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 motor vehicle/equipment finance application

In order for us to process your application promptly, please complete this form and ensure that all sections marked with * are completed. Thank you.
  Lease Rent Commercial Hire Purchase
Contact First Name*  
Last Name*  
Phone:* Home  
  Work  
  Mobile  
Fax:*  
Email:*
Applicant/Company
Name in Full*
ABN*  
Address*
Industry/
Occupation* 		Contact Name*
Phone* Fax*
Years
Established* 		Date of Incorporation
(eg 01/10/95)*
Individuals/Guarantors/Directors
 - first applicant  - second applicant (if applicable)
Name* Name
Home Address* Home Address
Term at address* Years Months Term at address: Years Months
Phone* Phone
Date of Birth
(eg 04/09/1969)* 		Date of Birth
(eg 04/09/1969)
Marital Status* Marital Status
No. of Dependents* No. of Dependents
Drivers Licence Number* Drivers Licence Number
State of Issue* State of Issue
Expiry Date* Expiry Date
Residential Status
 - first applicant  - second applicant (if applicable)
Home owner Buyer Renting
Home owner Buyer Renting
Landlord/
Manager Name* 		Landlord/
Manager Name
Landlord/
Manager Phone* 		Landlord/
Manager Phone
Employment Details
 - first applicant  - second applicant (if applicable)
Employer* Employer
Address* Address
Phone* Phone
No. of Years There* No. of Years There
Previous Employer* Previous Employer
Address* Address
Phone * Phone
No. of Years There* No. of Years There
Goods New/Used/Replacement/Additional
Full Description*
Serial Number Engine Number
Supplier* Phone*
Contact*    
Finance - details Advance/Arrears
Cost Price* $ Repayment per* month $
Less Deposit Cash* $ Residual Balloon (%)* _
- Trade in* $ Term ( Months )* _
Finance Amount* $
Accountant* Bank*
Address* Branch*
Contact* BSB*
Phone* Account Number*
Trade References
1. Company Name 2. Company  Name
Phone Number Phone Number
Fax Number Fax Number
Contact Name Contact Name
Credit References
1. Financier 2. Financier
Account Number Account Number
Account Type Account Type
Status: Current Finalised Status: Current Finalised
Year: Year:
3. Financier 4. Financier
Account Number Account Number
Account Type Account Type
Status: Current Finalised Status: Current Finalised
Year: Year:
Assets and Liabilities of Directors/Guarantors
 - first applicant
Assets
Liabilities
Monthly
Bank/Cash $ Mortgages $ $
Land/Buildings $ Other Loans $ $
Motor Vehicles $ Finance
Commitments		 $ $
Investments $ Bank
Overdraft		 $ $
Other $ Rent $ $
Other $ $
Total $ Total $
 - second applicant (if applicable)
Assets
Liabilities
Monthly
Bank/Cash $ Mortgages $ $
Land/Buildings $ Other Loans $ $
Motor Vehicles $ Finance
Commitments		 $ $
Investments $ Bank
Overdraft		 $ $
Other $ Rent $ $
Other $ $
Total $ Total $
Privacy Act Consent and Declaration


The Applicant(s) acknowledge that the finance applied for may not be provided by Absolute Finance and may instead be provided by some other person. Absolute Finance and any other person who considers providing or does provide the finance are referred to as the "Credit Provider" in this consent. The Guarantor(s) acknowledge that:

  • the application for finance will be supported by their guarantee; and
  • that they have read and understand the terms of the application for finance.
I/We agree that the Credit Provider may, in connection with the application for finance, the administration of any finance provided to the Applicant(s) and any guarantee, do all the following:
1. Seek and use commercial or consumer credit information about me/us from a business which provides information about the creditworthiness of persons ("Credit Reporting Agency").
2.

Seek from or give to any credit provider named in the application for finance or the information obtained under paragraph 1 above, or a Credit Reporting Agency, any information about my/our creditworthiness, credit standing, credit history or credit capacity in accordance with the Privacy Act.

3.

Give to any sources disclosed in the application for finance, information to:

  • verify details provided in the application; and
  • assist in consideration of the application.
4. Give to any guarantor or proposed guarantor of the application for finance, any information about the finance now or at any time in the future.
I/We declare that the information given is true and correct 
I/We authorise the underwriter to make and enquiries it considers necessary to verify the above information 
I/We agree to the seeking of and use of personal information about me/us in accordance with the terms of the above Privacy Act Consent and Declaration

You can complete the on-line application form by pressing continue or you can print this application form if you prefer. Please sign in the area below before submitting it by fax to 02 4254 2051.

1. ………………………………………………
Signature of Applicant/Guarantor

3. ………………………………………………
Signature of Applicant/Guarantor

………………………………………………
Name of Applicant/Guarantor

………………………………………………
Name of Applicant/Guarantor

2. ………………………………………………
Signature of Applicant/Guarantor

4. ………………………………………………
Signature of Applicant/Guarantor

………………………………………………
Name of Applicant/Guarantor

………………………………………………
Name of Applicant/Guarantor

Please print this form for future reference before you continue.

© Stenella 2001