Factoring Finance AU

Authorisations & Declarations
I/We declare that the information provided is true and correct to the best of my/our knowledge.

I/We authorise the finance provider to:
- Conduct credit checks on the company, directors, and associated parties
- Contact customers and suppliers for verification purposes.
Name:*

First NameLast Name
Position:*
Date:*

MonthDayYear
Director / Authorised Signatory:*

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Privacy Statement

The information collected in this form will be used for assessing your application for debtor finance. We comply with the Privacy Act 1988 (Cth) and your information will not be shared with unrelated third parties without consent.
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Debtor Finance Application Form