Finance Application

(if yes, ensure the Credit Reference example provided below is for the replacement commitment)
Please provide details of an equipment finance credit reference:

Hidden

FINANCE PROVIDER

Hidden

LOAN START DATE

Hidden

CURRENT BALANCE: $

Hidden

MONTHLY REPAYMENT: $

Hidden

ACCOUNTANT DETAILS

Hidden

FINANCE DETAILS

Hidden

INVOICE AMOUNT $

Hidden

RESIDUAL VALUE %

Hidden

AMOUNT FINANCED $

Hidden

RESIDUAL VALUE $

Hidden

RESIDUAL VALUE %

NAME OF SUPPLIER(Required)

DESCRIPTION(Required)

PURCHASE PRICE (INC GST)(Required)

NAME OF SUPPLIER(Required)

DESCRIPTION(Required)

PURCHASE PRICE (INC GST)(Required)

Hidden

DIRECTOR / PROPRIETOR / PARTNER DETAILS AND ASSET & LIABILITY STATEMENT

If your spouse / partner is part of the application you can complete a joint A&L Statement

Hidden

DOB

Hidden

DRIVERS LICENSE NO.

Hidden

MARITAL STATUS

Hidden

NO. OF DEPENDANTS

Hidden

EMAIL ADDRESS

If you have lived in the current address for less than 2 years, please provide the details of your previous address.

Hidden

PREVIOUS ADDRESS

Hidden

HOME VALUE: $

Hidden

HOME MORTGAGE: $

Hidden

OTHER PROPERTY VALUE: $

Hidden

OTHER PROPERTY MORTGAGE:$

Hidden

CASH IN BANK: $

Hidden

BANK OVERDRAFT (LIMIT): $

Hidden

SHARES/INVESTMENTS: $

Hidden

CREDIT CARD: $

Hidden

MOTOR VEHICLES: $

Hidden

MOTOR VEHICLE LOANS:$

Hidden

HOUSEHOLD EFFECTS:$

Hidden

PERSONAL LOANS (BALANCE):$

Hidden

OTHER ASSETS: $

Hidden

OTHER LIABILITIES: $

COMMITMENTS (MONTHLY)

Hidden

MORTGAGE REPAYMENT: $

Hidden

PERSONAL LOAN REPAYMENT:$

Hidden

RENTAL COMMITMENT: $

Hidden

OTHER LOAN REPAYMENTS: $

Hidden

MOTOR VEHICLE REPAYMENT:$

DIRECTOR / PROPRIETOR / PARTNER DETAILS AND ASSET & LIABILITY STATEMENT

If your spouse / partner is part of the application you can complete a joint A&L Statement

DOB

If you have lived in the current address for less than 2 years, please provide the details of your previous address.

OTHER PROPERTY VALUE: $

OTHER PROPERTY MORTGAGE:$

BANK OVERDRAFT (LIMIT): $

MOTOR VEHICLE LOANS: $

HOUSEHOLD EFFECTS: $

PERSONAL LOANS (BALANCE):$

OTHER LIABILITIES: $

COMMITMENTS (MONTHLY

MORTGAGE REPAYMENT: $

PERSONAL LOAN REPAYMENT:$

RENTAL COMMITMENT : $

OTHER LOAN REPAYMENTS: $

MOTOR VEHICLE REPAYMENT:$

DIRECTOR / PROPRIETOR / PARTNER DETAILS AND ASSET & LIABILITY STATEMENT

If your spouse / partner is part of the application you can complete a joint A&L Statement

DOB

If you have lived in the current address for less than 2 years, please provide the details of your previous address.

OTHER PROPERTY VALUE: $

OTHER PROPERTY MORTGAGE:$

BANK OVERDRAFT (LIMIT): $

SHARES/INVESTMENTS: $

CREDIT CARD (LIMIT): $

MOTOR VEHICLE LOANS: $

HOUSEHOLD EFFECTS: $

PERSONAL LOANS (BALANCE):$

OTHER LIABILITIES: $

COMMITMENTS (MONTHLY

MORTGAGE REPAYMENT: $

PERSONAL LOAN REPAYMENT:$

RENTAL COMMITMENT: $

OTHER LOAN REPAYMENTS: $

MOTOR VEHICLE REPAYMENT:$

DIRECTOR / PROPRIETOR / PARTNER DETAILS AND ASSET & LIABILITY STATEMENT

If your spouse / partner is part of the application you can complete a joint A&L Statement

DOB

If you have lived in the current address for less than 2 years, please provide the details of your previous address.

OTHER PROPERTY VALUE: $

OTHER PROPERTY MORTGAGE:$

BANK OVERDRAFT (LIMIT): $

SHARES/INVESTMENTS: $

CREDIT CARD (LIMIT): $

MOTOR VEHICLE LOANS: $

HOUSEHOLD EFFECTS: $

PERSONAL LOANS (BALANCE):$

OTHER LIABILITIES: $

COMMITMENTS (MONTHLY

MORTGAGE REPAYMENT: $

PERSONAL LOAN REPAYMENT:$

RENTAL COMMITMENT: $

OTHER LOAN REPAYMENTS: $

MOTOR VEHICLE REPAYMENT: $

DIRECTOR / PROPRIETOR / PARTNER DETAILS AND ASSET & LIABILITY STATEMENT

If your spouse / partner is part of the application you can complete a joint A&L Statement

DOB

If you have lived in the current address for less than 2 years, please provide the details of your previous address.

OTHER PROPERTY VALUE: $

OTHER PROPERTY MORTGAGE:$

BANK OVERDRAFT (LIMIT): $

SHARES/INVESTMENTS: $

MOTOR VEHICLE LOANS: $

HOUSEHOLD EFFECTS: $

PERSONAL LOANS (BALANCE):$

OTHER LIABILITIES: $

COMMITMENTS (MONTHLY

MORTGAGE REPAYMENT: $

PERSONAL LOAN REPAYMENT:$

RENTAL COMMITMENTT: $

OTHER LOAN REPAYMENTS: $

MOTOR VEHICLE REPAYMENT: $

UPLOAD DOCUMENTS

Drop files here or

Accepted file types: jpg, jpeg, gif, png, pdf, doc, docx, xls, xlsx, csv, txt, pages, Max. file size: 20 MB.

Copy of front / back of your Driver Licence
Copy of supplier tax invoice / quote / purchase order etc (if already obtained)
Copy of Council Rates Notice (if on-hand / if applicable), and
Any other supporting information that you believe may assist

ANY OTHER COMMENTS

Please include brief background of your business / industry, reason for purchase of this request, and ensure to include any previous business experience and provide previous/other trading ABN’s or mention previous industry experience etc