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    1) Individual Applicants and/or Guarantors

    Applicant 1Guarantor 1

    MrMrsMissMsDr



    DOB:












    Applicant 2Guarantor 2

    MrMrsMissMsDr



    DOB:












    2) Corporate Borrower



    Date of Incorp:




    3) Loan Purpose





    Is the loan purpose predominantly (more than 50%) for investment or business purposes? YesNo




    4) Statement of Assets & Liabilities
    (Individuals / Guarantors)

    Property 1





    Property 2





    Property 3





    Motor Vehicles




    Savings – Institution




    Furniture & Personal Effects






    5) Please describe in detail, the purpose of this loan*




    6) Loan repayment – Please state how it’s intended to repay this loan (i.e. sale of house, re-financing, business profits, etc) A detailed description is required

    7) Authority to exchange information with mortgagees

    I/We authorise Chevron Mortgage & Loans or its agents to exchange information about me/us with all Mortgagees of the properties listed at paragraph 7 of this Loan Application as Mortgage Securities to enable Chevron Mortgage & Loans To register a mortgage over such properties should financial accommodation be extend by Chevron Mortgage & Loans To me/us, and to enable Chevron Mortgage & Loans to enforce such mortgages should I/we be in default under the terms of the mortgagees and/or the financial accommodation.

    The above mentioned addition to the Loan agreement assumes the Applicant for the loan is also the registered proprietor of the Mortgage security. If the mortgage security is registered to another party, then such party should also be required to sign a similarly worded Privacy Declaration to enable Chevron Mortgage & Loans to liaise with any prior or subsequent mortgagees.

    8) Solicitor Details






    9) Mortgage Security (to be completed for each property if being used as security)




    Payments up to date: YesNo








    Aircon
    Pool
    Shed




    Property Type: HouseUnitCommercialVacant Land

    Property Access – Contact Details for Appraisal Purpose






    Payments up to date: YesNo








    Aircon
    Pool
    Shed




    Property Type: HouseUnitCommercialVacant Land

    Property Access – Contact Details for Appraisal Purpose



    10) Applicants Declaration

    By clicking Submit, I / We declare that the foregoing particulars are to the best of my / our knowledge and belief, are true and correct, and that no information is being or has been withheld that might affect the decision of Chevron Mortgage & Loans.

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