Finance Application Form PLEASE USE BLOCK LETTERS TO COMPLETE THIS APPLICATION APPLICANT NO.1 = SINGLE APPLICANT 4. Personal Details Name Mr/Mrs/Miss/Ms eee ———— noe Yearat rset Ades Year a Prev Aaias Tetoone an) serous [] Mee CS Maal tts Name ot Spouse : 4 : Diersteweone. [an ttn "Non-Residents Please tick i you are not an Australian resident 2. Financial Details ‘Accountant Telephone Bank Mating Address FinanoelCredit Accounts 1 2 3 3. Employment Details ‘Occupation Employed By ‘Years Employed Other Sources of Income Total of Other ‘Annus Income Previously Employed By Pease atach ‘Are you tos ron) State Postcode Financiorn.ender ____ Reference Number sol tion ana ‘Annual Gross Income from Employer [ $ ‘A. Wages and Salary Eamers Alter fom your employer oiking basic ates of pay. overe,alowances, ec, ot asx er i “Sommtsston Eamers A mony breakdown of youre +2 months commission signet by your employer and your asx et 1, SettEmpioyed Persona ~Iost2 yar tx rots. borrowing [_] (eorrower) OR guaranteeing [_] guarantor the loan?APPLICANT NO. 1 SINGLE APPLICANT 4. Statement of Assets and Liabilities Every secton of tis statement MUST be complete. If section ino applicable, wile ‘IL ASSETS VALUE LIABILITIES VALUE Existing Property ; Existing Morgage Nadie [s | tend 3 Other Property Easting _ —— Home Address $ tener [ ; Sher Pepry _ Eistng Mongage — ‘aes $ Lender ; Carls LeaseiHire Purchase (give delaig) Detais $ Lender $ Detas $ tender [ $ Furniture etc. Other (give details) aay Detais $ ] bender $ Detaie $ Lender {s Caravan, Boat, Motoreyces etc. Personal Loan, Bank Gredit Union, Bulding Society ota Details 3 Lender $ Detats $ Lender $ Savingslinosimenis ve deta ‘iher Commiments =e, sore account, etc (pho do) Detais 3 s Detais 3 § DepoaitPad “Taxation Labiliy (ive dae) = $ $ = Siperanngaon ‘Other Lait eg Bank im overage deta) Dota $ ls $ Other insurance (e.g. insurance surrender value) ~ ay cea Parinership or Company interests or Other Address s $ $ ‘SUB TOTAL @) $ Not assets (1}(2) $ TOTAL) $ TOTAL $ 5. Monthly Lean Commitments _— 1. Mortgage Loan $ ‘4 Personal Loan s 2. Mortgage Loan $ ‘5. Other Loan(s) s 5. Motor Vehicle Loan 3 TOTAL $APPLICANT NO.2 SINGLE APPLICANT 4. Personal Details Name [ MrrMirsitvissiMs = Address ae Years at Present Address ‘Years at Previous Address, Telephone C) ter Hours [(_) Mobile c) Marital Status Name of Spouse flabiencl Driver's Licence No. as oes Non-Residents Please ick you are not an Austraan resident [_] 2 Financial Detale scoomant Tetphoe sank Maling Address FinancatCredt ‘Accounts 2 3 3. Employment Details ‘Occupation Employed By ‘Years Employed Other Sources of income ‘Total of Other ‘Annual income Previously Employed By Please Atach ‘Ate you eases) State Postcode FinancierRender Reference Number sal eseripton and _ ‘Annual Gross Income trom Employer [ $ [_ ‘A. wages and Salary Earners ~A ter fm your employer itemisng base aes of pay, over, aowances, et, of yourtasttaxretun. . Commission Eames ~A monthly breaksoun of your lst 12 mona commissions -gned by your empoye and your Iaetaeretum. E. Self Employed Persons lst 2 years ax rehurs borrowing [] toorower) OR guarantocing [_] (guarantor) the loan?APPLICANT NO. 2 SINGLE APPLICANT 4. Statement of Assets and Liabilities Every section ofthis statement MUST be competed. Ifa section ls nat applicable, wo “WL ASSETS VALUE LIABILITIES VALUE isting Property : sting Mortgage Home ‘cress |__ $ Lender 3 Other Property Basting Morgage - — ‘acres s vender [ s ‘Other Property — = Enisting Morgage = = Home ae $ Lender 3 Car's Lease/Hire Purchase (give details) 7 — Detais $ Lender 3 Detas 8 Lender $s Furie ee ‘ther Cave dea - — Detais $ Lender s Detais $ Lender $ Caravan, Boat, Molreyces oi — ‘Personal Loan, Bank Gredt Union, Bulling Sony et Detae 3 Lender $ Detais $ Lender $ SavingsTiqvestments (pve deals) —— ier Commitments ~ e.g. sare oun ef (ie dais Details $ $ Detaits 5 2 Dopoak Paid ~~ Taxation Lisbliy (ve tas) $ $ = Superanngation er Labiles e.g bank ind overage deals) Detas $ $ s ‘Other insurance (e.g. insurance surender value) ‘Any Contingent Liabilty, Partnership or Company Interests or Other (0. guarantees) — sess $ 8 $ ‘SUB TOTAL 2) $ Net assets (1142) $ ToTAL(1) TOTAL $ lonthly Loan Commitments a ee Monthy Payments Monthy Payments 1. Mortgage Loan 4. Personal Loan $ 2. Mortgage Loan 5. Other Loan) $ 5. Motor Voice Loan $ TOTAL6. Loan Details Purpose of Loan ‘Amount Rate Payments Variable g Principal & Interest oR * Hfintorest ony, how do you propose to repay he loan? 7. Solicitor Name of Fm Contact Name Address Telephone 8. Security ‘Address 4 Owner “The Detais purchasing, purchase price [ $ Met, name of tenant Description of Property E ‘Access forValuer Name Telephone [(_) Property isl be (sae sa) Owner Occupied Used for investment Used for Business Mr/Nirs/Miss/Ms Terms Requited Months — (e] Intorest Onlys Facsimile [(_) ‘State Postcode MriNirs/MissiMs Ifrefinancing, estimated vatue [ $ Grose Rent ['§ ‘Additional Securty Properties ‘Address 2 Owner “Tie Details Mritirs/Miss/Ms purchasing, purchase price ‘Met, name of tenant Irofnancing, estimated value [$ Grossrent [$Description of Property ‘Access for Valuer Address 3 Owner MriMirs/MissiMs Tile Dota ~ Mfpurchasing, purchase price | $ WWrefinancing, estimated value | $ ~] renee ote — a oO econ terVaber Nama ] teeter [7 Property itl bo (seas) (Owner Occupied Used for nvestment| Used for Business 9._Further Details in Support of ApplicationCOMPANY DETAILS Company Name ABN [JO o Oo | Registered Ofce (i deren o wading adores Number & Steet Name’ | com ‘State Postcode a Principat Athy ee ‘Accountant MriMtrsiMiss/Ms/Dr Tolophone (aay Fax Number [(_) Bank Branch FinanciorfLender Reference Number ate eee ‘Accounts 1 2 3 ‘Wil the company (peas ck one ony) borrowing [“] (borrower) OR guarantecing [] (guarantor the loan? Please attach latest financial statements forthe company * Each arector to complete section 1 Personal Detais "sf trent to directorsDeclaration of Purpose for which Credit is Provided 'We declare that the credit to be provided to me/us by the credit provider is to be applied wholly or predominantly for business or investment purposes (or for both purposes) Important You should not sign this declaration unless this loan is wholly or predominantly for business or investment purposes. By signing this declaration you may lose your protection under the Consumer Credit Code. Borower2 PretNane Signature Dae [7 Borower3 PT Pont Name Signature Borrower 4 7 Pint Name Signature