Support for Our Customers

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Apply for Hardship Assistance

We will respond to your request as soon as possible. We may request further information from you including supporting documents if required to complete your assessment.

This application form is for all MyState Bank customers who are wanting to apply for Hardship Assistance on their loan account.

Read our Privacy Policy and Data Handling Statement to learn how we handle your personal information.

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Hardship Application

Name/s(Required)

Marital status(Required)

Single

Married

Defacto

Other

Current residential address(Required)

Street Address Address Line 2 City State Post Code

Customer number/s(Required)

Loan number/s(Required)

What is the reason you require hardship assistance? (provide as much detail as possible below)(Required)

Unemployment

Redundancy

Medical Illness & associated costs

Relationship separations

Reduction of income (temporary or permanent)

Unplanned expenses

Prison sentence (short term)

Business downturn (self-employed)

Death of a borrower

Maternity leave

Additional notes:(Required)

When do you expect your financial position to recover?(Required)

Day

Month

Year

If you are unable to restart your full repayments by the end of this assistance, what are your plans on meeting your financial commitments to MyState Bank?(Required)

This may include but not be limited to commencing employment, selling property, accessing superannuation etc.

Employment

What is your current employment and income situation?(Required)

PAYG employed

Self-employed

Unemployed

Who is your employer?(Required)

Job title(Required)

Employment status

Length of employment(Required)

Do you have a partner on the loan?(Required)

Yes

What is your partners current employment and income situation?(Required)

PAYG employed

Self-employed

Unemployed

Who is your partner's employer?(Required)

Partner's job title(Required)

Partner's employment status

Partner's length of employment(Required)

Your PAYG employment details

What was the gross payment from your last payslip?(Required)

Pay period from payslips(Required)

Weekly

Fortnightly

Monthly

Are you currently receiving any Government Support Payments?(Required)

Yes

Your Self-employment details

What year are your latest lodged financial statements and taxation returns?(Required)

What was your Total Revenue on these returns?(Required)

What were your Total Expenses from these returns?(Required)

What was the income/Revenue from the last quarter BAS?(Required)

Your unemployment details

Are you receiving any Government Support payments?(Required)

Yes

Are you currently looking for employment?(Required)

Yes

How soon do you feel you will gain employment?(Required)

Previous employer(Required)

Date employment ceased(Required)

Day

Month

Year

Previous income(Required)

Length of employment(Required)

What was the gross payment from your last payslip?(Required)

Payment period(Required)

Weekly

Fortnightly

Monthly

Date of last payment?(Required)

Day

Month

Year

Partner's PAYG employment details

What was the gross payment from your partner's last payslip?(Required)

Pay period from partner's payslips(Required)

Weekly

Fortnightly

Monthly

Is your partner currently receiving Government Support payments?(Required)

Yes

Partner's self-employment details

What year are your partner's latest lodged financial statements and taxation returns?(Required)

What was your partner's Total Revenue on these returns?(Required)

What were your partner's Total Expenses from these returns?(Required)

What was your partner's income/Revenue from the last quarter BAS?(Required)

Partner's unemployment details

Is your partner receiving any Government Support payment?(Required)

Yes

Is your partner currently looking for employment?(Required)

Yes

How soon do you feel they will gain employment?(Required)

Partner’s previous employer(Required)

Date partner’s employment ceased(Required)

Day

Month

Year

Partner’s previous income(Required)

Length of employment(Required)

What was the gross payment from their last payslip?(Required)

Your partner's payment period(Required)

Weekly

Fortnightly

Monthly

Date of last payment(Required)

Day

Month

Year

Income assessment:

Do you receive income from rental properties?(Required)

Yes

How much is the total rental income received for all properties?(Required)

Period for total rental income received for all properties is

Weekly

Fortnightly

Monthly

Annually

Other

Do you receive any other income not already noted?(Required)

Yes

For example: Centrelink, Child Support, Income Protection, Share Dividends

How much additional income do you receive not noted already?(Required)

Period for additional income you receive is

Weekly

Fortnightly

Monthly

Annually

Other

Statement of position

To finalise the assessment we will also require detail all of your current statement of position.

Home Loans/Investment Loans(Required)

Please include both MyState Bank and other bank loans

Bank/Institution

Current Loan Balance

Interest rate

Monthly Loan Repayment

Payment Type (P&I or I/O)

Current Redraw Balance Available

Have you requested any hardship on this loan

Any active hardship on this loan

Type of hardship assistance provided

Other Loans (Personal, zip pay, afterpay etc)

Please include both MyState Bank and other bank loans

Bank/Institution

Loan Type (Personal Loan/Credit Card/Other)

Loan Amount (P/L) Card Limit (C/C)

Loan Repayment (not required for credit card)

Have you requested any hardship

Any active hardship

Type of hardship

Credit Cards

Bank/Institution

Current Balance

Limit

Have you included all your current liabilities?(Required)

Yes

Assets: (such as savings accounts, superannuation, motor vehicles and properties)

House(Required)

Value

Other property

Value

Furniture/Contents

Value

Superannuation

Value

Motor Vehicles

Make

Model

Year

Value

Other assets (boat, caravan, savings, shares)

Other Assets (boat, caravan, savings, shares)

Type

Value

Have you included all your current liabilities?(Required)

Yes

Monthly living expenses

How many dependent children do you have?(Required)

Estimate your monthly living expenses for each field below.

Child Care(Required)

Clothing & Personal Care(Required)

(include clothing, hair cuts, beauty treatments etc.)

Education(Required)

Groceries(Required)

Insurance(Required)

(include house, contents, vehicle, pet)

Medical & Health(Required)

(Include private health, Doctor, Pharmacy)

Recreation & Entertainment(Required)

(Include takeaways, alcohol, dining out, gambling, sporting events, gym etc.)

Telephone & Internet(Required)

Transport(Required)

(Include petrol, registration, parking, maintenance)

Rates(Required)

(Property and water)

Power, Gas, Wood(Required)

Rent(Required)

Maintenance/Child support(Required)

This field is hidden when viewing the form

Total monthly expenses

Acknowledgement

Acknowledgment Agreement(Required)

Thank you for consideration of my Financial Hardship Application, I acknowledge that all information collected, used and disclosed will be in accordance with MyState’s Privacy Policy, which I have read and fully understand.

I confirm the information provided is both accurate and is reflective of my/our current financial situation and such detail can be confirmed by supporting documentation on request.

I agree

If there are any queries regarding your application we will need to contact you, please provide your best email address and phone number for us to reach you.

Contact Person(Required)

Contact Phone Number(Required)

Contact Email Address(Required)

Preferred Contact Method(Required)

I have read and accept the Privacy Policy and Data Handling & Electronic Verification Statement.

Spam Protection

Support for Our Customers

Support for Our Customers

Apply for Hardship Assistance

Hardship Application

Employment

Your PAYG employment details

Your Self-employment details

Your unemployment details

Partner's PAYG employment details

Partner's self-employment details

Partner's unemployment details

Income assessment:

Statement of position

Assets: (such as savings accounts, superannuation, motor vehicles and properties)

Other assets (boat, caravan, savings, shares)

Monthly living expenses

Acknowledgement

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