Our Ref:If you have received correspondence from us, please insert our reference details.Client (Primary Contact):* First Last Contact Telephone / Mobile No.*Address of Property Being Purchased*Settlement Date on Contract Date Format: DD slash MM slash YYYY Have you applied for/obtained finance to complete purchase?*YesNoName of Financier & BranchLoan No. (if available)If you don't have a loan number at this stage, you must provide us with a customer reference number or a BSB and account number. Without these details, we cannot liaise with your financier.Person to contactContact Telephone No. and/or Email addressAvailability of Purchase FundsIs your availability to provide funds needed to complete this purchase dependent upon any event or matter not disclosed in the contract (e.g. finalisation of a court claim, settlement of the sale of any other property, etc)? If yes - please telephone us immediately with details.YesNoOtherResidential Status*An Australian citizenA New Zealand citizenA person holding a Permanent Residency in Australia VisaIf none of the above, please notify us immediately.Buyer 1 - Name & Date of Birth*Buyer 2 - Name & Date of BirthBuyer 3 - Name & Date of BirthBuyer 4 - Name & Date of BirthIf more than one buyer - Co-TenancyUnder a "joint tenancy" a deceased's share in the property will pass automatically to the survivor, regardless of what is directed under the deceased's will. Under "tenancy in common" the deceased's share would pass in accordance with the terms of the deceased's will.Joint TenantsTenants in CommonIf Tenants in Common, in what shares?First Home Buyer?*Is this your first purchase of a house, land or unit in Australia? If yes, please telephone us on (07) 5539 9688 to advise.YesNoIntended Usage*Property InvestmentPrincipal Place of ResidenceIs there a revetment wall, training wall, jerry or pontoon on or attached to the property?*YesNoDo you want us to order you a Duplicate Certificate of TitlePlease note: the Registrar of Titles no longer automatically issues Titles to each new Purchaser of a Property. They must now be expressly applied for.YesNoForwarding Address*Please advise your forwarding address once this matter has been completed (if applicable)CommentsThis field is for validation purposes and should be left unchanged.