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Finance Application Form

Form Instructions:
Press your 'tab' button or click in a form field to advance to the next question.

When clicking on a date type field choose a date from the calendar drop down that appears or type a date using dd/mm/yyyy format.

Applicant Details

Name of Borrower

Amount Seeking to Borrow

Reason for Loan

Trading As

ABN

ACN

Date Established (dd/mm/yyyy)

Type of Business

Registered Address

Town

State

Postcode

Trading address the same as registered address?

Trading Address

Town

State

Postcode

Is Postal Address the Same as Trading Address

Postal Address

Town

State

Postcode

Phone Number

Fax Number

Web Address

Director/Applicant 1 Details

Name

Marital Status

Date of Birth (dd/mm/yyyy)

License Number

State of Issue

Expiry Date (dd/mm/yyyy)

Home Phone

Mobile Number

Email

Current Street Address

Town

State

Post Code

Time at Current Address

Previous Address

Previous Town

Previous State

Previous Postcode

App 1 - Residency Status

Is there a Guarantor?

Guarantor 1 Details

Guarantor 1 - Name

Guarantor 1 - Marital Status

Guarantor 1 - Date of Birth

Drivers License No:

State of Issue

Expiry Date (dd/mm/yyyy)

Guarantor 1 - Home Phone Number

Guarantor 1 - Mobile Number

Guarantor 1 - Email

Guarantor 1 - Current Street Address

Town

State

Postcode

Time At Current Address

Previous Address Required

Previous Town

Previous State

Previous Postcode

Residency Status

Is there a 2nd Guarantor?

Guarantor 2 Details

Guarantor 2 - Name

Guar 2 - Marital Status

Guar 2 - Date of Birth

License Number

State of Issue

Expiry Date

Guarantor 2 - Home Phone Number

Guarantor 2 - Mobile Number

Guarantor 2 - Email

Guarantor 2 - Current Street Address

Town

State

Postcode

Guar 2 - Time at Current Address

Previous Address Required

Previous Town

Previous State

Previous Postcode

Residency Status

Statement of Assets & Liabilities

CASH AT BANKS

Any Bank Accounts To Enter?

Name of Bank - Bank 1

Balance - Bank 1

Owing - Bank 1

Limit - Bank 1

Mth Payt - Bank 1

Creditor - Bank 1

Add Another Bank Account?

Name of Bank - Bank 2

Balance - Bank 2

Owing - Bank 2

Limit - Bank 2

Mth Payt - Bank 2

Creditor - Bank 2

Add Another Bank Account?

Name of Bank - Bank 3

Balance - Bank 3

Owing - Bank 3

Limit - Bank 3

Mth Payt - Bank 3

Creditor - Bank 3

Add Another Bank Account?

Name of Bank - Bank 4

Balance - Bank 4

Owing - Bank 4

Limit - Bank 4

Mth Payt - Bank 4

Creditor - Bank 4

Add Another Bank Account?

Name of Bank - Bank 5

Balance - Bank 5

Owing - Bank 5

Limit - Bank 5

Mth Payt - Bank 5

Creditor - Bank 5

PROPERTIES

Any Properties to Enter?

Address - Prop 1

Value - Prop 1

Owing - Prop 1

Limit - Prop 1

Mth Payt - Prop 1

Creditor - Prop 1

Add Another Property?

Address - Prop 2

Value - Prop 2

Owing - Prop 2

Limit - Prop 2

Mth Payt - Prop 2

Creditor - Prop 2

Add Another Property?

Address - Prop 3

Value - Prop 3

Owing - Prop 3

Limit - Prop 3

Mth Payt - Prop 3

Creditor - Prop 3

MOTOR VEHICLES

Any Motor Vehicles to Enter?

Year - Veh 1

Make - Veh 1

Model - Veh 1

Value - Veh 1

Owing - Veh 1

Limit - Veh 1

Mth Payt - Veh 1

Creditor - Veh 1

Add Another Vehicle?

Year - Veh 2

Make - Veh 2

Model - Veh 2

Value - Veh 2

Owing - Veh 2

Limit - Veh 2

Mth Payt - Veh 2

Creditor - Veh 2

Add Another Vehicle?

Year - Veh 3

Make - Veh 3

Model - Veh 3

Value - Veh 3

Owing - Veh 3

Limit - Veh 3

Mth Payt - Veh 3

Creditor - Veh 3

OTHER DEBTS

Any Credit Card Debts?

CARD 1

Creditor - Card 1

Owing - Card 1

Limit - Card 1

Mth Payt - Card 1

Add Another Credit Card?

CARD 2

Creditor - Card 2

Owing - Card 2

Limit - Card 2

Mth Payment - Card 2

Add Another Credit Card?

CARD 3

Creditor - Card 3

Owing - Card 3

Limit - Card 3

Mth Payt - Card 3

Add Another Credit Card/

CARD 4

Creditor - Card 4

Owing - Card 4

Limit - Card 4

Mth Payt - Card 4

PERSONAL LOANS

Are There Any Personal Loans?

Creditor - Loan 1

Owing - Loan 1

Limit - Loan 1

Mth Payt - Loan 1

Add Another Personal Loan?

Creditor - Loan 2

Owing - Loan 2

Limit - Loan 2

Mth Payt - Loan 2

Add Another Personal Loan?

Creditor - Loan 3

Owing - Loan 3

Limit - Loan 3

Mth Payt - Loan 3

OTHER ASSETS

House Contents

Superannuation

Taxi License

Business

Debtors

Tools

Comments or Queries

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