Name *

Primary Borrower

First Name

Last Name

Mobile Number *

(###)

###

####

Full Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Self Employed *

Entity Type

Sole Trader

Company

Trust

Partnership

None of the above

Do you earn additional income? *

Yes

No

HECS/HELP Debt *

Yes

No

Do you have a? *

Credit Card

Car Loan

Car Lease

Personal Loan

None of the above

Do you have any late payments/arrears? *

No

Yes

Dependants *

No

Yes

Secondary Borrower *

Do you have a Secondary Borrower

Yes - Please fill in all the details below

No - Please skip to Household Monthly Living Expenses

Name

Secondary Borrower

First Name

Last Name

Mobile Number

(###)

###

####

Full Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Self Employed

Entity Type

Sole Trader

Company

Trust

Partnership

None of the above

Do you earn additional income?

Yes

No

HECS/HELP Debt

Yes

No

Do you have a?

Credit Card

Car Loan

Car Lease

Personal Loan

None of the above

Do you have any late payments/arrears?

No

Yes

Dependants

No

Yes

Primary Borrower - Are you a First Home Buyer? *

Yes

No

Secondary Borrower - Are you a First Home Buyer? *

Yes

No

Not Applicable

Would you like to receive information from CC Mortgages About home purchasing, savings, tips for purchasing a home ? *

Yes

No

Disclaimer *

The information I’ve provided is true and accurate to the best of my knowledge at the time of submission. I understand that the insights provided in my Know Your Numbers session are intended to offer a high-level overview of my financial position and borrowing capacity. This does not constitute formal financial or credit advice. I acknowledge that a range of factors—including interest rate changes, shifts in my personal circumstances, and broader market conditions—may impact my actual borrowing power and home loan eligibility. For tailored advice, a full credit assessment will be required.

Yes, I understand and agree