Econex Finance Application
Business Details
Are you the main applicant?
*
Yes
No
Business Name
*
ABN/ACN
Business Type
*
Please Select
Company
Partnership
Trust
Sole Trader
Trust Name
*
ABN
Business Address
*
Registered office address (if known)
Annual Revenue
Key Contact Info
*
Contact Name
Position
Phone Number
Email
Postal / Zip Code
Asset Description
*
Please upload tax invoice or quotes
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Personal details
Name
*
First Name
Last Name
Position
*
Please Select
Director
Partner
Owner
Trustee
Guarantor
Drivers licence number
*
State of issue
*
Expiry date
*
Date of birth
*
Please upload the front & back of drivers license
*
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Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Home owner?
*
Yes
No
Permanent Resident
*
Please Select
Yes
No
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Personal Asset & Liabilities
Assets
*
Rows
Amount
Freehold Property
Cash
Vehicles
Other Assets (Shares)
Total Assets
Liabilities
*
Rows
Amount
Home Loans
Credit Cards
Personal Loans
Total Liabilities
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Please read the following and sign below
*
Director/Partner/Owner/Trustee/Guarantor
*
Date signed
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Other applicants must also fill in their own form.
After submission, you will be redirected to the Econex website.
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