Regent Finance - Asset Application Form

Applicant

*What's your current living situation?

I own my house (outright)

I own my house (mortgaged)

I'm renting

I'm boarding

I live with relatives

*What's your marital status?

Single

Married

Defacto

Separated/Divorce

*Do you have any dependants?

Yes

No

*How many dependants do you have?

*What's your residency status?

Australian Citizen

Permanent Resident

Student Visa

Working Visa

Spousal Visa

Bridging Visa

Other

*How many applicants will be part of the loan?

Just me

2 Applicants

3 Applicants

*How many directors will be part of the loan?

1 Director

2 Directors

3 Directors

Would you like to receive discounted payout amounts, offers, informationals, referral incentives and updates regarding your loan? (we will not spam your mailbox)

No

Yes

Thank you,

Asset

Loan

Previous employment if less than 3 years...

Previous employer 1:

Applicant

Your Financial Position

Per month

Primary income (after tax)

Bonus

Commission

Overtime

Work Allowance

Rental Income

Car Allowance

Other

Total

$0

Per month

Rent/Rates

Utilities

Motor Vehicle

General Living

School Fee's/Child Support

Total

$0

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