K-Finance

Business / Rural Online Credit Application


These fields * must be completed before this form will be accepted

Legal Name of Organisation: *

Date Business
Commenced:*

(If incorporated, the registered name of the organisation, such as that on the certificate of incorporation
from the Companies Office, or if unincorporated, the names used in the constitution or governing rules.)
Business is a:
Trading Name:
Nature of Business:

Physical Address:

House No, Street, Suburb
City:

Postal Address:
(nearest relative)

House No, Street, Suburb
City:
Phone:
Fax:
Mobile:*
Email:*
 
Directors/Shareholders/Partners:
    
Name:
Address:
Name:
Address:
Previous/Current Trade References:
(Should be a min 6 month relationship)
Company:
Monthly Commitment :
 $
Company:
Monthly Commitment :
 $
Company:
Monthly Commitment :
 $
Bank:
Branch:
Account Number:
   
Solicitors:
Accountants:
Insurers:
Paid Up Capital :
$
Full Name: *

First, Middle, Surname
Date of Birth:*
Partners Full Name:

First, Middle, Surname
Date of Birth:
Current Address:

House No, Street, Suburb
City:
Phone:
Years There:
E-mail:*
Tenancy:
Marital Status:
Previous Address:

House No, Street, Suburb
No. of Dependents:
Insurance Company:
Drivers Licence No:
Version No (5b):
Parents Name:
Address:
Phone No:
City:
Another Contact:
Address:
Phone No:
City:
Occupation:
Mobile Phone No:
Employer:
Years There:
Address:
Phone No:
Partners Employer:
Work Phone No:
Work Address:
Occupation:
Years There:
   

General Loan Information
Compulsory! (please complete this section)
*Reason for Loan:
*Name of Dealership that referred you:
*Amount:
 $    
Vehicle being purchased or used for security.
Make:
Model:
Year:
Rego:
Vehicle Valuation:
$
Speedo/Km:
Deposit (if purchasing)
 $
Repayment Term:
Petrol
Diesel
cc Rating:
INCOME
  
EXPENSES
  
Weekly take home pay:
$
Mortgage/Rent:
$
Partner take home pay:
$
HP & Credit Cards:
$
Other income:
$
Loans:
$
ASSETS
  
LIABILITIES
  
Home
$
Mortgage Balance:
$
Bank
 $
Credit Accounts
 $
Vehicles
$
Other Loans:
$
Investments
$
Business Loans:
$
* Compulsory! (please tick,)
I hereby agree and confirm that I have read the K-Finance
* Privacy Policy and will comply with all the conditions set out within.