[]
1 Step 1

Financial Application

Please fill out all form fields. 

First Nameyour full name
Last Nameyour full name
Company Nameyour full name
Country of Birth
Date of Birthd/m/y
Personal Application
Commercial Application
Are you registered with GST
Vehicle Being Traded?
What vehicles are you interested in?

ADDRESS

Current Addressaddress
Past Addressaddress
Suburbaddress
Suburbaddress
Cityaddress
Cityaddress

OCCUPATION

Occupation
Spouse Occupation
Name of Employer
Name of Employer
Employer Address
Employer Address
Years in Current role
Years in Previous Role
Previous Employer

Licence

Licence No (5a)
Spouse Licence No (5a)
Licence No (5a)
Spouse Licence No (5b)

ASSETS

LIABILITIES

Property ($)
Morgage ($)
Furnishings ($)
Credit / Hire Purchase ($)
Bank ($)
Bank Overdraft ($)
Vehicle ($)
Other Loans ($)
Investment / Other ($)
Investment / Other ($)

INCOME

EXPENSES

Monthly

Monthly

Average Net Income
Rent/Morgage Payments
Spouse Net Income
Hire Purchase / Credit Accounts
Other Income
Rates/Phone/Power/Insurance
Vehicle & Other Expenses

CONTACT DETAILS

Phoneyour full name
Mobileyour full name
Nameyour full name

TERMS & CONDITIONS:

a) PRIVACY ACT 1993: I/We irrevocably authorise any person to provide you with such personal information concerning me/us as you may require in response to your credit and/or employment enquiries.I/We further irrevocably authorise you to furnish to any lender or third party any personal information concerning me/us including details of this application and any subsequent dealings that I/we have with you as a result of this application being action by you.I/We further authorise such lender or third party to make further enquiries (now or in the future) which may be necessary in connection with this application and any agreement I/we may enter into as a result of this application.Where the personal information may be readily retrieved, I/we shall have access to it and the right to request correction.b) I/We apply for the above loan and certify that the particulars supplied are true and correct, and that I/we are over the age of 18 years and I am/we are not an undischarged bankrupt.

I have read and accept the Terms & Conditions
Previous
Next