Individual Finance Application Form

Individual Finance Application Form

Colossal Finance Pty Ltd (CRN #556118 of ACL #395230)
Full Name*

First NameLast Name
Mobile Number*
Please enter a valid phone number.
Email Address*
example@example.com
HOME ADDRESS (Not PO Box)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
RESIDENTIAL STATUS*

OwnedMortgagedRentingLiving with ParentsOther
MONTHLY RENT / MORTGAGE*
DATE OF BIRTH*

DayMonthYear
Date
DRIVER'S LICENSE NUMBER
DRIVER'S LICENSE PHOTO

Please Upload Front & Back of Driver's License
Cancelof
RELATIONSHIP STATUS*

MarriedSingleDefacto
DEPENDENTS*
EMPLOYER*
POSITION*
ANNUAL SALARY*
TIME EMPLOYED*
EX-EMPLOYMENT DETAILS (IF LESS THAN 3 YEARS)
Employer and Position

ASSETS & LIABILITIES

ASSETS*

	Description	Value
Property (Incl. Address)
Vehicles
Personal Assets
Furniture
Shares (Pres. Value)
Investments
Life Insurance
Bank Accounts
Cash
Other

LIABILITIES*

	Description	Outstanding
Mortgage
Vehicle Loans
Personal Loans
Other
Other
Other

EXISTING OR FINALISED LOANS

	START DATE	FINANCIER	GOODS	FINANCE AMOUNT	TERM & PAYMENT	ACTIVE?
1
2
3
4

Colossal Finance Pty Ltd

Level 2 | 493 St Kilda Road (PO Box 7480) | Melbourne VIC 3004
Phone: (03) 9969 0069 | Fax: 03 9867 2110 |

Email info@colossalfinance.au

Website www.colossalfinance.au

Unleashing the potential of Australian businesses through modern finance solutions facilitated by old-school relationships.

Click Here for more information.

Disclaimer: All Applications are subject to credit assessment, eligibility criteria and lending limits. Terms, conditions, fees, and charges apply. Information provided is not intended to imply any approval of a finance product(s) or constitute tax advice. If you require financial or tax advice you should consult a licensed financial or your tax adviser. While we make every attempt to give you the best possible information, Colossal Finance, its agents, and representatives will accept no responsibility for any loss that may arise.

We are committed to protecting your privacy.

Copyright © 08-2024 Colossal Finance Pty Ltd ABN 52 623 073 432

Corporate Credit Representative (CRN) No. 556147 of Australian Credit Licence (ACL) #395230, Australian Financial Complaints Authority (AFCA) #105018
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