Existing customer pricing request

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Broker's name*
First Last
Brokers ID / code*
Broker's email*
BDM name*
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Client's name*
First Last
Loan number*
Loan type
Current interest rate
MyState offer required to retain business*
Competitor name*
Competitor product & rate*

(e.g. Basic 2.29%)
Competitor upfront fees*
Competitor ongoing fees*
Supporting comments*
NOTES: Details to be provided with clear instructions specially in case of multiple loan accounts.
Privacy Policy & Data Handling Statement*
- I have read and accept the Privacy Policy and Data Handling & Electronic Verification Statement.
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