1. Name (First name, last name)    
   

2. Phone Number (ah) (Include STD code)                
   

3. Phone Number (bh) (include STD code)           
   

4. e-mail                                       
   

5. Where you first heard of us eg: Please specify with as much detail as possible, eg the media outlet, the date.  Or the flier, and the location where you got it. 
   
   

6. Once you heard of us, how did you contact us.  Eg 'from the add' or 'from the white pages'.  If you contacted us by flier, write any identifying details - the name or serial number on the flier - for an additional $10 rebate.    
   

7. If you used an internet search engine, please specify which one, and what combination of words you used
   

8. Would you like us to check your mortgage urgently (for instance before the settlement of a house purchase).  If so select 'Urgent Mortgage Check-up'.  Alternatively we can monitor your mortgage on an ongoing basis in order to identify any better home loans.  Just select 'Mortgage Watch'.
   Give me a check-up and place me on 'Mortgage Watch' Please give me an URGENT Mortgage Checkup   

9. Current loan size ($)                      
   

10. Amount of loan on a fixed rate       
    
    Interest rate (eg 7.49%)                 
    
    Term of fixed rate                       
    

11. Amount of loan on variable rate        
    
    Current interest rate (eg 7.49%)                  
    

12. How frequently do you make payments on your mortgage?
    On a specified day each calendar month Twice a month Once a fortnight Once a week Other - please specify in accompanying box
    
    How much do you pay each time?
    
    
    If the above two boxes do not allow you to answer these questions clearly, please expand in this box.
    

13. Is there any penalty on early withdrawal from your loan? 
    Please note, we will rely on your answer to this question.
    

14. Current Lender (ie Bank, building society 
    or mortgage manager - eg Aussie Home Loans, Commonwealth Bank)
    

15. Lenders have many different products.  Please tell us the name of the product you are currently using or intend to use. (Eg. 'Standard Variable' or 'Essentials Plus Home Loan'.)
     

16. Are there any fees of which you are aware.  Enter the amount of the fee and its frequency. 
    
    Amount                      
     
    Frequency (eg monthly)   
    
    Any further comment or information on fees
    

17. Are there any ways in which your requirements have changed 
    since you took out the home loan?
    
    

18. What are the features which you consider indispensable to your home loan? 
    
    

19. What features do you like to have but are not 
    prepared to pay a substantial premium for? 
    
    

20. How much money would you need to save in total repayments over the life of the home loan, before you would consider refinancing 
    OR
    
    How many years off your mortgage would you need to save before you would consider refinancing.
    years.

21. Please fax us the last statement (preferably the last two statements) you received from your lender.  Fax 02 6259 3125 

22. Please add any additional comments here:
    

When you have filled in the requested information, please submit it by reading the following disclaimer and pressing the 'submit' button below.  

Please note: We do not 'churn' home loans.  We are not seeking to refinance you in order to capture more commission.  Indeed, if any of our clients wishes to refinance within a given period of time from commencing a home loan we have introduced them to, we must recover our rebate from them in order to repay the lender's up-front commission to us.  See our Rebate Agreement.

Like most mortgage brokers, indeed as we understand it, all mortgage brokers who are not financial advisors, regulation prohibits us from providing financial advice.  Accordingly, before proceeding with any refinancing, clients must make themselves comfortable with the home loan product into which they are refinancing, and the value it offers them compared with the home loan they currently have, by taking their own financial advice. What we provide you should not be taken as financial advice, but rather as an indicative indication of the possibility that you may be able to save on your current home loan. That possibility should then be verified by you.  

You are responsible for the financial decisions you make, including the terms of any home loan Peach Home Loans helps you enter into.  Peach cannot be responsible for representations made to you as they are third party products. Ultimately you must be comfortable with the home loan you enter as described in the mortgage documentation.

Please note, as indicated on our home page, like other mortgage brokers, Peach Home Loans does not cover the whole of the mortgage market. Accordingly, even if you have filled out this form accurately, you should continue to monitor the home loan market yourself to make sure that you are getting a good deal. If you find a mortgage you would like to refinance into, let us know, to see if we can arrange it for you. 

It is in our own interests to let you know of any home loans which may save you money and we will endeavour to scour the market continually to inform you of any home loans which meet the criteria you have set.  However the service to which you have subscribed to is a free service and we expressly deny any warranty to inform you of any particular product whether we have access to it or not.

Clicking of the button immediately below submits your information to Peach Home Loans and accepts of the terms and conditions set out on this page and in the Terms and Conditions .