Private Lending Scenario Form Fields marked with an asterisk are the minimum requirements. Your information will be reviewed and we will contact you. If you require assistance pleaseĀ contact us.Broker DetailsBroker Name*Please provide your name including surnameBroker Phone Number*Broker Email Address*Borrower DetailsBorrower Name (Company Name / Trust)Borrowing purpose*Purchase EstablishedPurchase LandRefinanceConstructionDevelopment FundingLand BankingBusiness Debt RefinanceOtherBorrowing Purpose Other*Please provide a brief description of the purpose of the funding. Borrowing Amount Required*Loan Term Required*Maximum term 36 monthsExit Strategy*Explain the borrower exit strategy for repaying the debt when it reaches the end of the loan term.Number of Security Properties*Please select the number of different properties to be offered as security for the loan. 1234Property 1 Security Property Address* Address including postcode Property 1 Security Property Value*Please provide current valuation amount. For construction please provide the cost of the project less GST plus the land value. Property 1 Type*Commercial BuildingCommercial DevelopmentCommercial LandResidential DevelopmentResidential HouseResidential LandIndustrial BuildingIndustrial DevelopmentIndustrial LandProperty 2 Security Property Address* Address including postcode Property 2 Security Property Value*Please provide current valuation amount. For construction please provide the cost of the project less GST plus the land value. Property 2 Type*Commercial / Industrial DevelopmentCommercial / Industrial BuildingCommercial / Industrial LandResidential DevelopmentResidential HouseResidential LandProperty 3 Security Property Address* Address including postcode Property 3 Security Property Value*Please provide current valuation amount. For construction please provide the cost of the project less GST plus the land value. Property 3 Type*Commercial / Industrial DevelopmentCommercial / Industrial BuildingCommercial / Industrial LandResidential DevelopmentResidential HouseResidential LandProperty 4 Security Property Address* Address including postcode Property 4 Security Property Value*Please provide current valuation amount. For construction please provide the cost of the project less GST plus the land value. Property 4 Type*Commercial / Industrial DevelopmentCommercial / Industrial BuildingCommercial / Industrial LandResidential LandResidential HouseResidential DevelopmentSupportive InformationPlease provide any further detail to support your enquiry.Supporting DocumentsPlease provide available supporting documents Examples include: Building / develpment approvals Lease agreements for security properties Property valuations Purchase contracts Drop files here or By submitting this form, you consent to the terms outlined in our privacy policy and disclaimer