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Car Loan Application

Are you applying for finance with a Co-Buyer / Spouse? /


To complete the application form, simply fill in the fields marked with an asterisk (*), then click submit application, it's as easy as that! Remember if you are applying for a loan with a co-buyer or spouse, be sure to click yes to the question above, before you begin to complete this form.

Loan Details
$
Loan Amount
*  (min. $5000)
Applicant Details
Title:
*
   
First Name * Middle Name
Last Name * Date of Birth *
Licence No * Licence State
*
Licence Expiry Date *    
Email Address * Marital Status
*
Home Phone Telephone (BH) *
Mobile No. of Dependants
Current Address
Living Arrangement
*
Unit Number
Street Number * Street Name *
Street Type
*
City/Suburb *
State
*
Post Code *
Time At Address years mths *    
Landlord Name
(If renting)
Landlord Telephone
(If renting)
Previous Address (if less than 3 years at current address)
Unit Number Street Number
Street Name Street Type
City/Suburb State
Post Code Time At Address years mths
Primary Employment Details (Please record your last 3 years of employment)
Employment Status
*
Job Title *
Employer Name * Employer ABN
Employer Address * Employer City *
State
*
Employment Contact Person *
Employer Telephone * Employed For years mths *
Previous Employment (if less than 3 years at current job)
Job Title Employer Name
Employer Address Employer Telephone
Employed For years mths  
Previous Employment (if less than 3 years at current job)
Job Title Employer Name
Employer Address Employer Telephone
Employed For years mths  
Income
Borrower Details  
$
Regular Gross Monthly Income
*
$
Extra Income (e.g. Family Allowance)
Expenditure
Borrower Details  
$
Rent/Mortgage Payments Per Month
$
Credit Card Min. Monthly Payment
$
Other Loan Repayments Per Month
Type of Loan
Finance Reference (Companies you have borrowed money from in the past or at present)
Lenders Name Loan Type
Loan Term years mths Monthly Payment
Outstanding Balance (if any)    
1st - Personal Reference (not living with you)
Personal Reference Name Personal Reference Relationship
Telephone Number (land line) Unit Number
Street Number Street Name
Street Type City/Suburb
State Post Code
2nd - Personal Reference (not living with you)
Personal Reference Name Personal Reference Relationship
Telephone Number (land line or mobile) Unit Number
Street Number Street Name
Street Type City/Suburb
State Post Code
Bank Account Details
Bank Name Bank Account Name
BSB Number Account Number
Type of Account Payment Method
*
Additional Information:
Please add any information that may assist us with assessing your loan application.
Privacy Policy
  I / We have read the Privacy Policy *
  I / We are over 18 years of age *
 
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