Finance Application (Business)

Telephone: (03) 9005-6633 Email: mail@creditlinkaustralia.com.au

www.creditlinkaustralia.com.au
APPLICATION FOR FINANCE*
Preferred Finance Structure*
DETAILS OF GOODS
BORROWER DETAILS - individual, business, partnership, company/trust
Date Business was Established

YearMonth
If Borrower is a TRUST - please list Beneficiaries of Trust
Business Trading Address*
Street address, Suburb, Post Code
Registered Business Address (if different from Trading Address)
Street address, Suburb, Post Code
Postal Address (if different from registered and principal business address)
Street address, Suburb, Post Code
ACCOUNTANT DETAILS
MAIN BANK DETAILS

Applicant Personal details

(required for each Individual Borrower, Partner, Director)
Name (required for each Individual Borrower, Partner, Director)

PrefixFirst NameMiddle NameSurname
Date of birth (DD/MM/YYYY)

DayMonthYear
Date
Relationship status
Number of dependents
e.g. children
RESIDENTIAL DETAILS
Residential Address*
Street address, Suburb, Post Code
Time at Address
Residential Status
Previous Address (if less than 2 years at current address)
Street address, Suburb, Post Code
Time at Address
Postal Address (if different from Residentail Address)
Example: PO Box #, Suburb, Post Code

INCOME & EMPLOYMENT DETAILS

Please provide details of current & previous employment

	Job Title	Employer	Time there
Current Employment
Previous Employment

ASSETS and LIABILITIES

Liabilities

Asset Finance Contracts

	Description (vehicle/equipment)	Finance amount	Balance owing	Repayment	Financier	Date started
1
2
3
4
5

Other Finance

Declaration and signature
Are there any foreseeable changes to your circumstances that could impact on your financial situation (for example, retirement plans, seasonal employment, changes under your other loan arrangements, expecting a child)?

YesNo
Have all the loans in your name (regardless of whether the repayments are made by you or not) been disclosed in the liabilities section of this application?

YesNo
I have read and understood the particulars that have been completed in this declaration and state that those particulars are true, complete and not misleading, and have been made to Creditlink Australia Pty Ltd to enable it to assess my finance application and apply for finance for me.

Also, I consent and agree that: (a) Creditlink Australia Pty Ltd may give me notices or documents by electronic communication by sending the notice or document to the email address disclosed above or the last email address I have otherwise notiied; (b) if a notice or document is so given, it will be taken to be given at the time when the notice or document has entered my information system; (c) paper notices and documents may no longer be given to me; (d) electronic communications should be regularly checked for notices and documents; and (e) my consent to the giving of notices and documents by electronic communication may be withdrawn by me at any time.
Signature

Clear
Name

NameLast Name
Date

DayMonthYear
Date
Should be Empty:

Declaration and signature