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Mortgage Loan Application

You can apply for a mortgage secured loan using the application form below and submitting it electronically within our secure environment

A Community CPS representative will contact you to arrange to obtain a payslip and for you to sign the application. Should you have any difficulties while completing your application please call our Call Centre on 02 6286 0555.

You can also obtain an instant letter confirming your estimated borrowing power, by providing us with a few simple details. Click here to obtain this letter.
Member Number:
Preferred Community CPS Branch:
Application No.: __________________________
(staff to complete)

Surname:
 Other Names:
Telephone (H):
 Telephone (W):
Email:
Occupation:
Marital Status:
Married Single Divorced
Other:
Date of Birth:
Drivers License No.:
 Expiry Date:

Amount of Loan: $
Purpose of Loan:
PRIME PURPOSE FOR THE LOAN
Business or Investment Purposes
Personal, Domestic or Household Purposes
Loan Type:
Owner-Occupied Home Loan Extension/Renovation to Home Investment Mortgage Loan
Other    
Enter the corresponding 'L' Type (if known):
If loan is to purchase a property, please complete:
Property Location (suburb):
 1st Home Buyer:
YesNo
Purchase Price: $
 Dwelling:
Existing New		  
Security Offered for this Loan
Address of security:
Full Description of Property:
Block:
 Section:
 Suburb:

Current Residential Address:
Residential Status: I/We
Own the property Buying the property Renting Boarding Living with parents
Length of Residence:
If under 3 years, previous address:
Previous Residential Status: I/We
Own the property Buying the property Renting Boarding Living with parents
Length of Residence:
Number of Dependants:
 Ages:
Name and address of a relative not living with you:
Relationship:
 Telephone:
Name and address of a friend not living with you:
  Telephone:

Employer:
Address:
Length of Service:
If service under 3 years, previous employer and address:
Occupation:
 Length of Service:

Joint Application
Spouse's Full Name:
Date of Birth:
Drivers License No.:
Employer:
 Occupation:
Employer's Address:
Work Telephone:
 Length of Service:
If service under 3 years, previous employer and address:
Occupation:
 Length of Service:

Annual Salary
Self: $
Spouse: $
Gross Wage
Self: $
Spouse: $
Other Income
Self: $
Spouse: $
 
Nature of Employment
Self:
Full Time		 Spouse:
Full Time
Part Time Part Time
Casual Casual
Contract
Term:
 Contract
Term:
Other
Specify:

 Other
Specify:

Liabilities
 
Repayment
Amount $
  
Balances
Owing $
Approved
Credit Limit $
Payable to
Name and Branch
Home Repayments
Rent and Bond  
Other Mortgages
Car Loan  
Personal Loan  
Other Personal Loans  
Bankcard
Credit Cards
Store Accounts
Child Maintenance/Care  
Other  

List of Assets
  Estimated Value $ Description/Location
Residence
(House, Home, Unit etc.)
Other Property/Land
Motor Vehicle  
Savings  
Other Assets:    

Current Motor Vehicle Details
Make:
 Model:
 Year:
Make:
 Model:
 Year:

Have you been bankrupt or entered any scheme of arrangement with your creditors or have any judgements, orders or garnishes been made against you for debts?
Yes No
If yes, please give details:


I/We declare that the information stated within the application is true and correct in every particular.
Signature of Member:
 Date:
Signature of Member:
 Date:
NB If submitting this loan application electronically via our website, we will contact you shortly to arrange for you to sign above.

PRIVACY PROTECTION OF INFORMATION
Privacy Act 1988
Please read carefully

Application for Credit
IMPORTANT NOTICE TO APPLICANT(S) FOR CREDIT, (SECTION 18E (8)(c) Privacy Act 1988)

The Credit Union may give information about you to a credit reporting agency, but only limited kinds of information allowed by the Privacy Act 1988 (Commonwealth). This includes:

  • identity particulars - this only includes your name, sex, date of birth, current known address, two immediately previous addresses, your current or last known employer, and your driver's licence number.
  • payments overdue for at least 60 days, when the Credit Union has taken steps to recover.
  • cheques for an amount greater than $100, drawn by you which have been dishonoured more than once.
  • the fact that you have applied for credit and the amount.
  • the fact that the Credit Union is a credit provider to you.
  • advice that payments are no longer overdue.
  • the opinion of the Credit Union that you have committed a serious credit infringement.
  • when the credit provided to you has been discharged.

STATEMENT BY APPLICANT(S) FOR CREDIT
Please read carefully before signing.
Where more than one applicant, each applicant to sign.

1. Type of Credit
The credit I am applying for is:
For a domestic, family or household purpose (consumer credit).
OR
For another purpose (commercial credit).

2. Giving information to a Credit Reporting Agency
(SECTION 18E(8)(c) Privacy Act 1988).
The Credit Union has informed me that it may give certain personal information about me to a credit reporting agency. I understand that the Credit Union can only give limited kinds of information which are set out in the Privacy Act 1988 and examples of which are listed above.

3. Exchanging Information with other Credit Providers
(SECTION 18N(1)(b) Privacy Act 1988).
I agree to the Credit Union checking personal information about me with any credit provider named in my credit application, and with other credit providers that may be named in a credit report issued by a reporting agency, for any of the following purposes:

  • to assess my credit worthiness
  • to notify a default by me
  • to assess an application by me for credit
  • the collection of overdue payments
  • to help me avoid defaulting on my credit obligations

I understand that this information can include any information about my credit worthiness, credit standing, credit history or credit capacity that credit providers are allowed to give to or receive from each other under the Privacy Act 1988.

4. Access to Commercial Credit Information
(SECTION 18L(4) Privacy Act 1988).
For the purpose of assessing my application for credit, I consent to the Credit Union obtaining a report containing information about my commercial activities or commercial credit worthiness, from a business which provides information about the commercial credit worthiness of persons.

5. Access to Consumer Credit Information for a Commercial Credit Application
(SECTION 18K(1)(b) Privacy Act 1988).
If my application is for commercial credit, I consent to the Credit Union, in order to assess my application, obtaining from a credit reporting agency a credit report about me containing consumer credit information.

Name of applicant:
Signature:
 Date:
Name of joint applicant:
Signature:
 Date:
NB If submitting this loan application electronically via our website, we will telephone you to provide us with a "verbal" privacy consent or arrange for you to sign the above consent at a time convenient for you.


Consumer Credit insurance is available should you die, become ill, unemployed or have an accident.
Please select your options.
Life insurance against death.
OR
Full loan repayment protection against sickness, accident and unemployment.
OR
Part loan repayment protection - sickness and accident only.
OR
No protection, do not require any insurance.
Please select your insurance options from the those above.
WARNING : Completion of this information does no constitute automatic insurance cover. Insurance cover is subject to loan approval and becomes effective once the insurer accepts your proposal and the insurance premium is paid.

Further information you may need to supply to assist your loan application as well as information about how your loan will be assessed, is available by clicking here


CPS Credit Union Co-operative (ACT) Limited
ABN 31 087 649 670