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Page 1 of 15
LOAN INTERVIEW DIARY NOTE
Name(s) of customer(s) present
Location of interview Date of interview
Were all applicants interviewed in person?
If not, please indicate who was Y N
Do all of the customers appear to clearly
understand English? Y N
If No to above, have the services of an
interpreter been recommended? Y N
Do all of the customers clearly benefit from
taking out this loan? Y N
If No to above question, what enquiries have been made to ascertain the
level of benefit to each party to the loan?
Provide details of any other pertinent information obtained during the loan
interview which may be of interest to ANZ or any unusual circumstances you
may wish to record.
APPROVED ORIGINATOR DETAILS AND AUTHORISATION
AO SAO
Approved Originator Company/ Firm Name
Title and Name
Preferred Number
Phone Number Fax Number
VIC/TAS
NSW/ACT
QLD
SA/NT
Date Sent
WA
Authorised Officer/Contact Name
APPLICANT SUMMARY
Applicant’s Name
Nominated ANZ Branch for Loan Account (if unknown, insert suburb)
BSB: 01 –
Has the customer completed the Customer Identification Procedure at an
ANZ Branch? (ANZ cannot settle the loan until this requirement is met)
Yes No
Finance Clause Expiry Date
Estimated Settlement Date
Please submit via Online Document Submission in the Broker Portal.
PH: 1800 812 785
ANZ MORTGAGE BROKER DISTRIBUTION
– LOAN APPLICATION COVER SHEET
Please complete entire application in BLOCK letters.
APPLICATION NUMBER (Ofce Use Only)
Number of pages included
Business Development Manager
Lo Doc 60 Lock Rate
The ANZ Lock Rate Fee Payment
Authorisation Form MUST be
completed.
First Home Buyer Interest in Advance
LMI (please indicate if this application or any linked application involve Lenders
Mortgage Insurance)
COMMERCIAL (please indicate if this application has a linked Commercial
application)
NEW Resident (please indicate if the customer has recently arrived in Australia
and is not yet a citizen or permanent resident)
NON Resident (please indicate if the customer is a foreign national and resides
overseas)
STAFF (please indicate if the customer is an ANZ staff member)
ANZ MORTGAGE BROKER DISTRIBUTION
– LOAN APPLICATION COVER SHEET
Page 2 of 15
Section 1. Refnances
Is the application a refnance of Other Financial Institution (OFI) Lending? Yes No
If No, skip below to Section 2. Signifcant changes in future fnancial circumstances
Reason for refnancing (please select)
Reduce/simplify repayments Convenience and flexibility
Dissatisfaction with service at current lender More competitive pricing
Specifc features and products
Refnancing costs:
Other (please specify)
1. Has the customer obtained a verbal payout quote from the OFI? Yes No
2. If No, recommend customer obtain quote as costs to refnance may be considerable and may change signifcantly.
Amounts:
Current outstanding balance plus accrued interest
Plus estimated OFI refinancing cost (costs imposed by other financial institutions):
e.g.: early repayment fees, break fees, loan transfer fee Loan Approval Fee and discharge fees etc
Total amount to refinance
Section 2. Significant changes in future financial circumstances
Are there any circumstances that the customer is aware of that could affect their ability to repay this loan?
For example:
– Temporary reduction in income
– Permanent/Long term change in income
– Anticipated large expenditure
No If No, skip to Section 3. Further investment in shares or managed funds
Yes Please specify:
If Yes, how does the customer plan to meet repayments during this reduced income period? Please select:
Securing additional income Use of Savings
Reducing expenditure Sale of Assets
If the customers have no plan to meet changed circumstances:
• Complete Statement of Financial Position (SP) to reflect changes in customer’s circumstances, and
• Recommend customer seek fnancial advice
Section 3. Further investment in shares or managed funds
Is loan for investment in shares or managed funds? Yes No
If Yes, will the shares or managed funds purchased be used as a security for a margin loan?
If Yes:
Yes No
• Recommend customer seeks independent advice from a Financial Advisor
• Ensure margin loan liability and repayments are included in the Statement of Financial Position.
Section 4. Interest Only
Reason for customer preferring Interest Only:
Investment or future investment
Maximise cash flow
Temporary reduction in income, e.g. parental leave
Anticipated large expense items
Other Please specify:
Page 3 of 15
2.1 ANZ MORTGAGE – LOAN APPLICATION
PERSONAL AND EMPLOYMENT DETAILS (P1 OF 2)
PERSONAL DETAILS PRIMARY APPLICANT
PERSONAL DETAILS CO-APPLICANT
Applicant
Title
Director/ Partner
Surname
Guarantor
Trustee
Applicant
Title
Director/ Partner
Surname
Guarantor
Trustee
First name Middle name First name Middle name
(Please note: this name appears on the Letter of Offer) (Please note: this name appears on the Letter of Offer)
Date of birth
Gender
M F
Drivers licence number
State
Permanent Australian
Date of birth
Gender
Permanent Australian
M F
Y N
Drivers licence number
State
Y N Current housing situation Current housing situation
Boarding Own home Renting With parents Caravan Boarding Own home Renting With parents Caravan
Other: Other:
Marital Status Single Married or De facto Marital Status Single Married or De facto
Name of spouse Name of spouse
No. of dependants Age (in years) of dependants No. of dependants Age (in years) of dependants
Home Phone Number Business Phone Number Home Phone Number Business Phone Number
Mobile Phone Number Fax Number Mobile Phone Number Fax Number
ADDRESS DETAILS (MINIMUM 2 YEAR HISTORY) ADDRESS DETAILS (MINIMUM 2 YEAR HISTORY)
Current Address: Street (No. & Name) Current Address: Street (No. & Name)
Suburb State Suburb State
Postcode Country Postcode Country
Time at current address Years Months Time at current address Years Months
(If less than 2 years, previous address must also be included) (If less than 2 years, previous address must also be included)
Previous Address Details Previous Address Details
Street (No. & Name) Street (No. & Name)
Suburb State Suburb State
Postcode Country Postcode Country
MAILING ADDRESS DETAILS (IF DIFFERENT) MAILING ADDRESS DETAILS (IF DIFFERENT)
Street (No. & Name) Street (No. & Name)
Suburb State Suburb State
Postcode Country Postcode Country
Page 4 of 15
EMPLOYMENT DETAILS (MINIMUM 2 YEAR HISTORY) EMPLOYMENT DETAILS (MINIMUM 2 YEAR HISTORY)
Employment type Employment type
Full Time Part Time Casual Full Time Part Time Casual
Self Employed Not Employed Self Employed Not Employed
Occupation Occupation
Currently under a probationary period Yes No Currently under a probationary period Yes No
Length of probationary period Length of probationary period
Current Employer’s Name Current Employer’s Name
ABN ABN
Street (No. & Name) Street (No. & Name)
Suburb State Suburb State
Postcode Country Postcode Country
Phone Number Phone Number
Time at current employer Years Months Time at current employer Years Months
(If less than 2 years, previous employer must also be included) (If less than 2 years, previous employer must also be included)
Previous Employer Previous Employer
Occupation Occupation
Time at current employer Years Months Time at current employer Years Months
2.1 ANZ MORTGAGE – LOAN APPLICATION
PERSONAL AND EMPLOYMENT DETAILS (P2 OF 2)
Page 5 of 15
PLEASE PHOTOCOPY FOR ADDITIONAL SECURITIES
SECURITY DETAILS – ONE SECURITY DETAILS – TWO
Security type Security type
Registered Mortgage 2nd Mortgage Guarantee Registered Mortgage 2nd Mortgage Guarantee
Other Other
Security given by Security given by
Current Address: Street (No. & Name) Current Address: Street (No. & Name)
Suburb State Suburb State
Postcode Country Postcode Country
Property Purchase
Off the Plan
Property Status
Y N
Y N
On Market Transaction Y N
Established
New
To be Built
Vacant Land
Property Tenure
Property Use
Owner Investment
Freehold Leasehold Other
Property Zoning
Commercial
Industrial
Residential
Rural
Rural Life
Rural Residential
Other
Property Type
Property Purchase Y N
On Market Transaction
Y N
Off the Plan
Property Status
Y N
Established
New
To be Built
Vacant Land
Property Tenure
Property Use
Freehold Leasehold Other
Owner Investment
Property Zoning
Commercial
Industrial
Residential
Rural
Other
Rural Life
Rural Residential
Property Type
Standard Residential Standard Residential
Studio / Warehouse Apartments Studio / Warehouse Apartments
Multi-dwellings on One Title Multi-dwellings on One Title
1 Bedroom small sized (<40m2) 1 Bedroom small sized (<40m2)
Hotel/Motel Re-Development (Residential-Strata Title) Hotel/Motel Re-Development (Residential-Strata Title)
University Apartments/Student Accommodation (>50m2) University Apartments/Student Accommodation (>50m2)
Rural Residential Housing/Rural Housing (>10 hectares) Rural Residential Housing/Rural Housing (>10 hectares)
Vacant Land Vacant Land
ACT Leasehold ACT Leasehold
Property Development Property Development
Company Title Units Company Title Units
Title Type
Title Details
Torrens Old Law
Security Value
Guarantee Amount
Title Type
Title Details
Torrens
Old Law
Security Value
Guarantee Amount
$ $ $ $
Contract of Sale Held Y N Contract of Sale Date Contract of Sale Held Y N Contract of Sale Date
Construction Loan Y N Construction Loan Y N
SOLICITOR DETAILS
Name Address
Company Suburb State
Phone Number Fax Number Postcode Country
2.2 ANZ MORTGAGE – LOAN APPLICATION
SECURITY DETAILS
Page 6 of 15
PLEASE PHOTOCOPY FOR SEPARATE PURPOSE
Portfolio – Please download and complete 2.3.1 ANZ Mortgage Distribution – Loan Application Portfolio Details and Sub-account selection.
LOAN DETAILS – ONE LOAN DETAILS – TWO
Product and Amount Product and Amount
$
years
years
$
years
years
Loan term sought (this loan) Loan term sought (this loan) Fixed Rate term (if applicable) Fixed Rate term (if applicable) Lock Rate Y N Progressive Draw Y N Lock Rate Y N Progressive Draw Y N
NOTE: Rate is not locked until payment of the Lock Rate Fee is received by ANZ NOTE: Rate is not locked until payment of the Lock Rate Fee is received by ANZ
Interest-Only term (if applicable)
years
Repayments frequency
Weekly Fortnightly Monthly
Frequency for RIL Interest-in-Advance only
Monthly
Statement cycle
Monthly
Quarterly
Half-yearly
Annually
Quarterly
Half-yearly
Interest-Only term (if applicable)
years
Repayments frequency
Weekly
Fortnightly Monthly
Frequency for RIL Interest-in-Advance only
Monthly
Statement cycle
Monthly
Quarterly
Half-yearly
Annually
Quarterly
Half-yearly
Security to Product (address) Security to Product (address)
OFFSET OFFSET
• Does the customer wish to link a current ANZ One (Offset) Account? • Does the customer wish to link a current ANZ One (Offset) Account?
Y
N If Yes, insert Account Number (if known)
Y
N If Yes, insert Account Number (if known)
FEE DISBURSEMENT FEE DISBURSEMENT
Capitalised Lenders Mortgage Insurance
(If you choose ‘Y’ the LMI will be automatically
Y
N
Capitalised Lenders Mortgage Insurance
(If you choose ‘Y’ the LMI will be automatically
Y N
added to the loan amount requested) added to the loan amount requested)
NOTE: All Bank, Security/Government fees and charges and Lenders Mortgage NOTE: All Bank, Security/Government fees and charges and Lenders Mortgage
Insurance (if applicable) will be deducted from the total loan amount requested Insurance (if applicable) will be deducted from the total loan amount requested and
and automatically disbursed at Settlement (unless Lock Rate selected). automatically disbursed at Settlement (unless Lock Rate selected).
REFINANCE DETAILS (IF APPLICABLE)
Other Financial Institution (OFI) Other Financial Institution (OFI)
OFI Account Number OFI Amount OFI Account Number OFI Amount
$ $
2.3 ANZ MORTGAGE – LOAN APPLICATION
LOAN SELECTION
LOAN DETAILS
Loan Purpose
Purchase Land
Purchase New Dwelling
Home Improvement
Bridging
Refinance
Construction
Supplementary
Debt Purchase (QLD only)
Purchase Established Dwelling
Other:
Description
LOAN TYPE
Owner Occupied
Loans in a company/Trust name
PRODUCT
Investment
Land
Standard Variable
Simplicity PLUS
Fixed Rate
Equity Manager – no cheque
Equity Manager
NOTE: Please specify product for split loan under Loan Details.
Total Amount Sought Approval in Principle Sought
$
Page 7 of 15
2.4 ANZ MORTGAGE – LOAN APPLICATION
ANZ BREAKFREE PACKAGE (P1 OF 3)
TO BE COMPLETED ONLY FOR ANZ BREAKFREE PACKAGE
This form must be completed in full to ensure efcient processing Application Number
Existing ANZ Breakfree Package Customer?
If Yes, add to existing package
OR
Open a new package (please complete below sections 1A, 1B and 1C)
For NEW BREAKFREE CUSTOMERS:
NOMINATION OF MANDATORY ACCOUNTS
I/We nominate the following Nominated Accounts, as specifed in section 1A, 1B and 1C. (Please note that each applicant under the ANZ Breakfree
Package must be an account holder (either jointly or alone) for at least one of the Nominated Accounts. Refer to the ANZ Breakfree Terms and
Conditions for full details.)
1A. NOMINATED LOAN ACCOUNT(S)
List all ANZ Home and Investment Loans held by the applicants (either individually or jointly), to be eligible for Total Lending Discounts on the
Nominated Loan Accounts being linked to the Package by this request.
Account Holder(s) Account Number(s) Current Loan Balance(s)
Total ANZ Mortgage Lending
1B. NOMINATED TRANSACTION ACCOUNT (PLEASE SELECT ONE)
Note: The Annual package fee will be charged to your Nominated transaction account once your loan is drawn. Transaction account must be ANZ
Access Advantage account, ANZ One account or ANZ Equity Manager facility.
I/We will need to open a new transaction account as part of this Package (please contact an ANZ Branch to organise; transaction account must
be opened before Settlement date).
OR
I/We will nominate the following ANZ Transaction Account as part of this Package.
Account Number Account Holder(s)
Optional ANZ Assured facility (please select one).
Usually we suggest ANZ Assured to provide cover for temporary expenses arising on your ANZ Everyday account. Is this what you are planning to use ANZ
Assured for? Yes No
1) I/We do not require an ANZ Assured facility OR already have an ANZ Assured facility.
2) I/We require an ANZ Assured facility with a credit limit of (please select one) $500 $1,000 and request that it be linked to the above account
3) If applying for the $1,000 limit and you do not meet the credit product requirements for the $1,000 limit you have applied for, do you consent
to being considered for, and if approved, issued with a $500 limit? Yes No, only consider me for a $1,000 limit and if declined, do not
consider me for a $500 limit.
I/We acknowledge that the ANZ Assured & Personal Overdraft – Terms and Conditions govern any use of an ANZ Assured facility. If ANZ accepts my/our
application for ANZ Assured, I/we understand that ANZ will provide me/us with these Terms and Conditions.
Page 8 of 15
2.4 ANZ MORTGAGE – LOAN APPLICATION
ANZ BREAKFREE PACKAGE (P2 OF 3)
1C. NOMINATED CREDIT CARD ACCOUNT – Note: To avoid delays in the receipt of credit cards, please ensure Option 1, 2 or 3 is completed IN FULL
Note: If you do not select a card account type below for Option 1 or Option 3, the ANZ Platinum account will be selected as your Nominated credit card account.
If you do not nominate a Primary Cardholder for Option 1 or Option 3, Applicant 1 will be selected as the Primary Cardholder.
New Card Account Required
Option 1
I wish to apply for the credit card account selected below, with the understanding that the minimum credit limit for any ANZ
platinum (including ANZ Rewards Travel Adventures) account is $6000 and an ANZ Rewards Black or ANZ Frequent Flyer Black
account is $15,000. My nominated amount for this card is $ , but I understand that I may only be approved
for the minimum credit limit for the credit card product selected, based on my application details. I understand that if my credit card
application is approved, ANZ may provide me with a credit card regardless of whether I choose to accept or decline a home loan letter
of offer. Any ANZ Breakfree package benefts associated with the credit card will only be available if I hold and continue to maintain
eligibility for an ANZ Breakfree package.
If you are making a joint application for ANZ Breakfree, you are requesting that your new credit card account be assessed based on the
joint fnancial situation of all applicants. By choosing to apply for this new credit card:
• each applicant agrees it is their intention for the credit card debt to be paid out of the joint income of the applicants; and
• the person applying for the new credit card account acknowledges that, despite the above arrangement, he/she will remain legally
responsible for the credit card account as the sole debtor.
To assist me to decide which ANZ Credit Card I would like to apply for I have read ANZ’s Information Sheet called “Key Facts About Our
Credit Cards”. I am applying for the following credit card:
ANZ Rewards Cards+
ANZ Frequent Flyer Cards +#
Low Rate Cards
Low Annual Fee Cards
ANZ Platinum Rewards
ANZ Frequent Flyer Platinum
ANZ Low Rate Platinum
ANZ Platinum
ANZ Rewards Black
ANZ Frequent Flyer Black
Our other low rate option, ANZ Low Rate,
is not available under the ANZ Breakfree
Package.
Our other low annual fee option, ANZ
First, is not available under the ANZ
Breakfree Package.
ANZ Rewards Travel Adventures
Our other Frequent Flyer option, ANZ
Frequent Flyer, is not available under the
ANZ Breakfree Package.
Our other Rewards option, ANZ Rewards,
is not available under the ANZ Breakfree
Package.
Remember, the annual account fee is waived on one eligible ANZ credit card while it is held under the ANZ Breakfree Package. You should consider this if you are intending
to keep the card as your nominated card under the ANZ Breakfree package.
+ An annual Rewards Program Services Fee of $55 (including GST) applies per cardholder for an ANZ Frequent Flyer or ANZ Rewards account. This fee is subject to change.
# You must be a member of the Qantas Frequent Flyer program to earn and redeem Qantas Points with your ANZ Frequent Flyer account. A joining fee may apply. Please call
Qantas on 13 11 31 if you are not a member.
If you are applying for a new ANZ Rewards Black or ANZ Frequent Flyer Black account, or are upgrading your existing account to an
ANZ Rewards Black or ANZ Frequent Flyer Black account, you may wish to be considered for the equivalent ANZ platinum product
if you don’t meet the ANZ Rewards Black or ANZ Frequent Flyer Black account’s credit and product requirements. Do you consent to
being considered for, and if approved, issued the equivalent ANZ platinum account in these circumstances? Yes No
Note: By completing this Breakfree Application form, you acknowledge that your credit card is subject to the ANZ Credit Card Conditions of Use.
Applicant’s Name Existing Qantas Frequent Flyer membership number#
Existing ANZ Credit Cardholders
Option 2
I hold a current ANZ Credit Card account and I nominate this account as my/our Nominated Credit Card Account.
Primary Cardholder
Visa/MasterCard Card Number
Option 3 I wish to upgrade to the credit card account selected below, with the understanding that the minimum credit limit for any ANZ
platinum (including ANZ Rewards Travel Adventures) account is $6000 and an ANZ Rewards Black or ANZ Frequent Flyer Black
account is $15,000.
I would like to apply for a credit limit increase to $ (only populate feld if a credit limit increase is required)
If my limit increase application is not approved (where requested), I nominate my current credit card (at the existing limit) as my
eligible credit card.
I confrm that my fnancial situation has not changed in the last three months and I can continue to afford the repayments on my
existing ANZ credit card account.
If you are making a joint application for ANZ Breakfree, you are requesting that your credit card account upgrade and/or credit limit
increase application be assessed based on the joint fnancial situation of all applicants. By choosing to apply for this credit card account
upgrade and/or credit limit increase application:
• each applicant agrees it is their intention for the credit card debt to be paid out of the joint income of the applicants; and
• the person applying for the credit card account upgrade and/or credit limit increase acknowledges that, despite the above
arrangement, he/she will remain legally responsible for the credit card account as the sole debtor.
I request you close my existing credit card and transfer the balance and any payment agreement/s to the card selected below and
nominate this as my eligible credit card under my Breakfree Package.
Page 9 of 15
2.4 ANZ MORTGAGE – LOAN APPLICATION
ANZ BREAKFREE PACKAGE (P3 OF 3)
I understand that my existing credit card account will be closed 14 days after ANZ receives this application or on activation of my
new card, whichever is sooner and I will not receive a fnal statement on my existing account.
I understand that it is my responsibility to re-direct any existing automatic payments to my new card account.
To assist me in my decision to upgrade my existing ANZ Credit Card, I have read ANZ’s information sheet called “Key Facts About Our
Credit Cards”. I would like to apply to upgrade my existing credit card account (specifed below):
Primary Cardholder Card Number
I want to upgrade to:
ANZ Rewards Cards+
ANZ Frequent Flyer Cards +#
Low Rate Cards
Low Annual Fee Cards
ANZ Platinum Rewards
ANZ Frequent Flyer Platinum
ANZ Low Rate Platinum
ANZ Platinum
ANZ Rewards Black
ANZ Frequent Flyer Black
Our other low rate option, ANZ Low Rate,
is not available under the ANZ Breakfree
Package.
Our other low annual fee option, ANZ
First, is not available under the ANZ
Breakfree Package.
ANZ Rewards Travel Adventures
Our other Frequent Flyer option, ANZ
Frequent Flyer, is not available under the
ANZ Breakfree Package.
Our other Rewards option, ANZ Rewards,
is not available under the ANZ Breakfree
Package.
Remember, the annual account fee is waived on one eligible ANZ credit card while it is held under the ANZ Breakfree Package. You should consider this if you are intending
to keep the card as your nominated card under the ANZ Breakfree package.
+ An annual Rewards Program Services Fee of $55 (including GST) applies per cardholder for an ANZ Frequent Flyer or ANZ Rewards account. This fee is subject to change.
# You must be a member of the Qantas Frequent Flyer program to earn and redeem Qantas Points with your ANZ Frequent Flyer account. A joining fee may apply. Please call
Qantas on 13 11 31 if you are not a member.
If you are applying for a new ANZ Rewards Black or ANZ Frequent Flyer Black account, or are upgrading your existing account to an ANZ
Rewards Black or ANZ Frequent Flyer Black account, you may wish to be considered for the equivalent ANZ platinum product if you don’t meet
the ANZ Rewards Black or ANZ Frequent Flyer Black account’s credit and product requirements. Do you consent to being considered for, and if
approved, issued the equivalent ANZ platinum account in these circumstances? Yes No
Customers wishing to transfer from an ANZ Visa PAYCARD, ANZ Rewards Visa PAYCARD, or ANZ Everyday Visa Debit account are unable to use
option 3 of this form as these accounts are not eligible. A new eligible account can be opened if option 1 is completed.
Any ANZ CreditCover Insurance Policy applicable to your existing card account will apply to your new credit card account.
Note: By completing this Breakfree Application form, you acknowledge that your credit card is subject to the ANZ Credit Card Conditions of Use.
Unused Points
Any unused Reward Points must be used within 60 days of the date of closure. Remaining unused Reward Points will be cancelled after that period.
Any unused Qantas Points will automatically be credited to your Qantas Frequent Flyer account unless you have not provided ANZ with your Qantas
Frequent Flyer number. ANZ must receive your Qantas Frequent Flyer membership number within 60 days after the date of closure, or any Qantas
Points in the Points Record as at that date will be cancelled and may not be credited to a Qantas Frequent Flyer program account.
Additional Cardholders Only complete if you wish to include an additional cardholder for your Nominated Credit Card Account (any existing additional
cardholders will be automatically transferred to your new account).
I have read and understood this application including the Declarations and Terms and Conditions
Signature Name Date
Please Note: A Credit Card Key Facts Sheet should have been included with this document. To view, visit www.anz.com or contact us on 13 22 73.
Page 10 of 15
2.5 ANZ MORTGAGE – LOAN APPLICATION
PERSONAL STATEMENT OF FINANCIAL POSITION
NAME(S)
ASSETS
Present value
ANZ account(s) Total $
Other financial institution account(s) Total $
Other Cash Assets (Bonds) $
Shares $
Property Assets (list Address & Value)
$ $ $
Total Property Assets
$
Contribution paid to deposit on property $
Total Number of Motor Vehicles
Total Value of Motor Vehicles
No.
$
Superannuation
$
Total Other Assets (eg insured value of contents
and valuables, boat etc) – please specify
Total
$
Total assets
INCOME (AVERAGE MONTHLY)
(1) $
Base salary
Income earner 1
Income earner 2
Other income
Gross (p.a)
Net (p.m.)
$ $
$ $
Regular overtime $
Government benefits/ pension $
Part–time/ casual employment $
Dividends/ Interest $
Commission $
Rent received $
Other – please specify
$
$
$
Total net monthly income (3) $
DATE
LIABILITIES
Limit(s) Current outstanding
ANZ Home Loan
$
ANZ Investment Loan
$
ANZ Overdraft
$
ANZ Personal Loan
$
OFI* Home Loan
$
OFI* Investment Loan
$
OFI* Overdraft
$
Credit / Store Cards $
Other liabilities
Due
Outstanding taxation $
Other – please specify
$ $
Total liabilities (2) $
Total assets
Less Total liabilities
Net assets
(1)
(2)
(=1–2)
$
$
$
A separate Statement of Financial Position must be completed by
each applicant.
Married or Defacto applicants have the option to complete a Joint
Statement of Financial Position. A separate Statement of Financial
Position needs to be completed for Guarantors.
*OFI = Other Financial Institution
ALL AREAS MUST BE COMPLETED BY CUSTOMER / PLEASE PHOTOCOPY FOR ADDITIONAL APPLICANTS
Non-continuing liability
Page 11 of 15
2.5 ANZ MORTGAGE – LOAN APPLICATION
PERSONAL STATEMENT OF FINANCIAL POSITION
EXPENDITURE (AVERAGE MONTHLY)
Credit commitments
Loan repayment for this facility
Loan repayment for loan sought $
Loan repayment for other ANZ loans
Combine all repayments for ANZ $
Home/Investment loans, Personal Loans
Loan repayment for OFI* loans
Combine all repayments for OFI $
Home/Investment loans and Personal Loans
including all other non-ANZ loans
Credit/store cards
$
Total Credit Commitments (A)
Living Expenses
$
Childcare / Public Education
$
Childcare including nannies. Public education
fees and associated costs (preschool, primary,
secondary) including books and uniforms
Clothing and Personal Care $
Clothing, footwear, cosmetics, personal care
Groceries
$
Typical supermarket shop for groceries including
food and toiletries
Medical and Health
$
Medical and health costs including doctor, dental,
optical and pharmaceutical
Owner Occupied Property Utilities, $
Rates and Related Costs
Rates, taxes, levies, body corporate and strata fees,
repairs and maintenance, home and
contents insurance, other household items and utilities
Recreation and Entertainment
$
Recreation and entertainment including alcohol,
tobacco, gambling, restaurants, membership fees,
pet care and holidays
Telephone, Internet, Pay TV and $
Media Streaming Subscriptions
Telephone accounts (home and mobile), internet,
pay TV and media streaming subscriptions
(such as Netflix and Spotify)
Transport $
Public transport, motor vehicle running costs
including fuel, motor vehicle insurance, servicing,
parking and tolls
Total Living Expenses (B) $
Other Commitments
Child Maintenance
$
Child Maintenance/Child Support payments
Insurance
$
Includes health, life and income protection
(excludes home and contents and car insurance
as they are categorised separately)
Private Education
$
Private education fees and associated costs
(preschool, primary, secondary and tertiary)
including books and uniforms etc.
Other
$
Unique items not covered in above categories
(e.g Cleaner, Gardener, Gifts, Overseas Travel, Donations)
Total Other Commitments (C) $
Rent/Board (if continuing) (D) $
Rent or board expense if continuing
at drawdown of loan
Total net monthly expenditure (4) $
(=A+B+C+D)
Total net monthly income
less Total net monthly expenditure
Uncommitted monthly income
(3)
(4)
(=3–4)
$
$
$
ALL AREAS MUST BE COMPLETED BY CUSTOMER / PLEASE PHOTOCOPY FOR ADDITIONAL APPLICANTS
DECLARATION OF SIGNATURE
I/ We declare that the details contained within this Personal Statement of Financial Position are true and correct.
Signature of Applicant/Guarantor Dated (DD/MM/YYYY) Signature of Applicant/Guarantor Dated (DD/MM/YYYY)
SEPARATE STATEMENT OF FINANCIAL POSITION TO BE COMPLETED BY EACH APPLICANT UNLESS MARRIED OR DE FACTO
Non-continuing liability
Page 12 of 15
ANZ MORTGAGE BROKER DISTRIBUTION
– LOAN APPLICATION
APPLICANT/GUARANTOR DECLARATION
In the following Declaration ANZ is Australia and New Zealand Banking Group Limited ABN 11 005 357 522 Australia Credit Licence Number 234527 and each of its
related companies (incl subsidiaries). Throughout the Declaration, Qantas is Qantas Airways Limited ABN 16 009 661 901.
Collection of your information
ANZ is collecting your personal information to enable it to assess this application and for the purposes described in the product terms and conditions. Without
this information ANZ may not be able to consider or approve your application.
ANZ may also collect your personal information from a credit reporting body for the purposes of assessing your application.
Where you are a prospective guarantor, ANZ is collecting your personal information to enable it to assess you as a guarantor for an application for credit. You also
agree that ANZ may collect information about your credit history from a credit reporting body to assist us in assessing whether to accept you as a guarantor.
Disclosure of your information
You agree that ANZ may disclose your personal information (which may include information about your credit history obtained from a credit reporting body) to:
• any person who introduces you to ANZ, including the ANZ Approved
Originator submitting this Loan Application to ANZ;
• any agent, contractor or service provider ANZ engages to carry out or assist
its functions and activities;
• an organisation that assists ANZ to identify, prevent or investigate any
fraud, unlawful activity or misconduct (or suspected fraud, unlawful
activity or misconduct);
• your employer;
• another credit provider to assess a credit application made by you (to ANZ
or the other credit provider) or to investigate suspected fraud on your
account (held with ANZ or the other credit provider);
• valuation service providers for the purpose of them obtaining a property
valuation as required by ANZ and who may combine your property
information with other information in their databases to improve their
services;
• your referee;
• your joint borrower(s) or account holder(s);
• any related entity of ANZ;
• a guarantor or intending guarantor, to enable that person to consider
whether or not to act your guarantor; and
• any person who has offered, or is considering whether to offer, property as
security for your credit product.
ANZ may disclose information to recipients (including service providers and related entities) which are (1) located outside Australia and/or (2) not established
in or do not carry on business in Australia. You can find details about the location of these recipients in ANZ’s Privacy Policy and at www.anz.com/privacy.
Promotion of other products or services
ANZ may use your personal information to help ANZ promote its products or services or those of its related entities or organisations that are in a product or
marketing alliance with ANZ (alliance partners). ANZ may also disclose your personal information to its related entities or alliance partners to enable them or
ANZ to tell you about a product or service.
Where you do not want ANZ to tell you about its products and services or those of its related entities or alliance partners, you may call 13 13 14 at any time to
withdraw your consent.
Approved Originator
ANZ may also disclose any information about your credit arrangement (including your current loan balance) to the Approved Originator or their nominated
representative, its officers and any successor for the purposes of furthering your application; enabling the Approved Originator to ascertain when it is entitled to
a trailer fee (being an ongoing fee for the term of the loan) or calculate its trailer fee; or for any other reasonable purpose including post settlement activities.
Qantas (Breakfree Customers only)
ANZ may disclose your information to Qantas and Qantas may, in accordance with the Qantas Frequent Flyer terms and conditions, disclose your personal
information to any service provider Qantas engages to carry out or assist its functions and activities, use your information to plan, research, market and
promote its products and services or those of its related companies and may disclose your personal information to ANZ’s alliance partners to enable them or
Qantas to market their products or services.
Credit Reporting
ANZ may also disclose your information, including information about your other credit liabilities, repayments and defaults, to credit reporting bodies
Information about credit reporting, including: the name and contact details of these credit reporting bodies; when ANZ may disclose your information to
them to include in a report about your credit worthiness; and how you can request credit reporting bodies not use your information in certain circumstances,
is available at www.anz.com/privacy. For a hard copy of this information, please call 13 13 14 or visit any ANZ branch for a copy of ANZ’s Privacy Policy.
Privacy Policy
ANZ’s Privacy Policy (www. anz.com/privacy) also contains information about:
• any laws that require or authorise ANZ to collect certain information from you;
• the circumstances in which ANZ may collect your information from other sources (including from a third party);
• how to access your information and seek correction of your information; and
• how you can raise concerns that ANZ has breached the Privacy Act or an applicable Code and how ANZ will deal with these matters
Further information
Your product terms and conditions booklet and our ANZ Privacy Policy contain further information about our handling of the information we collect during
the course of your relationship with ANZ.
If you have provided information about someone else, please show them a copy of this clause so that they may understand how ANZ may use and disclose
their information.
Page 13 of 15
Nomination for Correspondence – under the National Credit Code for a Credit Contract
Important information for people completing this declaration: Each debtor is entitled to receive a copy of any notice or other document under the National Credit Code. By
completing this declaration, I am/we are giving up the right to be provided with information direct from ANZ. Any person who has signed this form can advise ANZ at any time in
writing that they wish to cancel their nomination.
I/We nominate (full name of person nominated)
Print address of nominated party
Description of Credit (loan type and amount)
to receive notices and other documents under the National Credit Code on behalf of me/all of us.
DECLARATION SIGNATURE
Declaration required in respect of all products applied for pursuant to this application. It is to be signed by all applicants and intending guarantors.
My/Our signature below evidences my/our understanding and consent to all matters set out in this application and this declaration. By signing below,
I/we consent /authorise and acknowledge the following:
• ANZ to confirm the details contained in my/our Loan Application with my/our accountant, financial adviser or employer. A copy of this acknowledgement
page may be given to my/our accountant, financial adviser or employer as evidence of my/our consent to them confirming with ANZ any of the details in
my/our Loan Application.
• I/We have not relied upon any representation or warranty made by the ANZ Approved Originator named on page 1 before submitting this Loan Application.
• That an Approved Originator is not an agent and acts independently of ANZ. If I/we require any information regarding the loan product which is the subject
of this Loan Application or any other loan products of ANZ then I/we can contact ANZ directly.
• Confirm that the information contained in, and accompanying, the Loan Application (including all information submitted online and any information
contained in the Personal Statement of Financial Position) and all the information provided by me/us to the ANZ Approved Originator, is true, correct and
complete and given in support of this application and that any documents provided containing financial information are true copies of the final signed
versions of the original documents.
• Where the ‘Nomination for Correspondence’ has been completed, by signing this Declaration I/we agree to the nominated person receiving notices and
other documents under the National Credit Code on behalf of me/us.
• Supporting loan documentation may be sent/received via Online Document Submission in the Broker Portal, electronic mail or via fax.
Please tick this box and sign below if you wish to consent to ANZ communicating with you via email or by sending you a link to access information. This means that
paper documents may no longer be sent to you. You may withdraw your consent at any time and should regularly check electronic communications for notices.
Password for eDocuments Customer Email Address
To meet ANZ Security Standards passwords must be: 8 Digits, at least 1 capital and lower case alphabetic character, at least 1 number and 1 non-alphabetic
character (12Av45j!).
Applicant/Guarantor
Print Name
Co-applicant/Guarantor
Print Name
Signature Date Signature Date
Co-applicant/Guarantor Co-applicant/Guarantor
Print Name Print Name
Signature Date Signature Date
Witness Signature (ANZ Approved Originator) I confrm the information contained within this application is true and correct.
Print Name Signature Date
3 ANZ MORTGAGE – LOAN APPLICATION
APPLICANT/GUARANTOR DECLARATION (P2 OF 2)
Page 14 of 15
Please complete the following section if you are opening i) a Breakfree package with a new Credit Card; and/or ii) an Equity Manager Account.
Tax regulations require ANZ and its Controlled Entities (“ANZ”) to collect a Self-Certifcation that includes your tax residence(s). ANZ may be required to provide
your information to relevant tax authorities (including where you do not provide a valid Self- Certifcation).
Automatic Exchange of Information may include the Foreign Account Tax Compliance Act (FATCA), and the Common Reporting Standard (CRS).
Before you begin:
(a) Complete this Self-Certifcation: If you are an Individual Account Holder, Sole Trader or Sole Proprietor. For joint or multiple Account Holders each Individual
Account Holder must complete a separate Self-Certifcation.
(b) Refer to the Australian specifc terms/information at www.anz.com/aeoi
(c) Obtain tax/legal/other professional advice (if required) before you complete this Self-Certifcation and sign Section 3
Section 1: Account Holder Details
1.1 Full Name
First or Given Name(s) Surname
1.2 Residence Address (Do not provide a PO Box or in-care-of Address)
Address Line 1 Province/State/County
Address Line 2 Postal Code/Zip Code
City/Town Country
1.3 Date of Birth
(DD/MM/YYYY)
Section 2: Account Holder Tax Residence(s)
(Please note, US Citizens are considered to be Tax Residents of the US).
2.1 I confrm:
a) I am only Tax Resident in Australia OR
b) I have included below all countries in which I am Tax Resident (other than Australia).
Country of Tax Residence
(Do not include Australia)
Tax payer identification number (TIN)
(or country equivalent)
Reason Code
(if TIN not provided)
Explanation
(only if Reason code is “Z”)
Reason codes:
A – TIN Not Issued (The Country does not issue TINs) B – TIN Not Required (The Country does not require collection of a TIN)
C – TIN Applied For (I have applied for a TIN and will inform you upon receipt) Z – TIN Unobtainable (I am unable to obtain a TIN) Please provide explanation.
Section 3: Declarations and Signature
I certify that:
1. I am the Account Holder and/or authorised to sign/disclose for the Account
Holder.
2. I have consulted an independent advisor where necessary and acknowledge
that ANZ has not provided any advice.
3. I will notify ANZ of changes to any information (including TIN changes)
within 30 days of the change occurring and, where required, will provide
ANZ with a new Self-Certifcation.
4. I have attached all relevant documents (eg. Power of Attorney).
5. I have provided true, correct and complete information.
6. I will provide ANZ with any additional information and/or documentation as
requested.
7. I understand that provision of false, inaccurate or incomplete information
may constitute an offence(s) and penalties may apply.
Signature Name Date
Ofce Use Only
(Please print frst and last name) (DD/MM/YYYY)
4 INDIVIDUAL SELF-CERTIFICATION
Page 15 of 15
5 ANZ MORTGAGE BROKER DISTRIBUTION
– LOAN APPLICATION
FOR BROKER USE
The following documents are required for ANZ to assess and provide a decision for the specifc loan application. Please check the appropriate box to confrm the
required documents are enclosed with the application. You must sight all original documents (whether in paper or electronic form) before submitting them to
ANZ. Original documents in electronic form comprise documents received by the customer in that form.
Please ensure all Tax File numbers are effectively removed or blacked out from all documents before submitting to ANZ.
Note: Under NCCP, the supporting loan documents are only valid up to a maximum of 120 days. (Dependent on the loan purpose)
Please refer to the ANZ Originator Web Site: www.anz-originator.com.au for more information.
LOAN APPLICATION
• All relevant pages of the ANZ Mortgage Broker Distribution Application Kit
VALUATION FORMS
• Valuation Report, where required
PAYG INCOME (please supply any one of the following options):
• One payslip confirming at least 3 months YTD figures (no more than 60
days old; must be consistent with annual income; not handwritten); or
• Wages credited to a transaction account for the last 3 months, verified
by supplying the ANZ account number or copies of OFI (Other Financial
Institution) bank statements with at least one being a copy of an original
statement with Internet statements being acceptable for the others.
SELF EMPLOYED INCOME/COMPANY INCOME
• Evidence is required in the form of copies of personal and all associated
company/trust/ partnership tax return for the most recent financial
year, accompanied by ATO assessment notices (most current year’s
figures no more than 18 months old).
RENTAL INCOME (ONE OF THE FOLLOWING)
• Tax Return (as long as the property is still held)
• Lease Agreement
• Rental Statements issued by the managing real estate agent
(revealing stable payments over past 3 months)
• Real Estate Agency Letter (used in conjunction with the Rental
Confirmation Tool*)
• Valuation from ANZ Authorised Valuer confirming Rental Income
IDENTIFICATION PROCEDURE
• Complete applicable Customer Identification Process at ANZ Branch
prior to settlement (if you do not have an existing account).
CONFIRMATION OF EQUITY
• Copy of bank statements, receipts, accounts etc. confirming
equity of applicant(s)
LOANS IN COMPANY NAME
• Business Entity Application Form
• Guarantor’s Checklist
GUARANTOR
• Copy of Guarantor’s Checklist
LOANS WITH LENDERS MORTGAGE INSURANCE (LMI)
• Copy of bank statements for past 3 months showing 5% genuine savings^
PURCHASE
• Full Copy of Contract of Sale*
• Copy of Foreign Investment Review Board Certificate* (if applicable)
REFINANCE
• Copy current 3 months loans statements^
• Copy of Foreign Investment Review Board Certificate* (if applicable)
CONSTRUCTION
• Full Copy of Contract of Sale*
• Copy of Foreign Investment Review Board Certificate* (if applicable)
• Copy Fixed Price Building Contract* OR Builders Permit
• Copy Council approved plans*
• Tentative on Completion (TOC) Valuation*
• Copy of Builder’s Insurance*
OWNER/BUILDER
• Full Copy of Contract of Sale*
• Copy of Foreign Investment Review Board Certificate* (if applicable))
• Copy Council approved plans OR Builders Permit
• Break-up of construction costs
• Quotations supporting construction costs
• Copy of Housing Guarantee and/or domestic insurance policy*
• Copy of Insurance Policy document for Residential Property Insurance*
OWNER/BUILDER CHECKLIST
• Detailed costings held
• Completed similar project in last 2 years
• Works in the building industry
• First time builder with minimum experience
• 10% of loan amount held as cash in the bank
*Not compulsory with the initial application, but are required by ANZ prior to providing an unconditional decision.
^Last statement must be from within 60 days; transaction listings not acceptable. Internet statements are acceptable.
Australia and New Zealand Banking Group Limited (ANZ) ABN 11 005 357 522. Australian Credit Licence Number 234527. Item No. 9600 10.2017 W584562

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