This form contains 672 fields organized into 182 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
100% Ownership Status of Properties
No Checkbox
Check this box if you and/or your partner are not 100% owners of each property included in question 47. Fill only if 'Are you of Age Pension age?' is 'I am of Age Pension age or over'.
Depends on: I am of Age Pension age or over
Yes Checkbox
Check this box if you and/or your partner are 100% owners of each property included in question 47. Fill only if 'Are you of Age Pension age?' is 'I am of Age Pension age or over'.
Depends on: I am of Age Pension age or over
Number of Properties - You Only Number
Enter the number of properties you solely own that are offered as security. Fill only if 'Are you of Age Pension age?' is 'I am of Age Pension age or over'.
Depends on: I am of Age Pension age or over
Address And Title Details
Property Address and Title Details Text
Please provide the full address and any relevant title details of the property. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Depends on: Yes
Applicant Details
Applicant Full Name Text
Please enter the applicant's full name.
App.1.CRN.0 Text
Max length: 3 characters
App.1.CRN.1 Text
Max length: 3 characters
App.1.CRN.2 Text
Max length: 3 characters
App.1.CRN.3 Text
Max length: 1 characters
Customer Reference Number Segment 1 Text
Please enter the first part of the applicant's customer reference number if known.
Max length: 3 characters
Customer Reference Number Segment 2 Text
Please enter the second part of the applicant's customer reference number if known.
Max length: 3 characters
Customer Reference Number Segment 3 Text
Please enter the third part of the applicant's customer reference number if known.
Max length: 3 characters
Customer Reference Number Segment 4 Text
Please enter the fourth part of the applicant's customer reference number if known.
Max length: 1 characters
Applicant Names
Applicant 1 Name Text
Please provide the full name of the first applicant. Fill only if 'Are any of the properties co-owned with individual(s) other than your partner?' is 'Yes'.
Depends on: Yes
Applicant 2 Name Text
Please provide the full name of the second applicant. Fill only if 'Are any of the properties co-owned with individual(s) other than your partner?' is 'Yes'.
Depends on: Yes
Applicant 1 Name Text
Enter the full name of the first applicant.
Applicant 2 Name Text
Enter the full name of the second applicant.
Applicant Name 1 Text
Enter the full name of the first applicant.
Applicant Name 2 Text
Enter the full name of the second applicant.
Applicant's Advance Payment
No Checkbox
Check this box if you do not wish to apply for an advance payment and want to proceed to the next question. Fill only if 'Do you get one of the following payments or intend to claim, from us?' is 'Yes'.
Depends on: Yes, I get or intend to claim one of these payments
Yes Checkbox
Check this box if you wish to apply for an advance payment and will specify the amount. Fill only if 'Do you get one of the following payments or intend to claim, from us?' is 'Yes'.
Depends on: Yes, I get or intend to claim one of these payments
DummyCalcQ40 Text
Advance Payment Amount Number
Please enter the amount of the advance payment the applicant would like to receive. Fill only if 'Yes' is 'Yes'.
Max length: 10 characters
Depends on: Yes
Applicant's Fortnightly Loan Amount Details
The maximum amount that can be paid Checkbox
Check this box if you want to receive the maximum fortnightly loan amount that can be paid. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
A lower amount (percentage) Checkbox
Check this box if you want to receive a fortnightly loan amount that is a percentage (up to 150%) of the maximum, which will adjust with your pension. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Loan Percentage Number
Please enter the desired loan amount as a percentage, up to 150%. Fill only if 'Do you get one of the following payments or intend to claim, from us?' is 'Yes'.
Depends on: Yes, I get or intend to claim one of these payments
Adjusted Loan Percentage per Fortnight Number
Please specify the adjusted percentage for your loan per fortnight. Fill only if 'A lower amount (percentage)' is 'Yes'.
Depends on: A lower amount (percentage)
A fixed amount Checkbox
Check this box if you want to receive a specific fixed dollar amount as your fortnightly loan. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Fixed Loan Amount per Fortnight Number
Please provide the fixed dollar amount for your loan per fortnight. Fill only if 'A fixed amount' is 'Yes'.
Max length: 10 characters
Depends on: A fixed amount
Applicant's Fortnightly Loan Payment Preference
No Checkbox
Check this box if you do not want a fortnightly loan payment. Fill only if 'Do you get one of the following payments or intend to claim, from us?' is 'Yes'.
Depends on: Yes, I get or intend to claim one of these payments
Question 40 Answer Text
Please provide your answer to question 40, indicating whether you would like an advance payment. Fill only if 'Do you get one of the following payments or intend to claim, from us?' is 'Yes'.
Depends on: Yes, I get or intend to claim one of these payments
Yes Checkbox
Check this box if you would like a fortnightly loan payment. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Australian Citizenship Status
No Checkbox
Check this box if you are an Australian citizen but were not born in Australia. Fill only if 'Do you get one of the following payments or intend to claim, from us?' is 'No'.
Depends on: No, I do not get or intend to claim these payments
Yes Checkbox
Check this box if you are an Australian citizen and were born in Australia. Fill only if 'Do you get one of the following payments or intend to claim, from us?' is 'No'.
Depends on: No, I do not get or intend to claim these payments
DummyCalcQ31 Text
Authorisation Form (SS313)
You Checkbox
Check this box if you are providing the Authorisation Form (SS313) to allow a person or organisation to enquire or act on your behalf. Fill only if 'Do you want to authorise a person or organisation to make enquires, make updates, act and/or get payments on your behalf?' is 'Yes'.
Depends on: Yes
Your partner Checkbox
Check this box if your partner is providing the Authorisation Form (SS313) to allow a person or organisation to enquire or act on their behalf. Fill only if 'Do you want to authorise a person or organisation to make enquires, make updates, act and/or get payments on your behalf?' is 'Yes'.
Depends on: Yes
Authorised Representative Details
Name of Authorised Representative Text
Please provide the full name of the authorised representative. Fill only if 'Are any of the properties co-owned with individual(s) other than your partner?' is 'Yes'.
Depends on: Yes
Authorised Representative Organisation(s) Text
Please provide the name(s) of the organisation(s) the authorised representative is associated with, if applicable. Fill only if 'Are any of the properties co-owned with individual(s) other than your partner?' is 'Yes'.
Depends on: Yes
Authorised Representative Contact Phone Number Text
Please provide the contact phone number of the authorised representative, including the area code. Fill only if 'Are any of the properties co-owned with individual(s) other than your partner?' is 'Yes'.
Max length: 10 characters
Depends on: Yes
Authorization for Representative (Partner)
No Checkbox
Check this box if your partner does not want to authorize a person or organization to make inquiries, updates, act, or get payments on their behalf. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Yes Checkbox
Check this box if your partner wants to authorize a person or organization to make inquiries, updates, act, or get payments on their behalf, and provide details below. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Authorization for Representative (You)
No Checkbox
Check this box if you do not want to authorise a person or organisation to make enquiries, make updates, act and/or get payments on your behalf.
Yes Checkbox
Check this box if you want to authorise a person or organisation to make enquiries, make updates, act and/or get payments on your behalf.
Bankruptcy or Insolvency Status
No Checkbox
Check this box if neither you nor your partner is bankrupt or subject to a personal insolvency agreement.
Yes Checkbox
Check this box if you and/or your partner are bankrupt or subject to a personal insolvency agreement.
Co-owner Contact Phone Number
Co-owner Contact Phone Number Text
Provide the co-owner's contact phone number, including the area code. Fill only if 'Are any of the properties co-owned with individual(s) other than your partner?' is 'Yes'.
Max length: 10 characters
Depends on: Yes
Co-owner Name
Co-owner Full Name Text
Please enter the full name of the co-owner as it appears on official documents. Fill only if 'Are any of the properties co-owned with individual(s) other than your partner?' is 'Yes'.
Depends on: Yes
Co-owner Family Name Text
Please enter the family name or surname of the co-owner. Fill only if 'Are any of the properties co-owned with individual(s) other than your partner?' is 'Yes'.
Depends on: Yes
Co-owner First Given Name Text
Please enter the first given name of the co-owner. Fill only if 'Are any of the properties co-owned with individual(s) other than your partner?' is 'Yes'.
Depends on: Yes
Co-owner Signature Date
Co-owner Signature Date Date
Please enter the date the co-owner signed the form. Fill only if 'Are any of the properties co-owned with individual(s) other than your partner?' is 'Yes'.
Max length: 10 characters
Depends on: Yes
Co-owner's Details
Co-owner Full Name Text
Please enter the full name of the co-owner. Fill only if 'Are any of the properties co-owned with individual(s) other than your partner?' is 'Yes'.
Depends on: Yes
Co-ownership with Third Parties
No Checkbox
Check this box if none of the properties are co-owned with individuals other than your partner. Fill only if 'Are you of Age Pension age?' is 'I am of Age Pension age or over'.
Depends on: I am of Age Pension age or over
Yes Checkbox
Check this box if any of the properties are co-owned with individuals other than your partner. Fill only if 'Are you of Age Pension age?' is 'I am of Age Pension age or over'.
Depends on: I am of Age Pension age or over
Company And Signing Authority
Company Name Text
Please enter the full legal name of the company on behalf of which this document is signed. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Depends on: Yes
Corporations Act 2001 Checkbox
Check this box if the company is signing under section 127 of the Corporations Act 2001. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Depends on: Yes
Company constitution Checkbox
Check this box if the company is signing according to its company constitution. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Depends on: Yes
Other Checkbox
Check this box if the company is signing under an authority not listed, and provide details in the space below. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Depends on: Yes
Other Details Type Text
Please specify the type of other details being provided regarding the company's constitution or signing authority. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Depends on: Yes
Other Details Explanation Text
Please provide a detailed explanation of the other constitutional or signing authority arrangements of the company. Fill only if 'Other' is 'Yes'.
Depends on: Other
Company Constitution Copy
Your Company Constitution Copy Checkbox
Check this box if you are providing a copy of the company constitution for your property, as required if you answered 'Yes' to question 51. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Your Partner's Company Constitution Copy Checkbox
Check this box if your partner is providing a copy of the company constitution for their property, as required if you answered 'Yes' to question 51. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Company Information and Authority
Property Address and Title Details Text
Provide the full address and title details of the real property over which the company's guarantee will be secured. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Depends on: Yes
Company Name Text
Enter the full legal name of the company on whose behalf the document is being signed. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Depends on: Yes
Corporations Act 2001 Checkbox
Check this box if the company's signing authority is derived from section 127 of the Corporations Act 2001. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Depends on: Yes
Company constitution Checkbox
Check this box if the company's signing authority is derived from its company constitution. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Depends on: Yes
Other Authority Basis Checkbox
Check this box if the company's signing authority is derived from a source other than the Corporations Act 2001 or the company constitution, and provide details in the field below. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Depends on: Yes
Other Authority Details (Brief) Text
Provide a brief description for the 'Other' authority under which the document is signed. Fill only if 'Other Authority Basis' is 'Yes'.
Depends on: Other Authority Basis
Other Authority Details (Full) Text
Provide the full details for the 'Other' authority under which the document is signed, if applicable. Fill only if 'Other Authority Basis' is 'Yes'.
Depends on: Other Authority Basis
Company Name
Company Name Text
Please provide the full legal name of the company.
Country of Birth
Country of Birth Text
Please enter the name of the country where you were born. Fill only if 'No' is 'No'.
Depends on: No
Current Location (Australia)
No Checkbox
Check this box if neither you nor your partner are currently outside of Australia.
Yes Checkbox
Check this box if you or your partner are currently outside of Australia.
Current Market Value
Current Market Value Number
Provide the estimated current market value of the property, including land, buildings, and water allocations.
Current Residential Address
Address Line 1 Text
Please provide the first line of your current residential address. Fill only if 'Are any of the properties co-owned with individual(s) other than your partner?' is 'Yes'.
Depends on: Yes
Address Line 2 Text
Please provide the second line of your current residential address. Fill only if 'Are any of the properties co-owned with individual(s) other than your partner?' is 'Yes'.
Depends on: Yes
Address Line 3 Text
Please provide the third line of your current residential address, such as suburb or state. Fill only if 'Are any of the properties co-owned with individual(s) other than your partner?' is 'Yes'.
Depends on: Yes
Postcode Text
Please enter your current residential postcode. Fill only if 'Are any of the properties co-owned with individual(s) other than your partner?' is 'Yes'.
Max length: 4 characters
Depends on: Yes
Declarant Details
Full Name Text
Please enter the full name of the declarant. Fill only if 'Are any of the properties the assets of a private trust?' is 'Yes'.
Depends on: Yes
Department of Veterans' Affairs Pension Status
No Checkbox
Check this box if neither you nor your partner receive a pension from the Department of Veterans' Affairs.
Yes Checkbox
Check this box if you or your partner receive a pension from the Department of Veterans' Affairs.
Director's Name
Director's Name Text
Please provide the full name of the director.
Excluded Equity Amount (You)
Excluded Equity Amount Number
Enter the amount of equity you would like to be excluded in the calculation of your Maximum Loan Amount.
Max length: 10 characters
Excluded Equity Amount (Your Partner)
Partner's Excluded Equity Amount Number
Please provide the amount of equity you would like to be excluded from the calculation of your Maximum Loan Amount for your partner. Fill only if 'Are you also applying for a loan under the Home Equity Access Scheme?' is 'Yes'.
Max length: 10 characters
Depends on: Yes
First Building Description
Approximate Floor Area Number
Enter the approximate total floor area of the building in square metres.
Building Age Number
Enter the age of the building.
Exterior Construction Type Text
Provide details on the type of exterior construction used for the building, such as brick or timber.
Interior Construction Type Text
Provide details on the type of interior construction used for the building, such as plaster or whether it is lined.
Roof Construction Type Text
Provide details on the type of roof construction used for the building, such as iron or tiled.
General Condition Text
Describe the general condition of the building, for example, fair, good, or poor.
Total Flats/Units Number
Enter the total number of flats or units within the complex, if applicable.
Max length: 3 characters
Number of Bedrooms Number
For residential buildings, enter the total number of bedrooms.
Max length: 3 characters
Number of Other Rooms Number
Enter the number of other rooms in the building, excluding laundry, bathroom, and toilet.
Max length: 3 characters
First Loan Details
Amount Owed on Property Number
Enter the total amount currently owed on the property being used as security by you and/or your partner. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Annual Interest Rate Number
Enter the annual interest rate for the loan. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Purpose of Borrowed Funds Text
Provide a detailed explanation for the purpose for which the funds were borrowed. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
First Other Name
First Other Name Text
Please provide the first other name you have been known by. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Type of First Other Name Text
Please specify the type of this other name (e.g., name at birth, alias, adoptive name, previous married name, foster name, or Aboriginal or skin name). Fill only if 'Yes' is 'Yes'.
Depends on: Yes
First Other Property Details
Address Line 1 Text
Enter the first line of the other property's address. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Address Line 2 Text
Enter the second line of the other property's address. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Address Line 3 Text
Enter the third line of the other property's address, such as suburb or city. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Postcode Text
Enter the postcode of the other property. Fill only if 'Yes' is 'Yes'.
Max length: 4 characters
Depends on: Yes
Estimated Market Value Number
Enter the estimated market value of the other property. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
First Signatory Details
Sole Director/Secretary Checkbox
Check this box if the signatory is the sole director and secretary of the company. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Depends on: Yes
Director Checkbox
Check this box if the signatory is a director of the company. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Depends on: Yes
Secretary Checkbox
Check this box if the signatory is a secretary of the company. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Depends on: Yes
Signatory Name Text
Please enter the full name of the first signatory. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Depends on: Yes
Signatory Contact Phone Number Text
Please provide the contact phone number for the first signatory, including the area code. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Max length: 10 characters
Depends on: Yes
Signature Date Date
Please enter the date the signature was provided. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Max length: 10 characters
Depends on: Yes
Sole Director/Secretary Checkbox
Check this box if the signatory is acting as both the sole director and secretary of the company. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Depends on: Yes
Director Checkbox
Check this box if the signatory is acting as a director of the company. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Depends on: Yes
Secretary Checkbox
Check this box if the signatory is acting as a secretary of the company. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Depends on: Yes
Signatory Name Text
Please enter the full name of the first signatory. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Depends on: Yes
Signatory Contact Phone Number Text
Please provide the contact phone number for the first signatory, including the area code. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Max length: 10 characters
Depends on: Yes
Signature Date Date
Please enter the date when the first signatory signed this document. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Max length: 10 characters
Depends on: Yes
Fourth Building Details
Approximate Floor Area (sqm) Number
Provide the approximate floor area of the building in square metres. Fill only if 'How many properties do you and/or your partner want to offer as security for the loan(s)?' is greater than 0.
Depends on: DummyCalcQ45
Building Age Number
Provide the age of the building. Fill only if 'How many properties do you and/or your partner want to offer as security for the loan(s)?' is greater than 0.
Depends on: DummyCalcQ45
Exterior Construction Type Text
Describe the type of exterior construction, for example, brick or timber. Fill only if 'How many properties do you and/or your partner want to offer as security for the loan(s)?' is greater than 0.
Depends on: DummyCalcQ45
Interior Construction Type Text
Describe the type of interior construction, for example, plaster or not lined. Fill only if 'How many properties do you and/or your partner want to offer as security for the loan(s)?' is greater than 0.
Depends on: DummyCalcQ45
Roof Construction Type Text
Describe the type of roof construction, for example, iron or tiled. Fill only if 'How many properties do you and/or your partner want to offer as security for the loan(s)?' is greater than 0.
Depends on: DummyCalcQ45
General Condition Text
Describe the general condition of the building, for example, fair, good, or poor. Fill only if 'How many properties do you and/or your partner want to offer as security for the loan(s)?' is greater than 0.
Depends on: DummyCalcQ45
Total Flats/Units in Complex Number
Provide the total number of flats or units in the complex, if applicable. Fill only if 'How many properties do you and/or your partner want to offer as security for the loan(s)?' is greater than 0.
Max length: 3 characters
Depends on: DummyCalcQ45
Number of Bedrooms Text
Provide the number of bedrooms in the residential building. Fill only if 'How many properties do you and/or your partner want to offer as security for the loan(s)?' is greater than 0.
Max length: 3 characters
Depends on: DummyCalcQ45
Number of Other Rooms Text
Provide the number of other rooms in the building, excluding laundry, bathroom, and toilet. Fill only if 'How many properties do you and/or your partner want to offer as security for the loan(s)?' is greater than 0.
Max length: 3 characters
Depends on: DummyCalcQ45
General
Instructions Button
Instructions Button
Q15GoToQ18 Button
P.Q15GoToQ18 Button
PQ24GoToQ56 Button
Q27GoToQ40 Button
PQ27GoToQ40 Button
Q28GoToQ56 Button
Q31GoToQ39 Button
PQ28GoToQ56 Button
PQ31GoToQ39 Button
Q34GoToQ36_1 Button
Q34GoToQ36_2 Button
PQ34GoToQ36_1 Button
PQ34GoToQ36_2 Button
Q41GoToQ43 Button
PQ41GoToQ43 Button
Q45GoToQ47 Button
P.Q45GoToQ47 Button
Q48GoToQ52 Button
App.1.CRN.0 Text
Max length: 3 characters
App.1.CRN.1 Text
Max length: 3 characters
App.1.CRN.2 Text
Max length: 3 characters
App.1.CRN.3 Text
Max length: 1 characters
App.2.CRN.0 Text
Max length: 3 characters
App.2.CRN.1 Text
Max length: 3 characters
App.2.CRN.2 Text
Max length: 3 characters
App.2.CRN.3 Text
Max length: 1 characters
Q56 Text
Max length: 1 characters
Q57 Text
Max length: 1 characters
Sign Text
Sign Text
Print Button
Clear Button
App.1.CRN.0 Text
Max length: 3 characters
App.1.CRN.1 Text
Max length: 3 characters
App.1.CRN.2 Text
Max length: 3 characters
App.1.CRN.3 Text
Max length: 1 characters
App.2.CRN.0 Text
Max length: 3 characters
App.2.CRN.1 Text
Max length: 3 characters
App.2.CRN.2 Text
Max length: 3 characters
App.2.CRN.3 Text
Max length: 1 characters
Q61GoToQ62.a Button
Q61GoToQ62.b Button
Q61GoToQ62.c Button
Q66GoToQ68 Button
Sign Text
Sign Text
Print Button
Clear Button
Q74 Text
Max length: 1 characters
App.1.CRN.0 Text
Max length: 3 characters
App.1.CRN.1 Text
Max length: 3 characters
App.1.CRN.2 Text
Max length: 3 characters
App.1.CRN.3 Text
Max length: 1 characters
App.2.CRN.0 Text
Max length: 3 characters
App.2.CRN.1 Text
Max length: 3 characters
App.2.CRN.2 Text
Max length: 3 characters
App.2.CRN.3 Text
Max length: 1 characters
Q77 Text
Max length: 1 characters
Sign Text
Sign Text
Print Button
Clear Button
Q79 Text
Max length: 1 characters
Applicant Customer Reference Number Segment 1 Text
Enter the first segment of the applicant's customer reference number, if known.
Max length: 3 characters
Applicant Customer Reference Number Segment 2 Text
Enter the second segment of the applicant's customer reference number, if known.
Max length: 3 characters
Applicant Customer Reference Number Segment 3 Text
Enter the third segment of the applicant's customer reference number, if known.
Max length: 3 characters
Applicant Customer Reference Number Segment 4 Text
Enter the fourth segment of the applicant's customer reference number, if known.
Max length: 1 characters
Partner Customer Reference Number Segment 1 Text
Enter the first segment of the partner's customer reference number, if known.
Max length: 3 characters
Partner Customer Reference Number Segment 2 Text
Enter the second segment of the partner's customer reference number, if known.
Max length: 3 characters
Partner Customer Reference Number Segment 3 Text
Enter the third segment of the partner's customer reference number, if known.
Max length: 3 characters
Partner Customer Reference Number Segment 4 Text
Enter the fourth segment of the partner's customer reference number, if known.
Max length: 1 characters
Q82 Text
Max length: 1 characters
Q83.Trust.Address1 Text
Q83.Trust.Address2 Text
Sign Text
Q83.Witness.Address1 Text
Q83.Witness.Address2 Text
Sign Text
Print Button
Clear Button
Q84 Text
Max length: 1 characters
Q87 Text
Max length: 1 characters
Q88.Company.Address1 Text
Q88.Company.Address2 Text
Sign Text
Sign Text
Sign Text
Print Button
Clear Button
Q89 Text
Max length: 1 characters
Q92 Text
Max length: 1 characters
Your Signature Text
Enter your full signature in this field. Fill only if 'Do you and your partner understand and accept the terms and conditions?' is 'Yes'.
Depends on: Yes
Print Button
Clear Button
Guarantee Declaration Details
Applicant 1 Name Text
Please provide the full name of the first applicant. Fill only if 'Are any of the properties the assets of a private trust?' is 'Yes'.
Depends on: Yes
Applicant 2 Name Text
Please provide the full name of the second applicant. Fill only if 'Are any of the properties the assets of a private trust?' is 'Yes'.
Depends on: Yes
Trust Name Text
Please provide the name of the trust associated with this declaration. Fill only if 'Are any of the properties the assets of a private trust?' is 'Yes'.
Depends on: Yes
Identity Documents Requirement
Identity Documents - You Checkbox
Check this box if you are providing your identity documents as part of this application.
Identity Documents - Partner Checkbox
Check this box if your partner is providing their identity documents as part of this application.
Insurance Papers Copy
Copy of Insurance Papers (You) Checkbox
Check this box if you are providing a copy of insurance papers for each property being offered for security, applicable if you answered Yes at question 52. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Copy of Insurance Papers (Your partner) Checkbox
Check this box if your partner is providing a copy of insurance papers for each property being offered for security, applicable if you answered Yes at question 52. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Interpreter Requirement
You - No Checkbox
Check this box if you, the applicant, do not require an interpreter.
DummyCalcQ15 Text
You - Yes Checkbox
Check this box if you, the applicant, require an interpreter.
Joint Decision for Loan Application
No Checkbox
Check this box if you and your partner have NOT made a joint decision to apply for a Home Equity Access Scheme loan.
Yes Checkbox
Check this box if you and your partner HAVE made a joint decision to apply for a Home Equity Access Scheme loan.
Legal Property Description
Legal Property Description Text
Provide the full legal description of the property. Fill only if 'Number of properties offered as security' is greater than 0
Depends on: DummyCalcQ45
Loan and Mortgage Documents
Loan agreement(s), contract(s) and most recent mortgage statement(s) (You) Checkbox
Check this box if you are providing your loan agreement(s), contract(s), and most recent mortgage statement(s) as required if answered Yes at Part B - question 66.
Loan agreement(s), contract(s) and most recent mortgage statement(s) (Partner) Checkbox
Check this box if your partner is providing their loan agreement(s), contract(s), and most recent mortgage statement(s) as required if answered Yes at Part B - question 66.
Loan Payment Stop Preference (You)
No Checkbox
Check this box if you do not want your fortnightly loan payments to stop once your loan balance reaches a certain amount. Fill only if 'Would you like a fortnightly loan payment?' is 'Yes'.
Depends on: Yes
Yes Checkbox
Check this box if you want your fortnightly loan payments to stop once your loan balance reaches a certain amount. Fill only if 'Would you like a fortnightly loan payment?' is 'Yes'.
Depends on: Yes
Loan Payment Stop Preference Loan Amount Number Number
Please provide the reference number for the loan amount at which fortnightly payments should stop. Fill only if 'Would you like a fortnightly loan payment?' is 'Yes'.
Depends on: Yes
Loan Payment Stop Preference Loan Amount Number
Please specify the total loan balance amount at which fortnightly payments should stop. Fill only if 'Yes' is 'Yes'.
Max length: 10 characters
Depends on: Yes
Loan Payment Stop Preference (Your Partner)
No Checkbox
Check this box if your partner does not want their fortnightly loan payments to stop once their loan balance reaches a certain amount. Fill only if 'Would you like a fortnightly loan payment?' is 'Yes'.
Depends on: Yes
Yes Checkbox
Check this box if your partner wants their fortnightly loan payments to stop once their loan balance reaches a certain amount, and then specify the loan amount. Fill only if 'Would you like a fortnightly loan payment?' is 'Yes'.
Depends on: Yes
Partner's Loan Stop Amount Number
Provide the specific loan balance amount at which your partner's fortnightly loan payments should cease. Fill only if 'Yes' is 'Yes'.
Max length: 10 characters
Depends on: Yes
Mortgage Encumbrance Status
No Checkbox
Check this box if you have not paid off a mortgage or encumbrance against the house that is still showing on the title, and you wish to proceed to the next question.
Yes Checkbox
Check this box if you have paid off a mortgage or encumbrance against the house but it is still showing on the title, and you will provide a copy of proof the loan was repaid.
Name of Trustee
Name of Trustee Text
Please provide the full name of the trustee.
Other Circumstances Affecting Property Value
No Checkbox
Check this box if there are no other circumstances affecting the value of the property.
Yes Checkbox
Check this box if there are other circumstances affecting the value of the property and you need to provide details below.
Circumstances Affecting Property Value Indicator Text
Indicate if there are circumstances affecting the property value, typically by entering 'Yes'. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Details of Other Circumstances Text
Provide comprehensive details about any circumstances affecting the property's value, including specifics like water rights, fencing, land conditions, or other liens. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Other Names Inquiry
No Checkbox
Check this box if you have not been known by any other name.
Yes Checkbox
Check this box if you have been known by any other name and need to provide details.
Other Name Text
Provide any other name by which you have been known, such as a name at birth, alias, or previous married name. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Other Property Mortgage Security Question
No Checkbox
Check this box if no other property has been used to secure this mortgage.
Yes Checkbox
Check this box if another property has been used to secure this mortgage and provide details in the 'Address of the other property' section below.
Other Property Address Text
Enter the full address of the other property that has been used to secure this mortgage. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Ownership of Properties Offered as Security
Properties by You Only Text
Enter the number of properties offered as security that are held solely by you. Fill only if 'Are you of Age Pension age?' is 'I am of Age Pension age or over'.
Max length: 2 characters
Depends on: I am of Age Pension age or over
Properties by Partner Only Text
Enter the number of properties offered as security that are held solely by your partner. Fill only if 'Are you of Age Pension age?' is 'I am of Age Pension age or over'.
Max length: 2 characters
Depends on: I am of Age Pension age or over
Properties by Both Text
Enter the number of properties offered as security that are held jointly by you and your partner. Fill only if 'Are you of Age Pension age?' is 'I am of Age Pension age or over'.
Max length: 2 characters
Depends on: I am of Age Pension age or over
Page 25
Q72 Text
Max length: 1 characters
Your Signature Date Date
Please provide the date your signature was provided.
Max length: 10 characters
Partner Signature Date Date
Please provide the date your partner's signature was provided.
Max length: 10 characters
Part A - Applicant and Partner Declarations
Part A - Applicant declarations and authorities (You) Checkbox
Check this box to confirm that you, the applicant, are submitting Part A - Applicant and Partner Declarations and Authorities.
Part A - Applicant declarations and authorities (Your partner) Checkbox
Check this box to confirm that your partner is submitting Part A - Applicant and Partner Declarations and Authorities.
Part B - Real Estate Details
Your Real Estate Details (Part B) Checkbox
Tick this box if you have provided all the real estate details required in Part B for each property mentioned in question 47. Fill only if 'How many properties do you and/or your partner want to offer as security for the loan(s)?' is filled.
Depends on: DummyCalcQ45
Partner's Real Estate Details (Part B) Checkbox
Tick this box if your partner has provided all the real estate details required in Part B for each property mentioned in question 47. Fill only if 'How many properties do you and/or your partner want to offer as security for the loan(s)?' is filled.
Depends on: DummyCalcQ45
Part C - Co-owner Declaration
Co-owner Declaration (You) Checkbox
Check this box if you are required to complete Part C - Co-owner declaration, based on your answer to question 49 and the requirements for properties in Part B - question 61. Fill only if 'Are any of the properties co-owned with individual(s) other than your partner?' is 'Yes'.
Depends on: Yes
Co-owner Declaration (Your Partner) Checkbox
Check this box if your partner is required to complete Part C - Co-owner declaration, based on your answer to question 49 and the requirements for properties in Part B - question 61. Fill only if 'Are any of the properties co-owned with individual(s) other than your partner?' is 'Yes'.
Depends on: Yes
Part D - Individual Trustee Guarantee Declaration
You Checkbox
Check this box if you, as the applicant, need to complete the Part D - Individual Trustee Guarantee Declaration. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Your partner Checkbox
Check this box if your partner needs to complete the Part D - Individual Trustee Guarantee Declaration. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Part E - Corporate Trustee Guarantee Declaration
Part E Corporate Trustee Guarantee Declaration - You Checkbox
Check this box if you are providing the Part E - Corporate Trustee Guarantee Declaration. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Part E Corporate Trustee Guarantee Declaration - Your Partner Checkbox
Check this box if your partner is providing the Part E - Corporate Trustee Guarantee Declaration. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Part F - Company Guarantee Declaration
Part F - Company Guarantee Declaration (You) Checkbox
Check this box if you are providing your company guarantee declaration, which is required if you answered 'Yes' at question 51 and it is required for each property at Part B - question 61. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Part F - Company Guarantee Declaration (Your Partner) Checkbox
Check this box if your partner is providing their company guarantee declaration, which is required if you answered 'Yes' at question 51 and it is required for each property at Part B - question 61. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Partner Details
Partner Full Name Text
Enter the full legal name of your partner.
Partner Full Name Text
Please provide the full name of your partner. Fill only if 'Are any of the properties the assets of a private trust?' is 'Yes'.
Depends on: Yes
App.2.CRN.0 Text
Max length: 3 characters
App.2.CRN.1 Text
Max length: 3 characters
App.2.CRN.2 Text
Max length: 3 characters
App.2.CRN.3 Text
Max length: 1 characters
Partner Customer Reference Number Segment 1 Text
Enter the first segment of your partner's customer reference number, if known.
Max length: 3 characters
Partner Customer Reference Number Segment 2 Text
Enter the second segment of your partner's customer reference number, if known.
Max length: 3 characters
Partner Customer Reference Number Segment 3 Text
Enter the third segment of your partner's customer reference number, if known.
Max length: 3 characters
Partner Customer Reference Number Segment 4 Text
Enter the fourth segment of your partner's customer reference number, if known.
Max length: 1 characters
Partner Status and Relationship Start Date
No Checkbox
Check this box if you do not have a partner.
Yes Checkbox
Check this box if you have a partner and need to provide the date your relationship started.
Relationship Start Date Date
Please provide the date your relationship started. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Relationship Start Date (Year) Date
Please provide the year your relationship started. Fill only if 'Yes' is 'Yes'.
Max length: 10 characters
Depends on: Yes
Partner's Aboriginal or Torres Strait Islander Descent
No Checkbox
Check this box if your partner is not of Aboriginal or Torres Strait Islander Australian descent. Fill only if 'Do you have a partner?' is 'Yes'.
Depends on: Yes
Yes - Aboriginal Australian Checkbox
Check this box if your partner is of Aboriginal Australian descent. Fill only if 'Do you have a partner?' is 'Yes'.
Depends on: Yes
Yes - Torres Strait Islander Australian Checkbox
Check this box if your partner is of Torres Strait Islander Australian descent. Fill only if 'Do you have a partner?' is 'Yes'.
Depends on: Yes
Partner's Advance Payment
No Checkbox
Check this box if your partner does not want an advance payment and you wish to proceed to the next question. Fill only if 'Do you get one of the following payments or intend to claim, from us?' is 'Yes'.
Depends on: Yes, I get or intend to claim one of these payments
Yes Checkbox
Check this box if your partner wants an advance payment and will provide the advance payment amount. Fill only if 'Do you get one of the following payments or intend to claim, from us?' is 'Yes'.
Depends on: Yes, I get or intend to claim one of these payments
Partner's Advance Payment Amount Number
Enter the amount of advance payment your partner would like to receive. Fill only if 'Yes' is 'Yes'.
Max length: 10 characters
Depends on: Yes
Partner's Age Pension Status
Partner is Age Pension age or over Checkbox
Check this box if your partner is of Age Pension age or older. Fill only if 'Do you get one of the following payments or intend to claim, from us?' is 'No'.
Depends on: No, I do not get or intend to claim these payments
Partner is under Age Pension age Checkbox
Check this box if your partner is not yet of Age Pension age. Fill only if 'Do you get one of the following payments or intend to claim, from us?' is 'No'.
Depends on: No, I do not get or intend to claim these payments
Partner's Application for Loan Payments
No, partner is not applying Checkbox
Select this box if your partner is not applying to get Home Equity Access Scheme loan payments.
Yes, partner is applying Checkbox
Select this box if your partner is also applying to get Home Equity Access Scheme loan payments.
Partner's Australian Citizenship Status
No Checkbox
Check this box if your partner is not an Australian citizen who was born in Australia. Fill only if 'Do you get one of the following payments or intend to claim, from us?' is 'No'.
Depends on: No, I do not get or intend to claim these payments
Yes Checkbox
Check this box if your partner is an Australian citizen who was born in Australia. Fill only if 'Do you get one of the following payments or intend to claim, from us?' is 'No'.
Depends on: No, I do not get or intend to claim these payments
Partner's Australian South Sea Islander Descent
No Checkbox
Check this box if your partner is not of Australian South Sea Islander descent. Fill only if 'Do you have a partner?' is 'Yes'.
Depends on: Yes
Yes Checkbox
Check this box if your partner is of Australian South Sea Islander descent. Fill only if 'Do you have a partner?' is 'Yes'.
Depends on: Yes
Partner's Citizenship Details (Australia)
Australia Checkbox
Check this box if your partner's country of citizenship is Australia. Fill only if 'Are you an Australian citizen who was born in Australia?' is 'No'.
Depends on: No
Partner's Australian Citizenship Granted Date Date
Please provide the date your partner's Australian citizenship was granted. Fill only if 'Australia' is 'Yes'.
Max length: 10 characters
Depends on: Australia
Partner's Citizenship Details (Other)
Other Checkbox
Check this box if your partner's country of citizenship is not Australia and you need to provide details below. Fill only if 'Are you an Australian citizen who was born in Australia?' is 'No'.
Depends on: No
Partner's Country of Citizenship Text
Please enter your partner's country of citizenship if it is not Australia. Fill only if 'Other' is 'Yes'.
Depends on: Other
Partner's Date Citizenship Granted Date
Please enter the date your partner's citizenship was granted. Fill only if 'Other' is 'Yes'.
Max length: 10 characters
Depends on: Other
Partner's Contact Details
Partner's Home Phone Number Text
Please enter your partner's home phone number, including the area code. Fill only if 'Do you have a partner?' is 'Yes'.
Max length: 10 characters
Depends on: Yes
Partner's Mobile Phone Number Text
Please enter your partner's mobile phone number. Fill only if 'Do you have a partner?' is 'Yes'.
Max length: 10 characters
Depends on: Yes
Partner's Alternative Phone Number Text
Please enter your partner's alternative phone number, including the area code. Fill only if 'Do you have a partner?' is 'Yes'.
Max length: 10 characters
Depends on: Yes
Partner's Email Text
Please enter your partner's email address. Fill only if 'Do you have a partner?' is 'Yes'.
Depends on: Yes
Partner's Country of Birth
Country of Birth Text
Provide the country where your partner was born. Fill only if 'No' is 'No'.
Depends on: No
Partner's Current Country of Residence
Australia Checkbox
Check this box if your partner's current country of residence is Australia. Fill only if 'Do you get one of the following payments or intend to claim, from us?' is 'No'.
Depends on: No, I do not get or intend to claim these payments
Other Country of residence Checkbox
Check this box if your partner's current country of residence is a country other than Australia. Fill only if 'Do you get one of the following payments or intend to claim, from us?' is 'No'.
Depends on: No, I do not get or intend to claim these payments
Partner's Country of Residence Text
Please provide the name of the country where your partner is currently living, if it is not Australia. Fill only if 'Other Country of residence' is 'Other'.
Depends on: Other Country of residence
Partner's Customer Reference Number
Part 1 Text
Enter the first segment of your partner's customer reference number. Fill only if 'Do you have a partner?' is 'Yes'.
Max length: 3 characters
Depends on: Yes
Part 2 Text
Enter the second segment of your partner's customer reference number. Fill only if 'Do you have a partner?' is 'Yes'.
Max length: 3 characters
Depends on: Yes
Part 3 Text
Enter the third segment of your partner's customer reference number. Fill only if 'Do you have a partner?' is 'Yes'.
Max length: 3 characters
Depends on: Yes
Part 4 Text
Enter the fourth segment of your partner's customer reference number. Fill only if 'Do you have a partner?' is 'Yes'.
Max length: 1 characters
Depends on: Yes
Partner's Date of Birth
Partner's Date of Birth Date
Provide your partner's date of birth. Fill only if 'Do you have a partner?' is 'Yes'.
Max length: 10 characters
Depends on: Yes
Partner's Department of Veterans' Affairs Reference Number
Partner's Department of Veterans' Affairs Reference Number Text
Please enter your partner's Department of Veterans' Affairs reference number. Fill only if 'Yes' is 'Yes'.
Max length: 10 characters
Depends on: Yes
Partner's Details
Partner's Full Name Text
Please provide the full legal name of the partner. Fill only if 'Are any of the properties co-owned with individual(s) other than your partner?' is 'Yes'.
Depends on: Yes
Partner's First Country of Residence
Country Text
Please enter the name of your partner's first country of residence. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Date From Date
Please provide the date your partner started living in this country. Fill only if 'Yes' is 'Yes'.
Max length: 10 characters
Depends on: Yes
Partner's First Other Name
Partner's Other Name Text
Please enter the partner's first other name. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Partner's Other Name Type Text
Please specify the type of the partner's first other name, for example, name at birth or alias. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Partner's Fortnightly Loan Amount Details
The maximum amount Checkbox
Check this box if your partner wants to receive the maximum fortnightly loan amount that can be paid. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
A lower amount (percentage) Checkbox
Check this box if your partner wants to receive a lower fortnightly loan amount, specified as a percentage up to 150%. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Loan Percentage Per Fortnight Number
Enter the percentage up to 150% for your partner's fortnightly loan amount. Fill only if 'A lower amount (percentage)' is 'Yes'.
Depends on: A lower amount (percentage)
A fixed amount Checkbox
Check this box if your partner wants to receive a specific fixed dollar amount per fortnight as their loan payment. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Fixed Loan Amount Per Fortnight Number
Enter the fixed dollar amount for your partner's fortnightly loan payment. Fill only if 'A fixed amount' is 'Yes'.
Max length: 10 characters
Depends on: A fixed amount
Partner's Fortnightly Loan Payment Preference
No Checkbox
Check this box if your partner does not want a fortnightly loan payment. Fill only if 'Do you get one of the following payments or intend to claim, from us?' is 'Yes'.
Depends on: Yes, I get or intend to claim one of these payments
Partner's Maximum Fortnightly Loan Payment Number
Please enter the maximum fortnightly loan payment amount your partner would like. Fill only if 'Do you get one of the following payments or intend to claim, from us?' is 'Yes'.
Depends on: Yes, I get or intend to claim one of these payments
Yes Checkbox
Check this box if your partner wants a fortnightly loan payment. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Partner's Interpreter Requirement
No Interpreter Needed Checkbox
Check this box if your partner does not need an interpreter. Fill only if 'Do you have a partner?' is 'Yes'.
Depends on: Yes
Interpreter Needed Checkbox
Check this box if your partner needs an interpreter. Fill only if 'Do you have a partner?' is 'Yes'.
Depends on: Yes
Partner's Living History Question
No Checkbox
Check this box if your partner has never lived outside Australia for any period. Fill only if 'Are you of Age Pension age?' is 'I am of Age Pension age or over'.
Depends on: I am of Age Pension age or over
Yes Checkbox
Check this box if your partner has lived outside Australia for any period and you will list all countries they have lived in since birth. Fill only if 'Are you of Age Pension age?' is 'I am of Age Pension age or over'.
Depends on: I am of Age Pension age or over
Partner's Loan Application
No Checkbox
Check this box if you are NOT applying for a loan under the Home Equity Access Scheme. Fill only if 'Is your partner also applying to get Home Equity Access Scheme loan payments?' is 'Yes'.
Depends on: Yes, partner is applying
Partner's Application Reference Text
Please provide the reference number or identifier for your partner's loan application for assessment. Fill only if 'No' is 'No'.
Depends on: No
Yes Checkbox
Check this box if you ARE applying for a loan under the Home Equity Access Scheme. Fill only if 'Is your partner also applying to get Home Equity Access Scheme loan payments?' is 'Yes'.
Depends on: Yes, partner is applying
Partner's Most Recent Visa Details
Partner's Most Recent Visa Subclass Text
Provide the subclass of your partner's most recent visa. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Partner's Most Recent Visa Grant Date Date
Enter the date your partner's most recent visa was granted. Fill only if 'Yes' is 'Yes'.
Max length: 10 characters
Depends on: Yes
Partner's Name
Mr Checkbox
Check this box if your partner's title is Mr. Fill only if 'Do you have a partner?' is 'Yes'.
Depends on: Yes
Mrs Checkbox
Check this box if your partner's title is Mrs. Fill only if 'Do you have a partner?' is 'Yes'.
Depends on: Yes
Miss Checkbox
Check this box if your partner's title is Miss. Fill only if 'Do you have a partner?' is 'Yes'.
Depends on: Yes
Ms Checkbox
Check this box if your partner's title is Ms. Fill only if 'Do you have a partner?' is 'Yes'.
Depends on: Yes
Mx Checkbox
Check this box if your partner's title is Mx. Fill only if 'Do you have a partner?' is 'Yes'.
Depends on: Yes
Partner's Other Title Text
Please provide any other title or honorific for your partner if not listed. Fill only if 'Do you have a partner?' is 'Yes'.
Depends on: Yes
Partner's Family Name Text
Enter your partner's family name or surname. Fill only if 'Do you have a partner?' is 'Yes'.
Depends on: Yes
Partner's First Given Name Text
Enter your partner's first given name. Fill only if 'Do you have a partner?' is 'Yes'.
Depends on: Yes
Partner's Second Given Name Text
Enter your partner's second given name, if applicable. Fill only if 'Do you have a partner?' is 'Yes'.
Depends on: Yes
Partner's Other Names Inquiry
No Checkbox
Check this box if your partner has not been known by any other name(s). Fill only if 'Do you have a partner?' is 'Yes'.
Depends on: Yes
Yes Checkbox
Check this box if your partner has been known by any other name(s) and you need to provide details. Fill only if 'Do you have a partner?' is 'Yes'.
Depends on: Yes
Partner's Payment or Claim Status
No Checkbox
Check this box if your partner does not currently receive any of the listed payments (Age Pension, Carer Payment, Disability Support Pension) and does not intend to claim any of them. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Yes Checkbox
Check this box if your partner currently receives one of the listed payments (Age Pension, Carer Payment, Disability Support Pension) or intends to claim one of them. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Partner's Permanent Address
Address Line 1 Text
Enter the first line of your partner's permanent address. Fill only if 'Do you have a partner?' is 'Yes'.
Depends on: Yes
Address Line 2 Text
Enter the second line of your partner's permanent address. Fill only if 'Do you have a partner?' is 'Yes'.
Depends on: Yes
Address Line 3 Text
Enter the third line of your partner's permanent address, such as the suburb or town. Fill only if 'Do you have a partner?' is 'Yes'.
Depends on: Yes
Postcode Text
Enter the postcode for your partner's permanent address. Fill only if 'Do you have a partner?' is 'Yes'.
Max length: 4 characters
Depends on: Yes
Partner's Postal Address
Partner's Postal Address Line 1 Text
Enter the first line of your partner's postal address. Fill only if 'Do you have a partner?' is 'Yes'.
Depends on: Yes
Partner's Postal Address Line 2 Text
Enter the second line of your partner's postal address. Fill only if 'Do you have a partner?' is 'Yes'.
Depends on: Yes
Partner's Postal Address Line 3 Text
Enter the third line of your partner's postal address, typically including suburb, city, and state. Fill only if 'Do you have a partner?' is 'Yes'.
Depends on: Yes
Partner's Postal Postcode Text
Enter the postcode for your partner's postal address. Fill only if 'Do you have a partner?' is 'Yes'.
Max length: 4 characters
Depends on: Yes
Partner's Pre-1965 Arrival Details
Ship or Airline Name Text
Please provide the name of the ship or airline on which your partner arrived in Australia before 1965. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Arrival Place Text
Please provide the name of the place where your partner first arrived or disembarked in Australia. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Name Upon Arrival Text
Please provide the name your partner used when they first arrived in Australia. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Partner's Pre-1965 Living Status
No Checkbox
Check this box if your partner did not start living in Australia before 1965. Fill only if 'Are you an Australian citizen who was born in Australia?' is 'No'.
Depends on: No
Yes Checkbox
Check this box if your partner did start living in Australia before 1965. Fill only if 'Are you an Australian citizen who was born in Australia?' is 'No'.
Depends on: No
Partner's Preferred Spoken Language
Partner's Preferred Spoken Language Text
Provide your partner's preferred spoken language. Fill only if 'Interpreter Needed' is 'Yes'.
Depends on: Interpreter Needed
Partner's Preferred Written Language
Partner's Preferred Written Language Text
Enter your partner's preferred written language. Fill only if 'Interpreter Needed' is 'Yes'.
Depends on: Interpreter Needed
Partner's Second Country of Residence
Second Country Text
Enter the name of your partner's second country of residence. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Date Started Living Date
Provide the date your partner started living in their second country of residence. Fill only if 'Yes' is 'Yes'.
Max length: 10 characters
Depends on: Yes
Partner's Second Other Name
Partner's Second Other Name Text
Please provide your partner's second other name. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Partner's Second Other Name Type Text
Please specify the type of your partner's second other name, for example, name before marriage. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Partner's Start Date of Living in Australia
Partner's Most Recent Start Date in Australia Date
Please provide the date when your partner most recently started living in Australia. Fill only if 'Are you an Australian citizen who was born in Australia?' is 'No'.
Max length: 10 characters
Depends on: No
Partner's Third Country of Residence
Partner's Third Country Text
Please provide the name of your partner's third country of residence. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Partner's Third Country Residence Start Date Date
Please provide the date your partner started living in this third country. Fill only if 'Yes' is 'Yes'.
Max length: 10 characters
Depends on: Yes
Partner's Travel Details
No Checkbox
Check this box if the partner has never travelled outside Australia, including for short trips and holidays. Fill only if 'Do you get one of the following payments or intend to claim, from us?' is 'No'.
Depends on: No, I do not get or intend to claim these payments
Yes Checkbox
Check this box if the partner has ever travelled outside Australia, including for short trips and holidays. Fill only if 'Do you get one of the following payments or intend to claim, from us?' is 'No'.
Depends on: No, I do not get or intend to claim these payments
Year Last Entered Australia Number
Please provide the year your partner last entered Australia. Fill only if 'Yes' is 'Yes'.
Max length: 4 characters
Depends on: Yes
Partner's Passport Number Text
Please enter your partner's passport number. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Partner's Passport Country of Issue Text
Please enter the country where your partner's passport was issued. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Partner's Visa Change Status
No Checkbox
Check this box if your partner's visa has not changed since they arrived in Australia. Fill only if 'Are you an Australian citizen who was born in Australia?' is 'No'.
Depends on: No
Yes Checkbox
Check this box if your partner's visa has changed since they arrived in Australia. Fill only if 'Are you an Australian citizen who was born in Australia?' is 'No'.
Depends on: No
Partner's Visa Details on Arrival
Partner's Visa Subclass on Arrival Text
Please enter the subclass of your partner's visa upon arrival. Fill only if 'Permanent', 'Temporary' is 'Yes' for any.
Depends on: Permanent, Temporary
Partner's Visa Grant Date on Arrival Date
Please provide the date your partner's visa was granted upon arrival. Fill only if 'Permanent', 'Temporary' is 'Yes' for any.
Max length: 10 characters
Depends on: Permanent, Temporary
Partner's Visa Type on Arrival
Permanent Checkbox
Check this box if your partner arrived on a permanent visa. Fill only if 'Are you an Australian citizen who was born in Australia?' is 'No'.
Depends on: No
Temporary Checkbox
Check this box if your partner arrived on a temporary visa. Fill only if 'Are you an Australian citizen who was born in Australia?' is 'No'.
Depends on: No
New Zealand passport (Special Category visa) Checkbox
Check this box if your partner arrived on a New Zealand passport (Special Category visa). Fill only if 'Are you an Australian citizen who was born in Australia?' is 'No'.
Depends on: No
Not sure Checkbox
Check this box if you are not sure what type of visa your partner arrived on. Fill only if 'Are you an Australian citizen who was born in Australia?' is 'No'.
Depends on: No
Payment Account Details (You)
Bank/Building Society/Credit Union Name Text
Enter the full name of the bank, building society, or credit union where your payment account is held.
Branch Number (BSB) Text
Enter the six-digit Branch State Branch (BSB) number of your account.
Max length: 6 characters
Account Number Text
Enter your bank account number. Do not enter your card number.
Account Holder Name(s) Text
Enter the full name(s) of the individual(s) or entity in which the account is held.
Payment Account Details (Your Partner)
Bank Name Text
Enter the full name of the bank, building society, or credit union where the account is held. Fill only if 'Are you also applying for a loan under the Home Equity Access Scheme?' is 'Yes'.
Depends on: Yes
BSB Text
Provide the 6-digit Branch Number (BSB) of the financial institution. Fill only if 'Are you also applying for a loan under the Home Equity Access Scheme?' is 'Yes'.
Max length: 6 characters
Depends on: Yes
Account Number Text
Enter the bank account number for the payment, ensuring it is not a card number. Fill only if 'Are you also applying for a loan under the Home Equity Access Scheme?' is 'Yes'.
Depends on: Yes
Account Holder Name(s) Text
State the full name(s) of the individual(s) or entity in whose name the account is held. Fill only if 'Are you also applying for a loan under the Home Equity Access Scheme?' is 'Yes'.
Depends on: Yes
Pension Age Status
No Checkbox
Check this box if neither you nor your partner are of or over Age Pension age.
Yes Checkbox
Check this box if you and/or your partner are of or over Age Pension age.
Permanent Address
Permanent Address Line 1 Text
Enter the first line of your permanent street address.
Permanent Address Line 2 Text
Enter the second line of your permanent street address, if applicable.
Permanent Suburb/City/State Text
Enter the suburb, city, and state of your permanent address.
Permanent Postcode Number
Enter the postcode of your permanent address.
Max length: 4 characters
Permission for Applicant to Speak on Partner's Behalf
No Checkbox
Check this box if you do not give your partner permission to speak with the organization on your behalf. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Yes Checkbox
Check this box if you give your partner permission to speak with the organization on your behalf. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Permission for Partner to Speak on Your Behalf
No Checkbox
Check this box if you do not give permission for your partner to speak with us on your behalf.
Yes Checkbox
Check this box if you give permission for your partner to speak with us on your behalf.
Personal Insolvency Agreement Copy
Personal insolvency agreement (You) Checkbox
Check this box if you are providing a copy of your personal insolvency agreement because you answered Yes to question 9. Fill only if 'question 9' is 'Yes'.
Depends on: Yes
Personal insolvency agreement (Partner) Checkbox
Check this box if your partner is providing a copy of their personal insolvency agreement because you answered Yes to question 9. Fill only if 'question 9' is 'Yes'.
Depends on: Yes
Personal Insolvency Agreement Status
No Checkbox
Check this box if your partner or any co-owners of the property are not subject to a personal insolvency agreement.
Yes Checkbox
Check this box if your partner or any co-owners of the property are subject to a personal insolvency agreement.
Postal Address
Postal Address Line 1 Text
Please enter the first line of your postal address.
Postal Address Line 2 Text
Please enter the second line of your postal address.
Postal Address Line 3 Text
Please enter the third line of your postal address, which might include the suburb or city.
Postal Postcode Text
Please enter the postcode for your postal address.
Max length: 4 characters
Preferred Spoken Language
Preferred Spoken Language Text
Provide your preferred spoken language. Fill only if 'You - Yes' is 'Yes'.
Depends on: You - Yes
Preferred Written Language
Preferred Written Language Text
Enter your preferred written language. Fill only if 'You - Yes' is 'Yes'.
Depends on: You - Yes
Previous Tax File Number Submission (Partner)
No Checkbox
Check this box if your partner has not previously given a tax file number. Fill only if 'Are you of Age Pension age?' is 'I am of Age Pension age or over'.
Depends on: I am of Age Pension age or over
Not sure Checkbox
Check this box if your partner is unsure whether they have previously given a tax file number. Fill only if 'Are you of Age Pension age?' is 'I am of Age Pension age or over'.
Depends on: I am of Age Pension age or over
Yes Checkbox
Check this box if your partner has previously given a tax file number. Fill only if 'Are you of Age Pension age?' is 'I am of Age Pension age or over'.
Depends on: I am of Age Pension age or over
Previous Tax File Number Submission (Self)
No Checkbox
Check this box if you have not previously given your tax file number. Fill only if 'Are you of Age Pension age?' is 'I am of Age Pension age or over'.
Depends on: I am of Age Pension age or over
Not sure Checkbox
Check this box if you are not sure whether you have previously given your tax file number. Fill only if 'Are you of Age Pension age?' is 'I am of Age Pension age or over'.
Depends on: I am of Age Pension age or over
Yes Checkbox
Check this box if you have previously given your tax file number. Fill only if 'Are you of Age Pension age?' is 'I am of Age Pension age or over'.
Depends on: I am of Age Pension age or over
DummyCalcQ45 Text
Principal Home of Residence
No Checkbox
Check this box if the property is not your principal home of residence. Fill only if 'Number of properties offered as security' is greater than 0
Depends on: DummyCalcQ45
Yes Checkbox
Check this box if the property is your principal home of residence. Fill only if 'Number of properties offered as security' is greater than 0
Depends on: DummyCalcQ45
Private Company Ownership
Q51_No CheckBox
Yes Checkbox
Check this box if any of the properties are owned by a private company.
Private Trust Assets Ownership
No Checkbox
Check this box if none of the properties are assets of a private trust.
Yes Checkbox
Check this box if any of the properties are assets of a private trust.
Proof of Loan Repayment
Your Copy of Proof Loan Repaid Checkbox
Check this box if you are providing a copy of the proof that the loan was repaid, applicable to you, as required if you answered Yes at Part B - question 68.
Partner's Copy of Proof Loan Repaid Checkbox
Check this box if your partner is providing a copy of the proof that the loan was repaid, applicable to your partner, as required if you answered Yes at Part B - question 68.
Property Address
Address Line 1 Text
Please enter the first line of the property's address. Fill only if 'Number of properties offered as security' is greater than 0
Depends on: DummyCalcQ45
Address Line 2 Text
Please enter the second line of the property's address. Fill only if 'Number of properties offered as security' is greater than 0
Depends on: DummyCalcQ45
Address Line 3 Text
Please enter the third line of the property's address, such as the suburb or city. Fill only if 'Number of properties offered as security' is greater than 0
Depends on: DummyCalcQ45
Postcode Text
Please enter the postal code for the property's address. Fill only if 'Number of properties offered as security' is greater than 0
Max length: 4 characters
Depends on: DummyCalcQ45
Property Address and Title Details
Property Address and Title Details Text
Provide the full address and title details of the property. Fill only if 'Are any of the properties co-owned with individual(s) other than your partner?' is 'Yes'.
Depends on: Yes
Property Address and Title Details Text
Please provide the full property address and any relevant title details associated with it. Fill only if 'Are any of the properties the assets of a private trust?' is 'Yes'.
Depends on: Yes
Property Area or Dimensions
Area in hectares Number
Provide the area of the property in hectares.
Area in acres Number
Provide the area of the property in acres.
Area in square metres Number
Provide the area of the property in square metres.
Dimension 1 Number
Enter the first dimension of the property.
Dimension 2 Number
Enter the second dimension of the property.
Property Encumbrance Status
No Checkbox
Check this box if the property is not mortgaged or encumbered. Fill only if 'How many properties do you and/or your partner want to offer as security for the loan(s)?' is greater than 0.
Depends on: DummyCalcQ45
DummyCalcQ66 Text
Yes Checkbox
Check this box if the property is mortgaged or encumbered and you need to provide details below. Fill only if 'How many properties do you and/or your partner want to offer as security for the loan(s)?' is greater than 0.
Depends on: DummyCalcQ45
Property Insurance Status
No Checkbox
Check this box if each property being offered as security is not adequately and appropriately insured, indicating that it needs to have adequate and appropriate insurance to be accepted as security for the loan.
Yes Checkbox
Check this box if each property being offered as security is adequately and appropriately insured, and you are providing a copy of the insurance papers for each property.
Property Location Directions
No Checkbox
Check this box if the property is not hard to locate.
Yes Checkbox
Check this box if the property is hard to locate and you will provide directions.
Directions Reference Text
Please provide any reference number or brief identifier related to the property's directions. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Property Directions Text
Please provide detailed instructions to locate the property, especially if it is hard to find. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Property Ownership for Loan Security
No Checkbox
Check this box if you and/or your partner do not own property in Australia that you are willing to provide as security for the loan.
Yes Checkbox
Check this box if you and/or your partner own property in Australia that you are willing to provide as security for the loan.
Property Security Offer
You Checkbox
Check this box if the property is being offered as security by you (the applicant) only. Fill only if 'Number of properties offered as security' is greater than 0
Depends on: DummyCalcQ45
Your partner Checkbox
Check this box if the property is being offered as security by your partner only. Fill only if 'Number of properties offered as security' is greater than 0
Depends on: DummyCalcQ45
Both Checkbox
Check this box if the property is being offered as security by both you and your partner. Fill only if 'Number of properties offered as security' is greater than 0
Depends on: DummyCalcQ45
Property Type
Vacant land Checkbox
Check this box if the property is vacant land.
Bush block Checkbox
Check this box if the property is a bush block.
Home office/business Checkbox
Check this box if the property is a home office or business.
House Checkbox
Check this box if the property is a house.
Self contained flat (part of or attached to a residence) Checkbox
Check this box if the property is a self-contained flat that is part of or attached to a residence.
Retail premises Checkbox
Check this box if the property consists of retail premises.
Units/flats/town house Checkbox
Check this box if the property is units, flats, or a town house.
Commercial premises Checkbox
Check this box if the property consists of commercial premises.
Industrial premises Checkbox
Check this box if the property consists of industrial premises.
Farm (or hobby farm) Checkbox
Check this box if the property is a farm or hobby farm.
Market garden Checkbox
Check this box if the property is a market garden.
Residential block larger than 2 hectares Checkbox
Check this box if the property is a residential block larger than 2 hectares.
Other Checkbox
Check this box if the property type is not listed above and provide details in the space below.
Other Property Type Text
Specify the type of property if 'Other' was selected from the list. Fill only if 'Other' is 'Yes'.
Depends on: Other
Property Type Description Text
Provide a detailed description of the property type. Fill only if 'Other' is 'Yes'.
Depends on: Other
Registered Company Address
Registered Company Address Line 1 Text
Please provide the first line of the registered company's address.
Registered Company Address Line 2 Text
Please provide the second line of the registered company's address, such as the suburb or town.
Registered Company Postcode Text
Please provide the postcode for the registered company's address.
Max length: 4 characters
Registered Company Address Line 1 Text
Please enter the first line of the registered company's address.
Registered Company Address Line 2 Text
Please enter the second line of the registered company's address.
Registered Company Address City/Town Text
Please enter the city or town of the registered company's address.
Registered Company Postcode Text
Please enter the postcode of the registered company's address.
Max length: 4 characters
Second Building Description
Second Building Approximate Floor Area Number
Enter the approximate floor area of the second building in square metres.
Second Building Age Text
Enter the age of the second building in years.
Second Building Exterior Construction Text
Provide details about the exterior construction materials of the second building, for example, brick or timber.
Second Building Interior Construction Text
Provide details about the interior construction materials of the second building, for example, plaster or not lined.
Second Building Roof Construction Text
Provide details about the roof construction materials of the second building, for example, iron or tiled.
Second Building General Condition Text
Describe the general condition of the second building, for example, fair, good, or poor.
Second Building Total Flats/Units in Complex Number
Enter the total number of flats or units in the complex for the second building, if applicable.
Max length: 3 characters
Second Building Number of Bedrooms Text
Enter the number of bedrooms for the second residential building.
Max length: 3 characters
Second Building Number of Other Rooms Text
Enter the number of other rooms in the second building, excluding laundry, bathroom, and toilet.
Max length: 3 characters
Second Loan Details
Second Loan Amount Owed Number
Enter the total amount currently owed on the second loan for the property used as security. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Second Loan Interest Rate Number
Provide the annual interest rate for the second loan. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Second Loan Purpose Text
Explain the purpose for which the funds for the second loan were borrowed. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Second Other Name
Second Other Name Text
Please provide the second other name by which you have been known. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Second Other Name Type Text
Please specify the type of this second other name, such as name before marriage, alias, or adoptive name. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Second Other Property Details
Address Line 1 Text
Enter the first line of the second other property's address. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Address Line 2 Text
Enter the second line of the second other property's address. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Address Line 3 Text
Enter the third line of the second other property's address. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Postcode Text
Enter the postcode of the second other property. Fill only if 'Yes' is 'Yes'.
Max length: 4 characters
Depends on: Yes
Estimated Market Value Number
Enter the estimated market value of the second other property. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Second Signatory Details
Director Checkbox
Check this box if the second signatory is acting as a Director. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Depends on: Yes
Secretary Checkbox
Check this box if the second signatory is acting as a Secretary. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Depends on: Yes
Signatory Name Text
Please enter the full name of the second signatory. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Depends on: Yes
Signatory Phone Number Text
Please provide the contact phone number for the second signatory, including the area code. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Max length: 10 characters
Depends on: Yes
Signature Date Date
Please enter the date the second signatory signed. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Max length: 10 characters
Depends on: Yes
Director Checkbox
Check this box if the second signatory is a Director. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Depends on: Yes
Secretary Checkbox
Check this box if the second signatory is a Secretary. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Depends on: Yes
Second Signatory Name Text
Please provide the full name of the second signatory. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Depends on: Yes
Second Signatory Contact Phone Number Text
Please enter the contact phone number for the second signatory, including the area code. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Max length: 10 characters
Depends on: Yes
Second Signatory Date Date
Please provide the date of the second signatory's signature. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Max length: 10 characters
Depends on: Yes
Tax File Number Details (Partner)
No Checkbox
Check this box if your partner does not currently have a Tax File Number and needs to apply for one. Fill only if 'Are you of Age Pension age?' is 'I am of Age Pension age or over'.
Depends on: I am of Age Pension age or over
Yes Checkbox
Check this box if your partner currently has a Tax File Number and will provide it. Fill only if 'Are you of Age Pension age?' is 'I am of Age Pension age or over'.
Depends on: I am of Age Pension age or over
Partner's Tax File Number Part 1 Text
Enter the first three digits of your partner's tax file number. Fill only if 'Yes' is 'Yes'.
Max length: 3 characters
Depends on: Yes
Partner's Tax File Number Part 2 Text
Enter the middle three digits of your partner's tax file number. Fill only if 'Yes' is 'Yes'.
Max length: 3 characters
Depends on: Yes
Partner's Tax File Number Part 3 Text
Enter the last three digits of your partner's tax file number. Fill only if 'Yes' is 'Yes'.
Max length: 3 characters
Depends on: Yes
Tax File Number Details (Self)
No Checkbox
Check this box if you do not currently have a tax file number. Fill only if 'Are you of Age Pension age?' is 'I am of Age Pension age or over'.
Depends on: I am of Age Pension age or over
Yes Checkbox
Check this box if you currently have a tax file number. Fill only if 'Are you of Age Pension age?' is 'I am of Age Pension age or over'.
Depends on: I am of Age Pension age or over
TFN First Digit Text
Enter the first digit of your Tax File Number. Fill only if 'Are you of Age Pension age?' is 'I am of Age Pension age or over'.
Depends on: I am of Age Pension age or over
TFN Second and Third Digits Text
Enter the second and third digits of your Tax File Number. Fill only if 'Yes' is 'Yes'.
Max length: 3 characters
Depends on: Yes
TFN Fourth to Sixth Digits Text
Enter the fourth, fifth, and sixth digits of your Tax File Number. Fill only if 'Yes' is 'Yes'.
Max length: 3 characters
Depends on: Yes
TFN Seventh to Ninth Digits Text
Enter the seventh, eighth, and ninth digits of your Tax File Number. Fill only if 'Yes' is 'Yes'.
Max length: 3 characters
Depends on: Yes
Terms and Conditions Acceptance
No Checkbox
Check this box if you and your partner do not understand and accept the terms and conditions.
Yes Checkbox
Check this box if you and your partner understand and accept the terms and conditions.
Third Building Details
Floor Area (sqm) Number
Enter the approximate total floor area of the building in square metres. Fill only if 'How many properties do you and/or your partner want to offer as security for the loan(s)?' is greater than 0.
Depends on: DummyCalcQ45
Building Age Text
Enter the approximate age of the building in years. Fill only if 'How many properties do you and/or your partner want to offer as security for the loan(s)?' is greater than 0.
Depends on: DummyCalcQ45
Exterior Construction Text
Describe the exterior construction material of the building (e.g., brick, timber). Fill only if 'How many properties do you and/or your partner want to offer as security for the loan(s)?' is greater than 0.
Depends on: DummyCalcQ45
Interior Construction Text
Describe the interior construction material of the building (e.g., plaster, not lined). Fill only if 'How many properties do you and/or your partner want to offer as security for the loan(s)?' is greater than 0.
Depends on: DummyCalcQ45
Roof Construction Text
Describe the roof construction material of the building (e.g., iron, tiled). Fill only if 'How many properties do you and/or your partner want to offer as security for the loan(s)?' is greater than 0.
Depends on: DummyCalcQ45
General Condition Text
Describe the general condition of the building (e.g., fair, good, poor). Fill only if 'How many properties do you and/or your partner want to offer as security for the loan(s)?' is greater than 0.
Depends on: DummyCalcQ45
Total Flats/Units Number
Enter the total number of flats or units within the building complex, if applicable. Fill only if 'How many properties do you and/or your partner want to offer as security for the loan(s)?' is greater than 0.
Max length: 3 characters
Depends on: DummyCalcQ45
Number of Bedrooms Text
Enter the number of bedrooms in the residential building. Fill only if 'How many properties do you and/or your partner want to offer as security for the loan(s)?' is greater than 0.
Max length: 3 characters
Depends on: DummyCalcQ45
Number of Other Rooms Text
Enter the number of other rooms in the building, excluding laundry, bathroom, and toilet. Fill only if 'How many properties do you and/or your partner want to offer as security for the loan(s)?' is greater than 0.
Max length: 3 characters
Depends on: DummyCalcQ45
Third Signatory Details
Director Checkbox
Check this box if the third signatory is acting as a Director. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Depends on: Yes
Secretary Checkbox
Check this box if the third signatory is acting as a Secretary. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Depends on: Yes
Third Signatory Name Text
Please provide the full name of the third signatory. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Depends on: Yes
Third Signatory Contact Phone Number Text
Please enter the contact phone number for the third signatory, including the area code. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Max length: 10 characters
Depends on: Yes
Third Signatory Date Date
Please enter the date the third signatory signed the document. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Max length: 10 characters
Depends on: Yes
Director Checkbox
Check this box if the third signatory is a Director. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Depends on: Yes
Secretary Checkbox
Check this box if the third signatory is a Secretary. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Depends on: Yes
Third Signatory Name Text
Please provide the full name of the third signatory. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Depends on: Yes
Third Signatory Contact Phone Number Text
Please enter the contact phone number for the third signatory, including the area code. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Max length: 10 characters
Depends on: Yes
Third Signatory Date Date
Please provide the date when the third signatory signed. Fill only if 'Are any of the properties owned by a private company?' is 'Yes'.
Max length: 10 characters
Depends on: Yes
Title Holder: Other
Other Checkbox
Check this box if the property's title holder is an entity or person not listed in the provided options. Fill only if 'Number of properties offered as security' is greater than 0
Depends on: DummyCalcQ45
61.D.Name Text
Depends on: Other
Other Title Holder Percentage Owned Number
Please enter the percentage of ownership held by the other person or entity. Fill only if 'Other' is 'Yes'.
Depends on: Other
Title Holder: Private Company
Private company Checkbox
Check this box if a private company is listed as one of the property's title holders. Fill only if 'Number of properties offered as security' is greater than 0
Depends on: DummyCalcQ45
Private Company Ownership Percentage Number
Provide the percentage of the property owned by the private company. Fill only if 'Private company' is 'Yes'.
Depends on: Private company
Title Holder: Private Trust
Private trust Checkbox
Check this box if a private trust is listed as one of the property's title holders. Fill only if 'Number of properties offered as security' is greater than 0
Depends on: DummyCalcQ45
Private Trust Percentage Owned Number
Enter the percentage of the property owned by the private trust. Fill only if 'Private trust' is 'Yes'.
Depends on: Private trust
Title Holder: You
You Title Holder Status Text
Indicate if you are listed as a title holder for the property. Fill only if 'Number of properties offered as security' is greater than 0
Depends on: DummyCalcQ45
You Checkbox
Check this box if you are listed as a title holder of the property. Fill only if 'Number of properties offered as security' is greater than 0
Depends on: DummyCalcQ45
Your Percentage Owned Number
Provide the percentage of the property that you own. Fill only if 'You' is 'Yes'.
Depends on: You
Title Holder: Your Partner
Your partner Checkbox
Check this box if your partner is listed as a title holder of the property. Fill only if 'Number of properties offered as security' is greater than 0
Depends on: DummyCalcQ45
Partner's Percentage Owned Number
Enter the percentage of the property owned by your partner. Fill only if 'Your partner' is 'Yes'.
Depends on: Your partner
Title Ownership Situation Description
Title Ownership Situation Description Text
Provide a detailed description of the title ownership situation for this property. Fill only if 'Number of properties offered as security' is greater than 0
Depends on: DummyCalcQ45
Title Search and Rates Notice Copy
Your Title Search and Rates Notice Copy Checkbox
Check this box if you are providing a copy of a recent, within the last 13 weeks, title search and latest rates notice(s) for the property.
Partner's Title Search and Rates Notice Copy Checkbox
Check this box if your partner is providing a copy of a recent, within the last 13 weeks, title search and latest rates notice(s) for the property.
Trust Deed Copy
Copy of the trust deed (You) Checkbox
Check this box if you are providing a copy of the trust deed, especially if you answered 'Yes' to question 50 regarding properties as assets of a private trust. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Copy of the trust deed (Partner) Checkbox
Check this box if your partner is providing a copy of the trust deed, especially if they answered 'Yes' to question 50 regarding properties as assets of a private trust. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Trust Name
Trust Name Text
Please provide the full legal name of the trust.
Trustee Details
Trustee Name Text
Please enter the full name of the trustee. Fill only if 'Are any of the properties the assets of a private trust?' is 'Yes'.
Depends on: Yes
Trustee Phone Number Text
Please provide the contact phone number of the trustee, including the area code. Fill only if 'Are any of the properties the assets of a private trust?' is 'Yes'.
Max length: 10 characters
Depends on: Yes
Trustee Postal Address Line 1 Text
Please enter the first line of the trustee's postal address. Fill only if 'Are any of the properties the assets of a private trust?' is 'Yes'.
Depends on: Yes
Trustee Postal Address Line 2 Text
Please enter the second line of the trustee's postal address. Fill only if 'Are any of the properties the assets of a private trust?' is 'Yes'.
Depends on: Yes
Trustee Postcode Text
Please enter the postcode for the trustee's postal address. Fill only if 'Are any of the properties the assets of a private trust?' is 'Yes'.
Max length: 4 characters
Depends on: Yes
Trustee Signature Date
Trustee Signature Date Date
Enter the date the trustee signed the document. Fill only if 'Are any of the properties the assets of a private trust?' is 'Yes'.
Max length: 10 characters
Depends on: Yes
Type of Co-ownership
Tenants in common Checkbox
The user should check this box if the property co-ownership is 'Tenants in common'. Fill only if 'Are any of the properties co-owned with individual(s) other than your partner?' is 'Yes'.
Depends on: Yes
Joint tenant Checkbox
The user should check this box if the property co-ownership is 'Joint tenant'. Fill only if 'Are any of the properties co-owned with individual(s) other than your partner?' is 'Yes'.
Depends on: Yes
Other Checkbox
The user should check this box if the property co-ownership is of a type not listed as 'Tenants in common' or 'Joint tenant'. Fill only if 'Are any of the properties co-owned with individual(s) other than your partner?' is 'Yes'.
Depends on: Yes
Co-ownership Type Details Text
Please provide brief details about the 'Other' type of co-ownership selected. Fill only if 'Other' is checked.
Depends on: Other
Co-ownership Type Full Explanation Text
Please provide a comprehensive explanation of the 'Other' type of co-ownership selected. Fill only if 'Other' is checked.
Depends on: Other
Valuer Contact Information
Contact Person Name Text
Please provide the name of the person who should be contacted by the valuer to organize a property inspection.
Daytime Phone Number Text
Please provide the daytime phone number for the contact person, including the area code.
Max length: 10 characters
Witness Details
Witness Name Text
Please provide the full name of the witness. Fill only if 'Are any of the properties co-owned with individual(s) other than your partner?' is 'Yes'.
Depends on: Yes
Witness Qualification or Role Text
Please provide the qualification or role of the witness. Fill only if 'Are any of the properties co-owned with individual(s) other than your partner?' is 'Yes'.
Depends on: Yes
Witness Address Line 1 Text
Please provide the first line of the witness's residential address. Fill only if 'Are any of the properties co-owned with individual(s) other than your partner?' is 'Yes'.
Depends on: Yes
Witness Address Line 2 Text
Please provide the second line of the witness's residential address. Fill only if 'Are any of the properties co-owned with individual(s) other than your partner?' is 'Yes'.
Depends on: Yes
Witness Address Line 3 Text
Please provide the third line of the witness's residential address, typically the suburb, city, or state. Fill only if 'Are any of the properties co-owned with individual(s) other than your partner?' is 'Yes'.
Depends on: Yes
Witness Postcode Text
Please provide the postcode for the witness's residential address. Fill only if 'Are any of the properties co-owned with individual(s) other than your partner?' is 'Yes'.
Max length: 4 characters
Depends on: Yes
Witness Contact Phone Number Text
Please provide the contact phone number of the witness, including the area code. Fill only if 'Are any of the properties co-owned with individual(s) other than your partner?' is 'Yes'.
Max length: 10 characters
Depends on: Yes
Witness Name Text
Enter the full name of the witness. Fill only if 'Are any of the properties the assets of a private trust?' is 'Yes'.
Depends on: Yes
Witness Qualification Text
Provide the qualification or role of the witness. Fill only if 'Are any of the properties the assets of a private trust?' is 'Yes'.
Depends on: Yes
Witness Address Line 1 Text
Enter the first line of the witness's residential or business address. Fill only if 'Are any of the properties the assets of a private trust?' is 'Yes'.
Depends on: Yes
Witness Address Line 2 Text
Enter the second line of the witness's residential or business address, including the suburb or city. Fill only if 'Are any of the properties the assets of a private trust?' is 'Yes'.
Depends on: Yes
Witness Postcode Text
Enter the postcode for the witness's address. Fill only if 'Are any of the properties the assets of a private trust?' is 'Yes'.
Max length: 4 characters
Depends on: Yes
Witness Phone Number Text
Provide the contact phone number of the witness, including the area code. Fill only if 'Are any of the properties the assets of a private trust?' is 'Yes'.
Max length: 10 characters
Depends on: Yes
Witness Signature Date
Witness Signature Date Date
Please enter the date the witness signed. Fill only if 'Are any of the properties co-owned with individual(s) other than your partner?' is 'Yes'.
Max length: 10 characters
Depends on: Yes
Date Date
Provide the date the witness signed the form. Fill only if 'Are any of the properties the assets of a private trust?' is 'Yes'.
Max length: 10 characters
Depends on: Yes
Your Aboriginal or Torres Strait Islander Descent
Aboriginal Australian Descent Text
Please provide your response regarding Aboriginal Australian descent.
No Checkbox
Check this box if you are not of Aboriginal or Torres Strait Islander Australian descent.
Yes - Aboriginal Australian Checkbox
Check this box if you are of Aboriginal Australian descent. Fill only if 'Aboriginal Australian Descent' is 'Yes'.
Depends on: Aboriginal Australian Descent
Yes - Torres Strait Islander Australian Checkbox
Check this box if you are of Torres Strait Islander Australian descent. Fill only if 'Aboriginal Australian Descent' is 'Yes'.
Depends on: Aboriginal Australian Descent
Your Age Pension Status
I am of Age Pension age or over Checkbox
Check this box if you are currently of Age Pension age or older. Fill only if 'Do you get one of the following payments or intend to claim, from us?' is 'No'.
Depends on: No, I do not get or intend to claim these payments
I am under Age Pension age Checkbox
Check this box if you are currently younger than the Age Pension age. Fill only if 'Do you get one of the following payments or intend to claim, from us?' is 'No'.
Depends on: No, I do not get or intend to claim these payments
Your Age (If Under Pension Age) Text
Enter your current age if you are not yet of Age Pension age. Fill only if 'Do you get one of the following payments or intend to claim, from us?' is 'No'.
Depends on: No, I do not get or intend to claim these payments
Your Australian South Sea Islander Descent
No Checkbox
The user should check this box if they are not of Australian South Sea Islander descent.
Yes Checkbox
The user should check this box if they are of Australian South Sea Islander descent.
Your Citizenship Details (Australia)
Australia Checkbox
Check this box if your country of citizenship is Australia. Fill only if 'Are you an Australian citizen who was born in Australia?' is 'No'.
Depends on: No
Citizenship Granted Year Number
Please enter the year your citizenship was granted. Fill only if 'Australia' is 'Yes'.
Depends on: Australia
Citizenship Granted Date Date
Please provide the full date your Australian citizenship was granted. Fill only if 'Australia' is 'Yes'.
Max length: 10 characters
Depends on: Australia
Your Citizenship Details (Other)
Other Checkbox
Check this box if your country of citizenship is not Australia. Fill only if 'Are you an Australian citizen who was born in Australia?' is 'No'.
Depends on: No
Other Country of Citizenship Text
Please provide the name of your country of citizenship if it is not Australia. Fill only if 'Other' is 'Yes'.
Depends on: Other
Date Citizenship Granted for Other Country Date
Please provide the date your citizenship was granted for the specified other country. Fill only if 'Other' is 'Yes'.
Max length: 10 characters
Depends on: Other
Your Contact Details
Home Phone Number Text
Please provide your home phone number, including the area code.
Max length: 10 characters
Mobile Phone Number Text
Please provide your mobile phone number.
Max length: 10 characters
Alternative Phone Number Text
Please provide an alternative phone number, including the area code.
Max length: 10 characters
Email Address Text
Please provide your email address.
Your Current Country of Residence
Australia Checkbox
Check this box if your current country of residence is Australia. Fill only if 'Do you get one of the following payments or intend to claim, from us?' is 'No'.
Depends on: No, I do not get or intend to claim these payments
Other Checkbox
Check this box if your current country of residence is a country other than Australia. Fill only if 'Do you get one of the following payments or intend to claim, from us?' is 'No'.
Depends on: No, I do not get or intend to claim these payments
Other Country of Residence Text
Please enter the name of the country where you currently live, if it is not Australia. Fill only if 'Do you get one of the following payments or intend to claim, from us?' is 'No'.
Depends on: No, I do not get or intend to claim these payments
Additional Residence Details Text
Please provide any additional information regarding your current country of residence. Fill only if 'Other' is 'Other'.
Depends on: Other
Your Customer Reference Number
Customer Reference Number - Part 1 Text
Please enter the first part of your customer reference number.
Max length: 3 characters
Customer Reference Number - Part 2 Text
Please enter the second part of your customer reference number.
Max length: 3 characters
Customer Reference Number - Part 3 Text
Please enter the third part of your customer reference number.
Max length: 3 characters
Customer Reference Number - Part 4 Text
Please enter the fourth part of your customer reference number.
Max length: 1 characters
Your Date of Birth
Date of Birth Date
Provide your date of birth.
Max length: 10 characters
Your Department of Veterans' Affairs Reference Number
Department of Veterans' Affairs Reference Number Text
Please provide your Department of Veterans' Affairs reference number if you have one and it is applicable. Fill only if 'Yes' is 'Yes'.
Max length: 10 characters
Depends on: Yes
Your First Country of Residence
First Country of Residence Text
Please provide the name of your first country of residence since birth. Fill only if 'Yes, List all countries' is 'Yes'.
Depends on: Yes, List all countries
First Country of Residence Start Date Date
Please provide the date you started living in your first country of residence. Fill only if 'Yes, List all countries' is 'Yes'.
Max length: 10 characters
Depends on: Yes, List all countries
Your Full Name
Your Full Name Text
Please provide your full name. Fill only if 'Number of properties offered as security' is greater than 0
Depends on: DummyCalcQ45
Full Name Text
Please enter your full legal name as it appears on official documents.
Full Name Text
Please provide your full legal name.
Your Living History Question
No, Go to next question Checkbox
Check this box if you have never lived outside Australia for any period. Fill only if 'Are you of Age Pension age?' is 'I am of Age Pension age or over'.
Depends on: I am of Age Pension age or over
Yes, List all countries Checkbox
Check this box if you have lived outside Australia for any period and need to list the countries and dates. Fill only if 'Are you of Age Pension age?' is 'I am of Age Pension age or over'.
Depends on: I am of Age Pension age or over
Country Lived In Text
Please enter the name of the country you have lived in. Fill only if 'Are you of Age Pension age?' is 'I am of Age Pension age or over'.
Depends on: I am of Age Pension age or over
Your Most Recent Visa Details
DummyCalcQ36 Text
Depends on: Yes
Most Recent Visa Subclass Text
Please enter the subclass of your most recent visa. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Most Recent Visa Granted Date Date
Please provide the date your most recent visa was granted. Fill only if 'Yes' is 'Yes'.
Max length: 10 characters
Depends on: Yes
Your Name
Mr Checkbox
Check this box if your title is Mr.
Mrs Checkbox
Check this box if your title is Mrs.
Miss Checkbox
Check this box if your title is Miss.
Ms Checkbox
Check this box if your title is Ms.
Mx Checkbox
Check this box if your title is Mx.
Other Title Text
Please enter your title if it is not one of the provided options (Mr, Mrs, Miss, Ms, Mx).
Family Name Text
Please enter your family name (last name).
First Given Name Text
Please enter your first given name.
Second Given Name Text
Please enter your second given name.
Your Partner's Full Name
Partner's Full Name Text
Please enter your partner's full name. Fill only if 'Number of properties offered as security' is greater than 0
Depends on: DummyCalcQ45
Partner's Full Name Text
Please provide your partner's full legal name.
Partner's Full Name Text
Please provide the full name of your partner.
Your Partner's Signature Details
Partner's Signature Date Date
Please enter the date your partner signed the form. Fill only if 'Do you and your partner understand and accept the terms and conditions?' is 'Yes'.
Max length: 10 characters
Depends on: Yes
Your Payment or Claim Status
No, I do not get or intend to claim these payments Checkbox
Check this box if you do not currently receive any of the listed payments (Age Pension, Carer Payment, or Disability Support Pension) and do not intend to claim them.
Yes, I get or intend to claim one of these payments Checkbox
Check this box if you currently receive or intend to claim an Age Pension, Carer Payment, or Disability Support Pension.
DummyCalcQ27 Text
Your Pre-1965 Arrival Details
Further Details Indicator Text
Please provide any short indicator or note related to the pre-1965 arrival details provided below. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Ship or Airline Name Text
Please provide the name of the ship or airline on which you arrived in Australia. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Place of First Arrival/Disembarkation Text
Please provide the name of the place where you first arrived in or disembarked in Australia. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Name at First Arrival Text
Please provide the name you were using when you first arrived in Australia. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Your Pre-1965 Living Status
No Checkbox
Check this box if you did not start living in Australia before 1965. Fill only if 'Are you an Australian citizen who was born in Australia?' is 'No'.
Depends on: No
Yes Checkbox
Check this box if you started living in Australia before 1965. Fill only if 'Are you an Australian citizen who was born in Australia?' is 'No'.
Depends on: No
Your Second Country of Residence
Second Country Name Text
Please provide the name of your second country of residence. Fill only if 'Yes, List all countries' is 'Yes'.
Depends on: Yes, List all countries
Second Country Date From Date
Please provide the date you started living in your second country of residence. Fill only if 'Yes, List all countries' is 'Yes'.
Max length: 10 characters
Depends on: Yes, List all countries
Your Signature Details
Signature Date Date
Provide the date your signature was made. Fill only if 'Your Signature' is signed.
Max length: 10 characters
Depends on: Your Signature
Sign Text
Your Signature Text
Enter your full signature in this field. Fill only if 'Do you and your partner understand and accept the terms and conditions?' is 'Yes'.
Depends on: Yes
Your Start Date of Living in Australia
Most Recent Start Date in Australia Date
Enter the date when you most recently started living in Australia. Fill only if 'Are you an Australian citizen who was born in Australia?' is 'No'.
Max length: 10 characters
Depends on: No
Your Third Country of Residence
Third Country Name Text
Please enter the name of your third country of residence. Fill only if 'Yes, List all countries' is 'Yes'.
Depends on: Yes, List all countries
Date Started Third Country Residence Date
Please provide the date you started living in your third country of residence. Fill only if 'Yes, List all countries' is 'Yes'.
Max length: 10 characters
Depends on: Yes, List all countries
Your Travel Details
No Checkbox
Check this box if you have not travelled outside Australia, including short trips and holidays. Fill only if 'Do you get one of the following payments or intend to claim, from us?' is 'No'.
Depends on: No, I do not get or intend to claim these payments
Yes Checkbox
Check this box if you have travelled outside Australia, including short trips and holidays. Fill only if 'Do you get one of the following payments or intend to claim, from us?' is 'No'.
Depends on: No, I do not get or intend to claim these payments
Additional Travel Remarks Text
Provide any brief remarks or general details related to your travel outside Australia. Fill only if 'Do you get one of the following payments or intend to claim, from us?' is 'No'.
Depends on: No, I do not get or intend to claim these payments
Last Entry Year Text
Enter the four-digit year you last entered Australia. Fill only if 'Yes' is 'Yes'.
Max length: 4 characters
Depends on: Yes
Passport Number Text
Enter your passport number as it appears on your passport. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Passport Country of Issue Text
Enter the country where your passport was issued. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Your Visa Change Status
No Checkbox
Check this box if your visa has not changed since you arrived in Australia. Fill only if 'Are you an Australian citizen who was born in Australia?' is 'No'.
Depends on: No
Yes Checkbox
Check this box if your visa has changed since you arrived in Australia. Fill only if 'Are you an Australian citizen who was born in Australia?' is 'No'.
Depends on: No
Your Visa Details on Arrival
Visa Subclass Text
Enter your visa subclass code. Fill only if 'Permanent', 'Temporary' is 'Yes' for any.
Depends on: Permanent, Temporary
Date Visa Granted Date
Enter the date your visa was granted. Fill only if 'Permanent', 'Temporary' is 'Yes' for any.
Max length: 10 characters
Depends on: Permanent, Temporary
Your Visa Type on Arrival
Visa Type on Arrival Text
Please enter the type of visa you arrived on. Fill only if 'Are you an Australian citizen who was born in Australia?' is 'No'.
Depends on: No
Permanent Checkbox
Check this box if you arrived on a permanent visa. Fill only if 'Are you an Australian citizen who was born in Australia?' is 'No'.
Depends on: No
Temporary Checkbox
Check this box if you arrived on a temporary visa. Fill only if 'Are you an Australian citizen who was born in Australia?' is 'No'.
Depends on: No
New Zealand passport (Special Category visa) Checkbox
Check this box if you arrived using a New Zealand passport, which grants a Special Category visa. Fill only if 'Are you an Australian citizen who was born in Australia?' is 'No'.
Depends on: No
Not sure Checkbox
Check this box if you are not sure about the type of visa you arrived on. Fill only if 'Are you an Australian citizen who was born in Australia?' is 'No'.
Depends on: No