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  • Suite 1703A, Level 17, 1 Bligh St Sydney NSW 2000

    Application Form

    Applicant 1 Details

    Full Name*

    Occupation / Position

    Your Email*

    Your Phone*

    Street Address (Home)

    Suburb

    State

    Post Code

    Driver's License Number

    Date of Birth

    Home Ownership Status
    OwnRentOther

    Years At Home Address

    Add Applicant 2
    NoYes

    Residency Status
    Australian CitizenPermanent ResidentOther

    Business Ownership (%)

    Applicant 2 Details

    Full Name*

    Occupation / Position

    Your Email*

    Your Phone*

    Street Address (Home)

    Suburb

    State

    Post Code

    Driver's License Number

    Date of Birth

    Home Ownership Status
    OwnRentOther

    Years At Home Address

    Add Applicant 3
    NoYes

    Residency Status
    Australian CitizenPermanent ResidentOther

    Business Ownership (%)

    Applicant 3 Details

    Full Name*

    Occupation / Position

    Your Email*

    Your Phone*

    Street Address (Home)

    Suburb

    State

    Post Code

    Driver's License Number

    Date of Birth

    Home Ownership Status
    OwnRentOther

    Years At Home Address

    Residency Status
    Australian CitizenPermanent ResidentOther

    Business Ownership (%)

    Business Details

    Type of Entity
    CompanyPartnershipSole TraderOther

    Business / Trust Name

    ABN/ACN

    Street Address (Trading)

    Suburb

    State

    Post Code

    Postal Address different to Trading Address?
    NoYes

    Street Address (Postal)

    Suburb

    State

    Post Code

    Principal Business Activity

    Business Start Date

    Owner's Name

    Business Phone

    Business Email

    Business Website

    Monthly Rent

    Lease End Date

    Loan Details

    Loan Amount Required*

    Term (Months)

    Settlement Date

    Loan Purpose*

    Loan Repayment Strategy

    Security Offered for Loan

    Add Plant or Equipment Assets
    NoYes

    Plant And Equipment

    Estimated Value or Purchase Price

    Current Debt

    Description or Comments

    Property 1

    Property Street Address

    Suburb

    State

    Post Code

    Ownership Status
    Already OwnedBeing Purchased

    Property Type
    ResidentialCommercialVacant Land

    Estimated Value or Purchase Price

    Lender

    Current Debt

    Notes and Comments

    Add Security Property 2?
    NoYes

    Property 2

    Property Street Address

    Suburb

    State

    Post Code

    Ownership Status
    Already OwnedBeing Purchased

    Property Type
    ResidentialCommercialVacant Land

    Estimated Value or Purchase Price

    Lender

    Current Debt

    Notes and Comments

    Add Security Property 3?
    NoYes

    Property 3

    Property Street Address

    Suburb

    State

    Post Code

    Ownership Status
    Already OwnedBeing Purchased

    Property Type
    ResidentialCommercialVacant Land

    Estimated Value or Purchase Price

    Lender

    Current Debt

    Notes and Comments

    Add Security Property 4?
    NoYes

    Property 4

    Property Street Address

    Suburb

    State

    Post Code

    Ownership Status
    Already OwnedBeing Purchased

    Property Type
    ResidentialCommercialVacant Land

    Estimated Value or Purchase Price

    Lender

    Current Debt

    Notes and Comments