This
is a printable form only and to be faxed to 03-377-7117
Individual/Business Online
Credit Application
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 name used in the constitution
or governing rules.)
This business is a (please
circle one) :
Company / Partnership
/ Trust / Other
Trading Name:
Physical Address:
Postal Address :
Phone:
Fax:
Mobile:
Email:
Natuer of Business :
Directors / Shareholders
/ Partner Details:
(each of whom shall be
the person acting for the purpose of the Personal Property
Security Act 1999)
Name:
Address:
Name:
Address:
Previous / Current Trade
References :
(should
be minimum 6 months 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, City
No. of Dependents:
Drivers Licence
No:
Insurance
Company:
Occupation:
Mobile Phone No:
Employer:
Years There:
Address:
Phone No:
Partners Employer:
Work Phone No:
Work Address:
Occupation:
Years There:
GENERAL LOAN INFORMATION
Reason for Loan and amount:
Amount:
Reason:
Name of Dealership that referred you:*
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:
$
(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.
