Application for Finance
Proposed Loan Details
Loan Purpose (Please describe IN DETAIL the proposed purpose and use of funds)
PLEASE NOTE: The remainder of this page has been intentionally left blank and another page follows.
Declaration and Signature
Company Officer 1
Signature : ....................................
Company Officer 2
Declaration as to purpose of CreditI declare the credit to be provided to me is to be applied wholly or predominantly for:
•Business purposes; or
•Investment purposes other than investment in residential property
You should ONLY sign this declaration if the loan is wholly or predominantly for:
•Investment purposes other than investment in residential propertyBY SIGNING THIS DECLARATION YOU MAY LOSE YOUR PROTECTION UNDER THE NATIONAL CONSUMER CREDIT CODE
This declaration has been made before I signed, or entered into, a credit relating to this intended transaction AND I MAKE THIS SOLEMN DECLARATION conscientiously believing the contents to be true
STATEMENT OF ASSETS & LIABILITIES
Signature(s) of Applicant(s) ...................................
STATEMENT OF ASSETS & LIABILITIES
(As per page 2 of the attached)
Privacy Statement and Consent
Your privacy is important to us. In order to manage our business professionally and efficiently we need to obtain and use personal information about prospective and existing borrowers and guarantors.The purpose of this privacy consent form is for you to consent to us obtaining and using information about you in the manner we have specified in this form and in accordance with the Privacy Act (Cth) 1988. The Privacy Act regulates the way in which personal information about customers can be used by credit providers. If you would like more information on Australian privacy legislation, please visit: www.privacy.gov.au.In this document “we”, “us” and “our” refers to the entity who collects on whose behalf your personal information is collected, Purpose of Collection and UseCertain personal information is required to enable us to:•Assess your application for credit and/or credit worthiness and/or become a guarantor, and where your application is made in relation to a master credit facility, assess any subsequent applications you may make for credit under that facility;•Administer any credit facility which is subsequently provided by us including managing any account in connection with the Credit facility, administering insurance claims, recovering any money owed to us, maintaining the value and protecting any assets provided as security for any obligations under credit facility and for use in connection with the outsourcing of any functions;•Assist you to avoid defaulting on your credit obligations;•Notifying other credit providers of any default by you; or•Identifying and sending you any information about our other related products or services that may be of interest to you.The following tells you what information might be required and how the information might be used. PLEASE READ THIS CAREFULLY. If you do not provide us with the personal information requested, we will be unable to assess your application, obtain credit or become a guarantor.Disclosure of Personal InformationThe types of organizations to which we usually disclose personal information include credit reporting agencies, government departments and authorities, insurers and underwriters, guarantors, agents, contractors, proposed assignees of our assets and other third parties associated with us to enable us to carry out our functions, for example, mailing houses, debt collection agencies, mercantile agents, archive companies, valuers, call centre operators, solicitors, accountants, other funders, introducers, brokers and suppliers of goods to be financed.You consent to us collecting your personal information and using it for the purposed outlines in this document including disclosing your personal information to the types of organizations set out above.Disclosure of Information to a Credit Reporting AgencyYou authorize us to give a credit reporting agency certain personal information about you for the purposes of enabling us to obtain consumer or commercial credit reports about you and/or to allow the credit reporting agency to create or maintain a credit information file containing information about you.These reports and credit information may be obtained and referred to by us for any of the purposed referred to in the document, including:a)assessing your application or credit and/or to become a guarantor; orb)where your application is granted in relation to a master credit facility, assessing subsequent applications you may make for credit under that facility.The information which we may disclose to the credit reporting agency is limited to:•your identification :including your name, sex, address and the previous two addresses, date of birth, name if employer and driver’s license number);•the fact that credit has been applied for and the amount;•the fact that we are a current credit provider to you; •details of payments which become overdue for more than 60 days and for which collection action has commenced;•the fact that payments are no longer overdue;•details of cheques drawn by you which have been dishonoured more than once;•the fact that in our opinion you have committed a serious credit infringement; and•the fact that credit provided to you by us has been paid or discharged.Authority to Obtain Credit InformationYou authorize us to obtain from:a)a credit reporting agency: a credit reporting agency containing personal or commercial information about you in relation to personal or commercial credit provided to you; andb)a business which provides information about the commercial credit worthiness of persons: information about your commercial activities or commercial credit worthiness in relation to your application for credit and, where applicable in relation to any subsequent applications for credit under a master facility.
I/We have read and understood this privacy consent form and authorize Lender to collect and use my/our personal information in the manner described in this document.