Loan Purpose: *
Existing Holding - Land & Construction Loan Proposed Purchase - Land & Construction Loan Other

Timing For Loan: *
Need Funds within 30 Business Days Need Funds withing 60 Business Days Need Funds in 60 Business Days Plus

Estimated $ Total-Loan-Amount Sought: *
$  . 

Property Type: *
Residential Land Development (i.e. Sub-Division) Residential Dwellings Development - Low Density Residential Dwellings Development - Med. Density Residential Dwellings Development - High Density Resort or Tourist Accomodation Development Retail / Shopping Centre Development Commercial Office Development Mixed Use High End Residential Property (i.e. $2M plus) Major Development - (i.e. $50M plus)

Estimated $ As-Is-Value of Property (Ex GST): *
$  . 

Address of Property:
Street Address
Address Line 2
City	State
Post Code	Country

Status of Property(s): *
Vacant Land with DA Vacant Land with DA / BA or CC Vacant Land with DA Subject to Reconfiguring a Lot Vacant Seabed with DA / BA or CC Partially Complete Residential Development Partially Complete Office Building Development Partially Complete Shopping Centre Marina Complex with DA Other

Estimated $ Gross-Realisable-Value (GRV) of Development (Ex GST):

Estimated $ Costs-to-Complete Development (Ex GST):

Current $ Value of Existing Mortgages / Caveats or $ Purchase Price (Ex GST): *
$  . 

Status of Mortgage(s): *
Deposit Only Paid Interest Prepaid for 3 Months Interest Prepaid for 6 Months + Current or Up-To-Date Slightly in Arrears 1 Month in Arrears 2 or More Months in Arrears Mortgagee Legal Action Pending Mortgagee in Possession Subject to Misc. Court Order 1st Mortgage Matured 2nd Mortgage Matured

Structure of Mortgage(s):
Subject to Contract Ist Mortgage (only) Cross Collateralised 1st Mortgage Cross Collateralised 2nd Mortgage Cross Collateralised 1st & 2nd Mortgage Non Recourse 1st Mortgage

Full Details of All Loan Applicant(s) & Guarantor(s): *

Credit History Status:
Clear CRAA Minor Defaults on CRAA Major Defaults on CRAA Currently Subject to Insolvency Arrangement Discharged Bankrupt

Contact Information:

Name *

Title	First Name	Last Name	Suffix

Address:
Street Address
Address Line 2
City	State
Post Code	Country

Contact Number: *

Email Address: *