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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