Online Finance Enquiry Form Call us on (08) 9841 5100 if you need a hand! Online Finance Application Form Step 1 of 18 - Government Consumer Credit Statement 5% WARNING - Do you really need a loan today? * It can be expensive to borrow small amounts of money and borrowing may not solve your money problems. Check you options before you borrow: For information about other options for managing bills and debts, ring 1800 007 007 from anywhere in Australia to talk to a free and independent financial counsellor Talk to your electricity, gas, phone or water provider to work out a payment plan If you are on government benefits, ask for an advance payment from Centrelink or phone 13 17 94 Go to www.moneysmart.gov.au. Moneysmart shows you how small amount loans work and suggest other options that may help you. *This statement if an Australian Government requirement under the National Consumer Credit Protection Act 2009 *Please read the following PDF documents below before applying for finance – PRIVACY CONSENT NOTICE DO YOU NEED A LOAN APPLICATION REQUIREMENTS I would like to borrowLoan amount*Purpose of loan*Type of credit applied for*Select ...PersonalBusinessCommercial credit declaration I declare that the credit to be provided to me by the credit provider is to be applied wholly or predominantly for business or investment purposes (or both)IMPORTANT. You should not sign this declaration unless this loan is wholly or predominantly for business or investment purposes. By signing this declaration you may lose your protection under the Consumer Credit Code. Applicant 1 Personal DetailsSurname*Given Names*Title*Date of Birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Drivers License Number Applicant 1 AddressCurrent Address*Current Address Postcode*Years at Current Address*01234567891011121314151617181920 or moreMonths at Current Address*01234567891011Previous Address*Previous Address Postcode*Years at Previous Address*01234567891011121314151617181920212223242526272829Months at Previous Address*01234567891011 Applicant 1 Contact DetailsEmail Address Enter Email Confirm Email Mobile Phone NumberPrivate Phone Number Applicant 1 Employment DetailsEmployer's Name, Address & Telephone NumberOccupationLength of Employment in Years01234567891011121314151617181920 or moreLength of Employment in Months01234567891011Type of EmploymentSelect ...Full TimePart TimeCasualNumber of Dependants Applicant 2Is there a Second Applicant?*YesNo Applicant 2 Personal DetailsSurnameGiven NamesDate of BirthDay12345678910111213141516171819202122232425262728293031Month123456789101112Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Driver's License Number Applicant 2 Employment DetailsEmployer's Name, Address & Telephone NumberOccupationLength of Employment in Years01234567891011121314151617181920 or moreLength of Employment in Months01234567891011Type of EmploymentSelect ...Full TimePart TimeCasual DeclarationHAVE YOU OR YOUR SPOUSE, EVER BEEN DECLARED BANKRUPT OR INSOLVENT, OR HAS EITHER ESTATE BEEN ASSIGNED FOR THE BENEFIT OF CREDITORS?*YesNoDetails* Current Loans or Loans Finalised in the Last 3 YearsCurrent Loans or Loans Finalised in Last 3 YearsNames & LocationsAccount NumbersDate BorrowedAmount BorrowedMonthly PaymentsCurrent BalanceDate Finalised Nearest RelativeName, Address & Telephone Number of Nearest Relative*Relationship* Declaration This statement does not form part of my/our offer nor will it be incorporated into any Contract or Loan resulting from your acceptance of my/our offer in terms of the Credit. I/We declare and warrant that the information given is, to the best of my/our knowledge and belief, true and correct. I/We are not undischarged bankrupt(s) nor are there any unsatisfied judgements against me/us. WARNING! IF YOU DELIBERATELY GIVE FALSE OR MISLEADING INFORMATION TO GET CREDIT YOU CAN BE TAKEN TO COURT.Declaration Agreement* I agree to the Declaration*You have agreed to "This statement does not form part of my/our offer nor will it be incorporated into any Contract or Loan resulting from your acceptance of my/our offer in terms of the Credit. I/We declare and warrant that the information given is, to the best of my/our knowledge and belief, true and correct. I/We are not undischarged bankrupt(s) nor are there any unsatisfied judgements against me/us. WARNING! IF YOU DELIBERATELY GIVE FALSE OR MISLEADING INFORMATION TO GET CREDIT YOU CAN BE TAKEN TO COURT. Statement of AssetsLand and BuildingsLocationLand or Building?Value Motor VehiclesYearMakeModelValue FurnitureList any furniture you own and the total value of your furnitureTotal Furniture ValueOther AssetsAsset DescriptionValue Cash at BankBankAccount TypeBalance Total Assets Statement of LiabilitiesMortgagesLenderMortgaged PropertyBalance Motor Vehicle LoansLenderVehicleBalance Other Loans or Credit CardsLenderType of Loan / CardBalance Total Liabilities Income TestApplicant 1 Monthly IncomeSourceAmount Applicant 2 Monthly IncomeSourceAmount Other IncomeSourceAmount Total Monthly Income ExpensesMonthly Mortgage or RentPropertyMortgage or Rent?Amount Monthly Motor Vehicle PaymentsVehicleAmount Credit Card Monthly PaymentsLenderAmount Vehicle Expenses*Household Expenses*General Expenses*Entertainment Expenses*Other Expenses*Total Monthly Expenses What documents do I need to supply? We will need to see: The latest 90 days of your bank account statement transaction history or the account your income is deposited into A copy of photo identification (i.e. driver's license, 18+ card, passport) A copy of your Medicare card A copy of 3 most recent payslips A current Income Statement if you receive a Centrelink payment You can upload your documents using this button belowDocuments Drop files here or Maximum file size of 12 mb per fileNameThis field is for validation purposes and should be left unchanged.
