Mortgage Relief Application Form

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Mortgage Relief Application Form
Instructions on how to complete this application form are in notes below each section.
All parties/participants to your housing loan are required to complete the application and
provide current financial information.
Your Mortgage Relief eligibility cannot be determined unless you have fully completed the
application form and attached all the required information.
 The lodgment of this form does not guarantee that you will be offered financial assistance
by Mortgage Relief;
 A Credit Reference Check and Title Search of your property will be carried out prior to the
interview.
Please use the checklist below to ensure that your application can be considered
Information Checklist
Home Loan Information - Lender’s statement filled out, signed and stamped by your
lender.
Income and Employment Details - provide those applicable
Wage Statement from Employer
Last two Pay slips
Statement of Benefit from Centrelink
Profit and Loss Statement prepared by a Certified Practicing Accountant
Financial Commitments - last Statement for each of your financial commitments i.e.
personal/car loan, credit/store card etc (if applicable)
Other information that you consider may be relevant to your Mortgage Relief
Application
Please return the completed form to:
Department of Human Services
Loan Assistance Unit, Corporate Services
GPO Box 4057
Melbourne VIC
3001
Telephone:
1800 134 872
Facsimile: 9096 9229
Internet Address:

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