NILS Enquiry Form

Our service criteria is for community members in Brisbane North - our catchment goes from Herston to Aspley - and from Stafford/Everton Park out to Banyo.

Unfortunately due to the high number of enquiries - we will be unable to process any enquiries outside of our area.

Please contact NILS directly on

13 6457 (13 NILS)

Our NILS Program is not able to guarantee that we can assist in a crisis situation where help is required immediately, however we recognise that there may be urgency for your enquiry and we will do our best to assist.

Warm Regards

The Community Place NeNils Team

IMPORTANT INFORMATION ABOUT NILS

Housing tenure : you must be able to prove your housing tenure - minimum 3 months tenure
Rent/Bond all forms : not eligible for NILS
Bills (utilities) : not eligible
Relocation expenses (including storage fees) : not eligible
Mobile Phones/Tablets : maximum $1000
IMPORTANT INFORMATION regarding Bank Statements - unfortunately we will not be able to process your NILS application without a Statement of Expenses obtained through the illion link which is located at the bottom of this form.

Date *

Loan Amount? *

How did you hear about NILS? *

What best describes your income per year? *

You are single and earn under $75 000 per yearSingle person with dependents $100 000 or underCouple $100 000 or underYou are a couple with dependants and earn under $100 000 per year

What is the loan for? *

First Name *

Last Name *

Date of Birth *

Please upload a copy of your Drivers License, Medicare Card , Health Care Card ; or other identification eg passport.: *

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Please include a photo of the front and back of your Drivers License.

Email Address *

Preferred Contact Method *

PhoneEmailSMSLetter

Contact Number *

Residential Address *

Street address *

City *

State *

Postcode *

Postal Address if different from Residential Address

Street address

City

State

Postcode

Health Care Card or Pension Card *

YesNo

Please upload your current CENTRELINK INCOME STATEMENT here:

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If you receive Centrelink payments - this is essential for us to have this document.

Please upload your current CENTRELINK DEDUCTION STATEMENT here: *

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If you receive Centrelink payments - this is essential for us to have this document.

Has your income been reduced or expenses increased due to Covid 19? *

YesNo

Are you an Australian Citizen? *

YesNo

If applicable, please enter (or estimate) the date you first arrived in Australia

Your living arrangements? *For example - Sole parent with dependants; Couple with dependants ; family ; group of unrelated adults.

Length of time at current address? *

Please upload a copy of your current lease here: (please provide a screenshot - or upload a statutory declaration from MyGov outlining your tenancy *

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Please provide either a screenshot of your signed lease - or upload a statutory declaration from MyGov outlining your tenancy. https://my.gov.au/en/about/help/digital-id/commonwealth-statutory-declarations/create-a-digital-commonwealth-statutory-declaration-through-mygov)

How many children/dependants do you have ?

Secondary or Joint Application

Secondary Contact Joint Applicant

The secondary contact is a person who can be contacted if we are unable to reach you. Alternatively if this is a Joint Application - write the second applicants name.

First and Second Name *

Secondary Contact / Joint Applicant Contact: *Please provide either phone number or email address for secondary contact / joint applicant.

Your relationship to each other? *

Your gender identity *

FemaleMaleOther

Aboriginal & Torres Strait Islander *

AboriginalTorres Strait IslanderAboriginal & Torres Strait IslanderPrefer not to answer

Do you identify as having a disability? *

YesNo Prefer not to answer

Are you and NDIS participant? *

YesNoNot sure

Do you require an interpreter to meet with us?

YesNoNot sure

If yes, which language do you prefer?

What is your highest level of education? *

Your current employment status? *

What is your gross annual income? (the amount before tax) *

List of documents you will need to upload before submitting this application:

Please upload the following documents before submitting this application here: Most recent:

Statement from Existing Loan - eg Zip Pay , Cash Converters, Rent a Roo Afterpay or similar service (for Afterpay - please provide a screenshot of 30/60/90 day balance)

Upload your files here

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Please upload loan statement - eg Afterpay 30/60/90 Day Screenshot ; Zip Statement ; Cash Converters Statements; Rent A Roo or similar. Please also include any other bills if you can.

PLEASE CONNECT YOUR 3 MONTH BANK STATEMENT HERE:

It is imperative to complete this as it enables us to process your loan in a timely manner. Manual statements will result in a processing time of roughly 3 - 4 weeks.

To access your Bank Statements you need to go to this link and connect "all" of your bank accounts:

https://scv.bankstatements.com.au/NILS-TCYP

This is a safe and secure way that banks and financial institutions access your bank statements. Please refer to our webpage for more information on how your data and information is kept safe.

Please upload your quote for your items here: *

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In submitting this form you are agreeing: *

that I have applied for a NILS loan via The Community Placethat by signing this agreement all the information supplied is true and correct to the best of my knowledgeI agree if the loan is approved that I will replay the nominated amount until the loan is fully repaidI agree that I will contact The Community Place if my contact details change whilst repaying my loanI agree I will contact The Community Place if I have difficulty with my repaymentsI agree that The Community Place can contact me about my loanI understand that when I repay my loan, other people in the community will be able to have a NILS loan

Click YES to agree *

YES

I agree to the conditions listed above for this loan application (Client 1)

First *

Last *

I agree to the conditions listed above for this loan application (Client 2)

Second Applicant First Name

Second Applicant Last Name

I am human *