the (+) for another row.
What is it?
Initials of Owner
Amount ($)
Amount of Personal Effects ($)
Superannuation Fund
You can enter up to TWO Superannuation Funds, simply press the (+) for another row.
Initials of Owner
Amount ($)
Liabilities
Please list each individual asset and loan, please do not combine.
What Liabilities do you have?
Home Loan
Investment Property Loan
Shares Loan
Investment Fund Loan
Car Loan
Credit Card
Store Card
Other Loans or Liabilities
Please check all that apply.
Home Loan
Name of lender
Amount ($)
Repayment Amount
Per Week/Fortnight/Month
Investment Property Loans
You can enter up to FIVE property loans, simply press the (+) for another row.
Name of lender
Amount ($)
Repayment Amount
Per Week/Fortnight/Month
Shares Loan
Name of lender
Amount ($)
Repayment Amount
Per Week/Fortnight/Month
Investment Fund Loan
Name of lender
Amount ($)
Repayment Amount
Per Week/Fortnight/Month
Car Loan
You can enter up to TWO Cars, simply press the (+) for another row.
Name of lender
Amount ($)
Repayment Amount
Per Week/Fortnight/Month
Credit Card
You can enter up to FOUR Credit Cards, simply press the (+) for another row.
Name of lender
Amount ($)
Limit ($)
Store Card
You can enter up to FOUR Store Cards, simply press the (+) for another row.
Name of lender
Amount ($)
Other Loans or Liabilities
You can enter up to FIVE other loans and liabiities, simply press the (+) for another row.
Name of lender
Amount ($)
Repayment Amount
Per Week/Fortnight/Month