Introducer Type:*

---Select---Direct - No BrokerAccredited BrokerNon-Accredited BrokerAccredited ReferrerNon-Accredited ReferrerDirect No - Introducer

ASIC Licence:

---Select---ResidentialCommericalRetailIndustrialMixed UsedLand Subdivision - ResLand Subdivision - Other

Licence No:

GCC Accredited:

---Select---YesNo

Company:

Contact:

Introducer Type:*

GCC Introducer No:

Tel:

Mobile:

Email:

Company:

Contact:*

Nature of Business:

Address:

ABN:

Years in Business:

Tel:

Mobile:

Email:

Type of Property to be developed:*

---Select---ResidentialCommericalRetailIndustrialMixed Used

Other [specify]

Detailed Property Description & Zoning and proposed use of the development*

No of Current Presales

Value of Current Presales

Comments regarding presales & marketing strategy

Loan Type:*

---Select---12345

Other (specify)

Total Taxable Net Income:

Current Financials Available?*

---Select---12345

Land Value:*

Land Currently:*

---Select---12345

Construction Costs:

Refinance Amount(if applicable)

Soft Costs:

Loan Term

---Select---12345

Total Project Cost:*

Completed Value: (GST Inc)

Completed Value: (GST Exc)*

Total Loan Required:*

% LVR based on GRV (Ex GST)

Amount Required at land settlement*

% LVR based on land value 'As Is'

Borrowers Credit History:*

---Select---12345

If Not Clear Explain:

Transaction History:* Has the deal been shopped?

---Select---12345

If Yes Explain:

Transaction History:* Has the deal been shopped?

Comments:

How did you hear about us?*:

---Select---12345

please specify: