NEW APPLICATION - RESIDENTIAL - Liberty

1 1 of 13 Liberty Financial Pty Ltd. ABN 55 077 248 983 Australian Credit Licence 286596. APPLICATION - RESIDENTIALAPPLICATION OVERVIEW Loan amountLoan termPayment typeInterest typeSettlement dateIntroducer use onlySecurity valueLoan purposeSecurity typeMain income typeVerificationValuation fee - $330 (including GST) per security (est), higher if security value $750k or regional Refinance OtherResidential Commercial LandPAYG Self-employed OtherPrivate/Care Nova StarP&I Interest only yearsVariable Fixed for years$ (including capitalisation)$(if applicable)years Capitalised mthsUFC: TC: BKG: SRCE.

2 NOTESVALUATION PAYMENT OPTIONS Credit cardDirect depositCard No: Amount: $ Exp: /Name: Signature:Visa MasterCardAmex BankcardBank: National Australia Bank Payable to: Secure Funding Limited Deposit date:BSB No: 083-001 Acct No: 168956786 Deposit amount: $ IMPORTANT NOTICEThe APPLICATION is addressed to each of Liberty Financial Pty Ltd ABN 55 077 248 983, Secure Funding Pty Ltd ABN 55 081 982 872 and their associated entities as defined in the Corporations Act (collectively called the Credit Provider ). Each of the Consents and Declarations contained in the New APPLICATION are addressed to and are for the benefit of each party collectively defined as the Credit : Liberty Financial - Support Fax: 13 23 99 Name: Company:Phone: Email:Date: Pages:CONTACT DETAILSGet in touch with us | email | phone 13 11 33alt.

3 Phone 03 8635 8888 | fax 03 8635 9999 | web Service Team, Level 16, 535 Bourke St, Melbourne VIC 30002 of 13 Liberty Financial Pty Ltd. ABN 55 077 248 983 Australian Credit Licence 286596. nameSurnameDate of birthMarital statusDriver s licence Dependants Contact information (2 minimum)Current home address (if less than 2 years please fill out Previous address)Current RESIDENTIAL statusHere sincePrevious addressApplicant capacity Permanent residencyNearest relative notliving with applicantMr Mrs Miss Ms DrMr Mrs Miss Ms DrMarried De facto Single Separated Divorced WidowedMarried De facto Single Separated Divorced WidowedOwner/Buyer Boarding Renting Free accom.

4 With parents OtherOwner/Buyer Boarding Renting Free accom. With parents OtherBorrower GuarantorYes NoBorrower GuarantorYes NoState: No: Exp: / # of: Ages:State: No: Exp: / # of: Ages:Home: Work:Mobile: Fax:Email:Home: Work:Mobile: Fax:Email:Name:Address:Phone: Relationship:Name:Address:Phone: Relationship:Street: Suburb: Pcode:Street: Suburb: Pcode:Street: Suburb: Pcode:Street: Suburb: Pcode:MM/YYYY:MM/YYYY.

5 COMPANY/TRUST DETAILS (ONLY REQUIRED IF APPLICANT IS A COMPANY OR TRUST, WHERE APPLICABLE) Company/Trust Trust typeSelf Managed Super Fund (SMSF) trust ABN & start date AddressRegistered officeApplicant capacityDirector names (all directors must be applicants)Shareholders TrusteeAdult beneficiaries Unit holdersCompany/Trust: Unit Trust Discretionary Trust Property TrustList actual/proposed SMSF and Property Trust names and Trustees:ABN: Commence/Foundation date (MM/YYYY):Street: Suburb: State: Pcode:Street: Suburb: State: Pcode:Please circle in what capacity is this Company/Trust applying: Borrower / GuarantorList names or applicant #s:List names or applicant #s & shareholding (%) beneficial/non-beneficial (delete where not applicable):List names or applicant #s:List names or applicant #s:List names or applicant #s & ownership (%):APPLICANT INFORMATIONPERSONAL DETAILS APPLICANT 1 APPLICANT 23 of 13 Liberty Financial Pty Ltd.

6 ABN 55 077 248 983 Australian Credit Licence 286596. PROPERTIES PASSENGER VEHICLESA ddressProperty value Property use after settlement Investment property (if applicable)Security for loan?Property typeProperty titleProperty zoning Land sizeOwnership split (if applicable)Vehicle 1 Vehicle 2 Vehicle 3 Vehicle 4 Make/Model Year Registration Value $ $ $ $OTHER ASSETS Life insuranceBank balancesPaid depositHousehold itemsSharesBusiness value Plant & equipment Other assetsSuperannuation

7 (*only assets not held within SMSF)SMSF Names/Descriptions/Details ValueNames of insurer(s) $Names of bank(s) $Vendor name for purchase $Insured value $If owned for more than 1 year $Value of business(es) $Total resale value of P&E $Inc. shares owned less than 1 year $Names of fund manager(s)* $Amount (if any) to be transferred to the SMSF $Cash, Shares and Other $PROPERTY 1 PROPERTY 2 Street: Suburb: Pcode:$Street: Suburb: Pcode:$Applicant 1: % Applicant 3: % Applicant 2: % Non-Applicants: %Applicant 1: % Applicant 3: % Applicant 2: % Non-Applicants: %Weekly rent: $ Annual deductions: $Weekly rent: $ Annual deductions.

8 $Prime residence Other owner occupied Investment To be soldPrime residence Other owner occupied Investment To be sold Hectares HectaresYes No House/T -House Land Mixed useUnit (if yes, then) m2 (unit size) Unit with liftWarehouse Factory Serviced aptMulti-unit Office/Suite/ShopTorrens Strata OtherResidential Rural Res. RuralCommercial Industrial OtherYes No House/T -House Land Mixed useUnit (if yes, then) m2 (unit size) Unit with liftWarehouse Factory Serviced aptMulti-unit Office/Suite/ShopTorrens Strata OtherResidential Rural Res.

9 RuralCommercial Industrial OtherASSETS4 of 13 Liberty Financial Pty Ltd. ABN 55 077 248 983 Australian Credit Licence 286596. CAR LOANS OTHER SECURED LOANS MORTGAGE 1 MORTGAGE 2 Lender nameBalance & Limit*Monthly paymentLoan useRefinance amountSecurityArrears history (tick current/past for arrears in last 12 months and tick if ever Default, Judgment, Writ, Repo or MIP)Liable parties(only if any non-applicantsare liable for this loan)Lender nameBalance & Limit*Monthly paymentLoan useRefinance amountSecurityArrears history (tick current/past for arrears in last 12 months and tick if ever Default, Judgment, Writ, Repo or MIP)Liable parties(only if any non-applicantsare liable for this loan)

10 Lender nameBalance & Limit*Monthly paymentLoan useRefinance amountSecurityArrears history (tick current/past for arrears in last 12 months and tick if ever Default, Judgment, Writ, Repo or MIP)Liable parties(only if any non-applicantsare liable for this loan)*Please include any applicable break costs.$ $$$ $$$ $$$ $$$ $$$ $$Personal Business/InvestmentPersonal Business/InvestmentPersonal Business/InvestmentPersonal Business/InvestmentPersonal Business/InvestmentPersonal