Apply online for your Car, Boat or Personal Loan by completing the following online Loan Application Form. Alternatively, if you wish to complete a PDF and fax it back, you may do so by downloading the application form here.

Need Finance Car Loan Application Form



Full Name of Applicant(s) Borrower/Co Borrower/Guarantor (Delete as applicable)
Name 1		Phone 1
Name 2		Phone 2

Address 1	Post Code 1	For Yrs/Mths
Address 2	Post Code 2	For Yrs/Mths

Current Housing Situation	Own Buying Renting Boarding
Customer Email Address:
Landlord – Name & Address:
Phone No.

Marital Status	Date of Birth	Age of Dependants	Drivers Licence No.	Expiry Date
1.
2.

Occupation 1	F/T, P/T, CASUAL	Occupation 2	F/T, P/T, CASUAL
1.		2.

Name & Address of Present Employer	Phone No.	For Years/Months



Previous Employer Name & Address (min. 3 years required)	Phone No.	For Years/Months

Is the Co Borrower contributing to payments?	Is the Co Borrower Gaining use of the Goods?
Yes No	Yes No

Dealer/Supplier & Contact Name – Phone Number	Broker Name

Make & Model of Goods to be Mortgaged	Further Description of Goods to be Mortgaged

Sedan/Hatch/Wag/Ute/4X4	Comp Plate	Kilometres
			New Used Auto Manual

Rego No.	VIN/Chassis No.	Engine No.	Colour

Accessories & or Non Standard Equipment

A/C P/S Cruise C/Locks P/Windows Alloys Airbag Bullbar T/Bar

Commercial use % Pvt

Description of Trade In	Year	Value $	Payout Amount $	Finance Company	Equity in Trade in $

Finance Reference – Name of Institution	Date of Agreement	Term in Months	Monthly Payments

CASH PRICE

Less Deposit

Cash

Trade-in

Year

Type

Add lending for Other Purposes (inc. Third Party Debts)

	AMOUNT TO BE BORROWED
	Comprehensive Insurance
	Current Insurer
	Current Registration Number
	Current Insurance Rating
	Have you had any accidents (or insurace claimes)
	Any crimial convictions

Repayment Structure
Term in Months	Repayments	Residual/Balloon	Annual % Rate		Depreciation Rate (Lease Only)
				Advance Arrears

Other/Seasonal Structure

LIABILITIES	$	ASSETS	$
Mortgage Loans		Land & Buildings
Mortgagee:		Address of Property
Other Loans (Please detail)		Plant & Machinery
		Motor Vehicles
		(Please list year, make, model)
Bank Overdraft – Limit $
How secured:
Stock & Trade Accounts		Furniture & Fittings Insured Value
Credit Cards – Limit $		Cash in Savings or other Accounts
		Sundry Debtors
Other Liabilities (Please detail)		Investments (Please detail)

		Other Assets (Please detail)

TOTAL LIABILITIES		TOTAL ASSETS
		LESS TOTAL LIABILITIES
		NET ASSETS

Have you had any legal proceedings taken against you for debt, been bankrupt, insolvent or assigned your estate?

Yes No If yes, give details:

MONTHLY INCOME (This is the total amount of money you earn – less tax)	$	MONTHLY EXPENDITURE (This is the total amount of money you spend)	$
Trading Net Profit (if applicable)		Rent/Mortgage Repayments
Salary (Net) Self		Rates
Salary (Net) Spouse		Superannuation
Other Fixed Income		Medical Benefits
Rental Income		Education Expenses
Overtime		Estimated Home Expenses (food, gas, entertainment, phone, power, clothing)
		Hire Purchase/Loan Repayments
		Life Assurance Premiums
		Motor Vehicle Expenses
		Credit Cards
TOTAL INCOME		Other (Details)
LESS TOTAL EXPENSES		New payment for this proposal
UNCOMMITTED INCOME		TOTAL EXPENSES

Accountant	Contact Name/Phone No.

Bankers	Branch	Account Type

Insurance Company	Type of Cover

Business Reference – Name & Address
	Phone No.

Personal Reference – Name & Address
	Phone No.

Nearest Relative – Name & Address
	Phone No.

Relationship
	Phone No.

I have read the privacy policy as displayed on this website and agree to the terms and conditions.

Yes No

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