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Finance Application
Personals
Name:
Contact & Phone No.
Date In:
Time In:
Date Out:
Time Out:
Asset
Make/Year
Model
Transmission
Reg no.:
Body
Manual
Automatic
Sedan
Station Wagon
Hatch
Coupe
Utility
Truck
Van
No Preference
Chassis/Ser no.:
Engine no:
Extras:
Details of towing unit if goods towable:
Dep%:
Trade In
Make/Year
Model
Transmission
Body
Manual
Automatic
Sedan
Station Wagon
Hatch
Coupe
Utility
Truck
Van
No Preference
Engine Cap.
Engine No.:
Value $:
Pay out $:
Company:
Customer(s)
Guarantor(s)
Separate application forms required
Surname/CO Name:
Given Names:
.Title:
Street:
Suburb
State:
Postcode:
Years at this address:
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Previous address:
Years:
Mailing address?
DOB: (DD/MM/YY)
Marital Status:
No. Dependents:
Yes
No
Licence No.
Expiry Date:
Home Phone No.
Business Phone No.
Customer No.:
Spouse:
DOB:
Home
-
Owner
Purchasing
Renting
Boarding
Monthly Payment$
Mortgagee/Landlord
Value$
Balance$
Occupation
Self Employed
Nature of business:
Present Employer
Address
Yrs
Position
Net Monthly Wage $
Previous Employer
Address
Yrs
Position
Net Monthly Wage $
Spouse Employer
Address
Yrs
Position
Net Monthly Wage $
Closest Relative - not living with applicant
Name
Address
Relationship
Phone No.
References Bank
Name
Branch
Cheque:
Savings:
Bankcard:
Accountant
Name
Address
Phone No.
H.P Lease, P.Loans
Company Name
Account No.
Address
Curr. Fin.
Type
Company Name
Account No.
Address
Curr. Fin.
Type
Company Name
Account No.
Address
Curr. Fin.
Type
References
Trade
Address
Phone No.
Trade
Address
Phone No.
Personal
Address
Phone No.
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