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Deposit Bond Pre-Approval Application

Printable Application Forms

If you would prefer to download an application or to apply from a country outside the United States please select from the options to the right:

All forms are in PDF format and will require a PDF viewer.

Online Application

By completing this pre approval form and submitting it Deposit Alternative, we will have enough information to inform you whether or not you can pre-qualify for a Deposit Bond. A representative from Deposit Alternative will contact you within 24 hours of you making the enquiry.

Please note that no credit searches will be performed without you completing and signing the complete Deposit Bond application form.

Details of Property Being Purchased

Development Name
 
State
 
Duration of Deposit
months  
Purchase Price
 
Deposit Required
 
     

Applicant Details

Type of Applicant
Number of Applicants

Applicant 1

First Name
         
Last Name
         
           
Address
       
City
         
State
         
             
Zip Code
         
Home Telephone
       
Cell
         
Work Telephone
         
             
Email Address
   
Salary or Wages
         
Other Income
         
Specify Type
         
Self-employed Income
         
Total Income
   
Have you been bankrupt in the last 7 years?
     
Are you a US Citizen
     

Applicant 2

First Name
         
Last Name
         
         
Address
       
City
         
State
         
Zip Code
         
Home Telephone
       
Cell
         
Work Telephone
         
Email Address
         
   
   
Salary or Wages
         
Other Income
         
Specify Type
         
Self-employed Income
         
Total Income
   
Have you been bankrupt in the last 7 years?
     
Are you a US Citizen
     

Applicant Assets and Liabilities

Number of Properties owned      
Property 1
Address
       
City
 
State
       
Zip Code
       
Market Value
       
Rental Income (p/m)
       
Mortgage/Loan Balance
       
Monthly Repayment
 
Property 2
Address
       
City
       
State
       
Zip Code
 
Market Value
       
Rental Income (p/m)
       
Mortgage/Loan Balance
       
Monthly Repayment
 
Property 3
Address
       
City
       
State
       
Zip Code
 
Market Value
       
Rental Income (p/m)
       
Mortgage/Loan Balance
       
Monthly Repayment
 

Other Assets

     
Cash at Bank      
Bank Name
Amount
Listed Stocks    
Market Value
   
Other Liabilities
     
Loan Type
Amount

Important Notices

I/we acknowledge and agree that:
1. All results for the pre-approval provided are from simulations and are subject to the accuracy of the information provided. The results you will see in no way constitute an offer which can be accepted by you.
2. Deposit Alternative / QBE have no obligation to provide me/us with a deposit bond unless Deposit Alternative/ QBE receive a fully completed and signed and initialed original application form.
3. Deposit Alternative / QBE may require further information to be provided in support of this application.
4. If a deposit bond is issued, I/we shall be bound by all of the terms and conditions set out in this application and in particular with the matters set out in the paragraph entitled “Agreement of Indemnity” of the application.
5. The Agreement of Indemnity on the application gives QBE the right to recover from you any amount paid by QBE under the Deposit Bond. In the event QBE makes such a payment, then I/we promise to pay to QBE the amount of the payment, plus any costs associated with QBE making the payment, including attorney’s fees.
6. I/we have read and understand the paragraph entitled “Privacy Notification” of the application.
7. I/we consent to the collection, storage, use and disclosure of my/our personal information for the purposes and in the manner set out in that Privacy Notification.
8. I/we hereby authorize QBE or Deposit Alternative to confirm the assets and liabilities claimed and all other items comprising this application. I/we authorize QBE or Deposit Alternative to make inquiries as necessary concerning or pertaining to my/our financial standing, credit, or manner of meeting obligations to verify the accuracy of the statements made and to determine my/our credit worthiness. I/we certify the above and the statements contained in this application form and the attachments are true and accurate as of the stated date. This authorization is to remain in full force until rescinded by the applicant/s in writing. These statements are made for the purposes of obtaining a deposit bond.
9. Payment must be received in full before the deposit bond can be issued. This includes premium plus all applicable taxes and charges.
Privacy Notification