Accredited Builders and Building Designers

Payment Plan Application

EASY PAYMENT PLAN

Please complete the application below and someone
from Mac Lifestyle will contact you.

1. PERSONAL DETAILS

Title

Surname*

Full given names*

Home phone	Work phone	Mobile phone

Number of dependents	Ages (ex: 3, 5, 11)

Email address*

Loan Amount($)	Introducer

Date of birth	Sex	Marital status	Driving licence number
	Male Female

2. INCOME DETAILS

Net monthly	Job description	Occupation	Name of employer	How long
				yrs months

Work street address	Suburb	State

3. ASSETS

Owner

Market value

Personal home

Self Joint

Investment property

Self Joint

Bank balance

Self Joint

4. OTHER ASSETS

	Owner	Company	Policy number	Market value
Motor vehicle	Self Joint
Home content	Self Joint
Other	Self Joint

5. LIABILITIES

	Owner	Company	Credit limit	Balance owing
Credit card 1	Self Joint
Credit card 2	Self Joint
Credit card 3	Self Joint

	Owner	Mortgagor	Balance owing	Monthly repayment
Home loan	Self Joint
Investment property	Self Joint
Personal loan	Self Joint
Car loan	Self Joint
Other	Self Joint

6. LIVING ARRANGEMENT

Current living

Current address

if renting, real estate name, suburb


weekly rent and	time at address

Previous living

Previous address if living for less than
3 years at current address

if renting, real estate name, suburb


weekly rent and	time at address

Reference/Next
of Kin Name

Reference/Next of Kin Address

Reference/Next of Kin home number ONLY

7. CREDIT HISTORY

Have you ever been bankrupt or have any paid or unpaid defaults or court judgements? No Yes
If yes, please provide details

Privacy authorisation:

MAC Lifestyle values and respects your rights to privacy of personal information. In order to assess your application please be aware of the following information and provide us with your consent to collect and use your information. Without this consent we may not be able to consider your application.

Please read our privacy authorisation form.

Declarations: I have read and understood the privacy statement in this form and I consent to the collection, use and disclosure of personal information in accordance with the privacy statement.

Do you agree to a Veda (CRAA) check?

Yes No

Click here to fill in another application for your partner