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MF CNA and Prelim Assessment 2010-11-30

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MF CNA and Prelim Assessment  2010-11-30 Powered By Docstoc
					                                                                                   MEMBERS FIRST BROKER NETWORK PTY LTD
                                                                                            Australian Credit Licence 383435
                                                                                                        Phone 03 8888 6000
                                                                                                           Fax 03 9277 7451




CLIENT NEEDS ANALYSIS AND
PRELIMINARY ASSESSMENT

This Confidential Questionnaire is an important document, because it helps your Members First Representative gather
information about you: your current situation, current and future financial needs and what you ultimately hope to achieve in
the future. Without this information, it won’t be possible for your Representative to create the plan that takes into account
all of these factors. Not only is this good practice, it is also a legal requirement and we accept no liability for any advice given
on the basis of inaccurate or incomplete information.

There is also legislation requiring your Representative to take your confidentiality seriously. However, we may disclose your
personal information to lenders, managers, contractors or third party service providers to whom we may outsource services.
We may also gather health information about you and disclose it to insurers as necessary to organise insurance cover for you.

We may also use your personal information to tell you about other products and services available from other related
companies. Please contact your Representative if you do not consent to us using or disclosing your personal information in
these ways. It is important that you contact us because by appointing Members First as your Representative, you will be
taken to have consented to these uses and disclosures.

In most cases, you can gain access to the personal information that your Representative holds about you. We aim to ensure
that the personal information we retain about you is accurate, complete and up to date. To assist us with this, please contact
us if any of your details change. If you have concerns about the completeness or accuracy of your information, we will take
steps to correct it


 Interview Date                                                           Next Interview Date


 Members First
                                                                          Referred By
 Representative




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Personal Details
                                                                           Client 1                                          Client 2
 Title
 Given Name(s)
 Surname
 Gender                                             Male  Female                                      Male  Female
 Date of Birth
 Drivers Licence No + Expiry                       No.                           Expiry   /    /       No.                       Expiry   /   /
 Marital Status
 Status                                             Citizen  Permanent Resident                       Citizen  Permanent Resident
 Client Type                                        Individual         Company  Trust                Individual      Company  Trust
 First Home Buyer                                   Yes             No                                Yes           No
 Current Residential
 Address


 Status                                               Renting         Own/buying  Boarding            Renting       Own/buying  Boarding
           Date there since:
 Previous Address
 (if less than 3 Years)


 Status                                               Renting         Own/buying  Boarding            Renting       Own/buying  Boarding
           Date there since:
 Postal Address


 Telephone (Home)
 Telephone (Work)
 Mobile
 Facsimile
 Email
 Preferred Method of Contact
 Conveyancer/Solicitor                             Name:                                                     Phone:

                                                   Address:
 Accountant                                        Name:                                                     Phone:

                                                   Address:

 Dependants
                                   Date of Birth /                                    Financially   Number of Years
 Name                                                             Relationship                                          Notes
                                        Age                                           Dependant       to Support
                                                                                         Yes
                                                                                         No
                                                                                         Yes
                                                                                         No
                                                                                         Yes
                                                                                         No
                                                                                         Yes
                                                                                         No


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Company Borrower Details


 Company Name or
 Trading Name
 ABN or ACN                                                                                        Date of Incorporation

 Principal business
                                                                                                         No of Directors
 activity

 Business Structure                                 Sole Trader          Partnership  Company
 Is the Company a
                                                    No            Yes – Name of Trust:
 Trustee?
 Trading Address




           Date there since:

 After Settlement
 Trading Address:


 Registered Address
 (if different to trading
 address)

 Postal Address
 (if different to trading
 address)


 Company Contact
 Contact Name
 Telephone (Home)
 Telephone (Work)
 Mobile
 Facsimile
 Email




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Employment Details
                                                                              Client 1                                    Client 2
 Employment Status                                         Fulltime / Casual / Perm PT / Self Employ   Fulltime / Casual / Perm PT / Self Employ
 Commencement Date                                                 /       /                                    /         /
 Position Title
 Employer / Company Name

 Employer Address



 Payroll Phone Number
 Previous Employer 1
 (name and address if less than 3 years)




 Position Title
                                       Start Date:
                                        End Date:
 Previous Employer 2
 (name and address if less than 3 years)




 Position Title
                                       Start Date:
                                        End Date:
 Primary Duties
 Qualifications
 Any manual tasks?
 Own the business where you work?                           Yes        No                             Yes         No
 Gross Salary                                              $                                           $
 Salary Packaging / Additional
                                                           $                                           $
 Benefits
 Overtime/Bonus/Commissions                                $                                           $
 Business Income (NPBT)                                    $                                           $
 Super Pension / Annuity Income                            $                                           $
 Investment Income                                         $                                           $
 Rental Income                                             $                                           $
 Family Trust Distributions                                $                                           $
 Maintenance Payments                                      $                                           $
 Work Compensation Payments                                $                                           $
 Centrelink Benefits                                       $                                           $
 Type of Centrelink Benefits



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Assets and Liabilities
                                                          Date          Current   Type of    Lender /                       Interest   Repayment
                                   Owner                                                                        Liability                          Frequency   Notes
                                                        Purchased        Value    Facility    Issuer                          Rate      Amount
 Principal
                                                                    $                                                             %
 Residence
 Investment
 Property 1
 Investment
 Property 2
 Investment
 Property 3
 Contents
                                                                                                                                                               Make:
 Vehicle 1                                                                                                                                                     Year:
                                                                                                                                                               Make:
 Vehicle 2                                                                                                                                                     Year:
 Cash
 Other
 Investments
 Margin Loan
 Business Debt
                                                                                                           Limit:
 Credit Card 1                                                NA          NA                               Balance:
                                                                                                           Limit:
 Credit Card 2                                                NA          NA                               Balance:
                                                                                                           Limit:
 Credit Card 3                                                NA          NA                               Balance:
 Maintenance
                                                              NA          NA
 Payments
 Superannuation

 Other

 Rent Expense
                              $
 Week/month
 TOTAL                                                              $                                      $


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PRELIMINARY ASSESSMENT

Requirements and Objectives
Reasons for seeking credit or reviewing an existing credit contract, and the resulting benefit




Specific features requested, and any associated risks or costs




 Other Information
 Other Information Relevant To This Proposal




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Mandatory Questions
                                                                           Client 1                                  Client 2
                                                            No       Yes (please specify)         No        Yes (please specify)
 Previous Credit Impairment or
 Previous Bankruptcy?
                                                            No       Yes (please specify)         No        Yes (please specify)
 Any of the Applicants in arrears
 with respect to existing debt?

 Received any professional financial                        No       Yes (please specify)         No        Yes (please specify)
 advice? (such as a Financial Planner,
 Accountant or Solicitor)

 Ability to meet current and future                         No       Yes (please specify)         No        Yes (please specify)
 financial obligations?
                                                            No       Yes (please specify)         No        Yes (please specify)
 Anticipate change to income over
 the next 12 months?
                                                            No       Yes (please specify)         No        Yes (please specify)
 Anticipate change to expenses over
 the next 12 months?


Forseeable material financial changes, and the resulting plan to meet the ongoing financial obligations




Protecting Lifestyle and Assets
We offer a no obligation review of our insurance needs by a financial adviser to ensure you do not suffer financial hardship in
the event of your death, disability, or critical illness.

Life Insurance, Trauma or TPD Cover

                                                                           Client 1                                  Client 2


 Do you have any Life Insurance,                            No       Yes (please specify)         No        Yes (please specify)
 Trauma Cover or TPD cover?


                                                                                                    Yes, please have an Adviser contact
 Contact to discuss Life Insurance,                         Yes, please have an Adviser contact     me about this matter.
 Trauma or TPD cover?                                        me about this matter.


General Insurance

 Do you have building and contents                          No       Yes (please specify)         No        Yes (please specify)
 insurance, or business insurance?


 Contact to discuss General                                 Yes, please have an Adviser contact    Yes, please have an Adviser contact
 Insurance?                                                  me about this matter.                   me about this matter.




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Recommended Product
 Type of Loan Facility                         Standard Loan  Low Doc               Construction          Commercial
 Purpose of Loan                               Owner Occupied         Investment  New Purchase  Refinance  Construction

 Lender
 Loan Product Name
 Total Loan Amount
 Loan Term (No of years)


 Loan Breakdown                          Loan A                       Loan B                       Loan C                         Loan D

 Amount                                  $                            $                            $                              $

                                         Principal & Interest        Principal & Interest        Principal & Interest          Principal & Interest
 Features Required                       Interest Only.....Yrs       Interest Only.....Yrs       Interest Only.....Yrs         Interest Only.....Yrs
 Redraw Reqd                            Line of Credit              Line of Credit              Line of Credit                Line of Credit
 Portability                            Offset Facility Reqd        Offset Facility Reqd        Offset Facility Reqd          Offset Facility Reqd
 Lender Package
 Standalone security                    Interest Rate                Interest Rate                Interest Rate                  Interest Rate
                                         Variable                    Variable                    Variable                      Variable
                                         Fixed for ...........Yrs    Fixed for ...........Yrs    Fixed for ...........Yrs      Fixed for ...........Yrs

 Indicative Rate                                                  %                           %                             %                             %

 Monthly Repayments                      $                            $                            $                              $


 Other Loan Details:



 Loan Position
 Purchase Price                               $                                     Sale Proceeds                       $
 Refinance Amount                             $                                     Own Funds                           $
 Home Improvements                            $                                     Gift                                $
 Other                                        $                                     Loan Amount                         $
 Legal Fees                                   $                                     Deposit Paid                        $
 Stamp Duty                                   $                                     FHOG                                $
 Transfer Duty                                $                                     Other                               $
 Loan Fees                                    $                                     Other                               $
 TOTAL                                        $                                     TOTAL                               $


 Finance clause expiry date
 Estimated settlement date




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Disclosure of Conflict
 Conflict of interest identified?                                                          No        Yes (detail below)
 Conflict of interest identified but does not disadvantage applicants?                     No        Yes (detail below)
 Conflict of interest identified and may disadvantage applicants?                          No        Yes (detail below)
 Details:




Suitability
 Lender                                                           Product



(please tick the appropriate option):

 The product(s) has been assessed as NOT UNSUITABLE for the client on the basis that the product(s) is consistent with
     the client’s requirements and objectives, and the client can comply with the credit obligations without substantial
     hardship.

 The above product(s) have been assessed as UNSUITABLE for the client on the basis that:
      the credit product is inconsistent with the client’s requirements and objectives, and/or
      the client cannot comply with their obligations or could do so only with substantial hardship


Credit Assistance Provider Details
This assessment is valid for 90 days from the date of this assessment, or 120 days if the credit is for the purchase of a
residential property secured by a mortgage


 Broker’s Name:                                                                Date of Assessment:


                                                                             Australian Credit Licence or
 Signature:
                                                                            Credit Representative Number




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Declaration and Privacy Disclosure Statement
I/We hereby declare that the information set out in this form is true and correct to the best of my/our knowledge and may
have been compiled on my behalf and may not be in my own handwriting. I/We have disclosed to the person to whom this
form is given all information that I am/we are aware of that would be relevant to the making of a recommendation by a
Representative of Members First.
I/we understand that all recommendations will be based solely on the information supplied in this form.
I/We have been provided with details where to access the Privacy Policy by the Representative identified on the front of this
questionnaire on the date shown.

I/we have been offered a no obligation review of our insurance needs by a financial adviser to ensure I/we do not suffer
financial hardship in the event of your death, disability, or critical illness and have elected to:

               meet with a financial adviser
               not meet with a financial adviser at this time. I acknowledge that Members First has offered to arrange a
                review of my insurance needs and that I am electing to decline this offer. I am aware of the risks involved in
                being underinsured to both me and my family, but wish to address this need independently. I am also aware
                that by selecting this option, the representative is removed from any liability issues in the event of future
                personal insurance claims.

                                                     Client 1            Client 2                        Representative

 Name


 Signature


 Date



Credit Assistance Consulting Fee - Terms and Conditions
A Credit Assistance Consulting Fee of $550.00 is payable [hereafter referred to as “the fee”].
The fee is fully refunded where we secure a loan approval and the loan settles with 12 months of the approval date.
The fee is not refunded where:
     You decide not to proceed with us after we have secured a loan approval;
     the loan is a “Pre-approval” and a purchase contract is not entered into within 180 days of approval;
     In the event we assist you to settle a suitable mortgage and the lender claws back our commission as a result of your
         discharging the mortgage to refinance with another lender within 12 months of settlement.

Agreement and Credit Card Authority
I/we agree to the Credit Assistance Consulting Fee Terms and Conditions and authorise Members First to debit the fee of
$550.00 to the credit card below.

Total Fees and Charges:                            $550.00
Cardholder name:


Card number:

Card expiry date:                                                                   CVV:

Cardholder Signature:




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                                                                                                                  Phone   03 8888 6000
                                                                                                                  Fax     03 9277 7451
Client Document Checklist
To assist with the processing of your loan application for finance and insurance, we will require the following documents:
              Identification (eg Drivers License, Passport)

INCOME SUBSTANTIATION:

             Salary/Wage earner (PAYG)
              Letter from your employer confirming length of service, position and salary;
              Your last two consecutive pay slips together with a copy of your most recent Payment Summary [previously
                   known as Group Certificate] and Tax Assessment Notice.
              If you have changed employment in the last year or you have other forms of income, a copy of your last two tax
                   returns and Tax Assessment Notices.

             Self Employed/Company/Partnership/Trust Borrowings
              Copy of last two years tax returns – personal and the company returns and Tax Assessment Notices.
              Copy of last two years Balance Sheets and Profit and Loss Statements for the company, partnership and trust
                   borrowings

             Residential Investment Loans: (If rental income is received)
              Copy of executed Lease Agreements, or Managing Agent’s statements
              Letter from Real Estate Agent detailing the potential market rental
NEW PROPERTY PURCHASE:
              Front page of the “Contract of Sale” (signed by vendor and purchaser)
              Copy of receipt for deposit already paid
FIRST HOME OWNERS GRANT:
              Certified copy of Contract of Sale
              Certified copy of Identification Documents (of all borrowers/purchasers)
              Original of First Home Owners Grant Application Forms
RE-FINANCE:
              Copy of loan statements and/or receipts of payments made for the last 6 Months for all loans being processed
              Copy of recent rates notice showing title particulars
              Copy of Building Insurance Policy
ASSETS/SAVINGS HISTORY:
                  A copy of your last 6 months statements of your savings/cheque accounts verifying your current cash holdings
                  Copy of all loan (or lease) statements and/or receipts of payments made for the last 6 months
                  Copy of all Credit Card Statements for the last 6 months
                  A statutory declaration from any person providing a monetary gift to assist with the transaction. The
                   declaration must state the amount involved and that it is an unconditional gift.

INSURANCE POLICIES:
              Copies of your Home, Content, Building, Car, Boat and General Insurance Policies
              Copies of your Personal Risk (Life / Trauma / TPD) and Income Protection Insurance Policies
CREDIT CARDS:
              Copy of the latest statement for all credit cards

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