private motor vehicle finance application

Personal Details 
- First Applicant

Personal Details 
- Second Applicant/Guarantor (if applicable)

Title

Title

First Name *

First Names

Last Name *

Last Name

Date of Birth *
(eg 04/09/1969)

Date of Birth
(eg 04/09/1969)

Sex (Male/Female)

Sex (Male/Female)

Driver’s Licence *

Driver’s Licence

Expiry Date *

Expiry Date

Home Phone *

Home Phone

Work Phone *

Work Phone

Fax Number

Fax Number

Mobile Phone

Mobile Phone

Email Address *

Email Address

Marital Status

Marital Status

Number of Dependents

Number of Dependents

Residential Address *

Residential Address

Suburb *

Suburb

State *

State

Post Code *

Post Code

Time There *
(Years/Months)

Time There
(Years/Months)

Residential Status *

Residential Status

Previous Address

Previous Address

Suburb

Suburb

State

State

Post Code

Post Code

Time There
(Years/Months)

Time There
(Years/Months)

Residential Status

Residential Status

Employment Details 
- First Applicant

Employment Details  
- Second Applicant/Guarantor

Employers Name *

Employers Name

Employer’s Address *

Employer’s Address

Suburb *

Suburb

State *

State

Post Code *

Post Code

Occupation *

Occupation

Period of Employment (Years, Months) *

Period of Employment (Years, Months)

Employment Status

Employment Status

Previous Employer’s Name

Previous Employer’s Name

Previous Employer’s Address

Previous Employer’s Address

Suburb

Suburb

State

State

Post Code

Post Code

Occupation

Occupation

Period of Employment (Years, Months)

Period of Employment (Years, Months)

Employment Status

Employment Status

Bank Details 
- First Applicant 
(for direct debit purpose)

Bank, Credit Union,
Building Society Name

Branch

BSB Number

Account Number

Account Type

Income Details 
- First Applicant

Income Details 
- Second Applicant/Guarantor

Weekly Net Salary *
(after tax)

Weekly Net Salary
(after tax)

$

Gross Annual Salary

$

Regular Overtime

$

Other Income (Interest, Dividends, Rental Income, Maintenance, Other)

$

Expense Details 
- First Applicant

Expense Details 
- Second Applicant/Guarantor

Mortgage Payment
(per month)

$

Mortgage Payment
(per month

$

Mortgagee
(eg Absolute)

Current mortgage balance

$

Rent (monthly)

$

Landlord (Name of Real Estate Agent, Owner)

Landlord’s Phone Number

Contact Person

Personal Loan Monthly Repayments

$

Second Car Loan Repayments

$

Credit Card Repayments

$

Other Expenses

$

Asset Details (Value of)  
- First Applicant

Residence
(if buying or own)

$

Residence
(if buying or own)

$

Investment Property

$

Investment Property

$

Motor Vehicle

$

Motor Vehicle

$

Savings

$

Savings

$

Investments

$

Investments

$

Current/Previous Credit Details 
- First Applicant

Company

Company

Loan Type

Loan Type

Loan Amount

$

Loan Amount

$

Monthly Repayments

$

Monthly Repayments

$

Term

Term

Current Status

Current Status

Company

Company

Loan Type

Loan Type

Loan Amount

$

Loan Amount

$

Monthly Repayments

$

Monthly Repayments

$

Term

Term

Current Status

Current Status

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 the person who provides 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. Declaration I/We solemnly and sincerely declare that: I am/We are not insolvent and have never been declared bankrupt; The information given by me/us is true and correct; The income and expenses declared represent an accurate assessment of my/our financial position; I am/We are permanent resident(s) of Australia; I am/We are over the age of 18 years; and I/We have read and understood the "Privacy Act Consent".

First Applicant	Second Applicant
I have read and accept the terms and conditions within the above Declaration	I have read and accept the terms and conditions within the above Declaration
Please click the box if you accept	Please click the box if you accept
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.