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 "EZ Application     "Getting Finance just got easy - EZ"
 
"EZ" Business Online Loan Application Form
 
Step 1
 
* Indicates required fields. 

 
 
Business Type:
 
 
Company Name:
 
 
ACN/ABN: *
 
 
 
 
Trading Name: *
 
 


 
 
Telephone: *
 
 
Facsimilie:
 
 
 
 
Email:
 
 
Mobile:
 
 
 
 
Office Address: *
 
 


 
 
Suburb: *
 
 
Postcode:
 
 
 
 
Postal Address:
 
 


 
 
Suburb:
 
 
 
Postcode:
 
 
 
 
Years Established: *
 
 


 
 
Gross Income Last Fin. Year $ *
 
 
Profit $ *
 
 
 
 








Account Details:
 
Bank: *
 
 


Accountant: *
 
 
Contact name: *
 
 
Email:
 
 
Telephone:
 
 
 
 
Proposal:
 
Loan Type:
 
 


Amt Required (Inc. of GST) $: *
 
 
Term (months): *
 
 
Loan Purpose: *
 
 
Additional Information:
 
 

References:
 
Company: *
 
 
Contact name: *
 
 
Telephone: *
 
 


Company: *
 
 
Contact name: *
 
 
Telephone: *
 
 


 
 
 
 
"EZ" Business Online Loan Application Form
 
Step 2
 
* Indicates required fields. 
 

 
 
               Director/Proprietor/Partner Details:
 
 
 
Full Name: *
 
 
Date of Birth: *
 
 
Home Address: *
 
 


Suburb: *
 
 
 
Postcode:
 
 
State:
 
Telephone: *
 
 


Driver Licence:
 
 
Licence State:
 

Top of Form
 
 
 
                       Personal Statement of Assets and Liabilities:
 
                       Liabilities
 
$ Amount Owed
 

Assets
 

                       Mortgage Loan 1:
 
$
 

Land & Building (1)
 
$
 
                       Mortgagee:
 
 

Address of Property:
 
 
                       Mortgage Loan 2:
 
$
 

Land & Building (2)
 
$
 
                       Mortgagee:
 
 

Address of Property:
 
 
                       Mortgage Loan 3:
 
$
 

Land & Building (3)
 
$
 
                       Mortgagee:
 
 

Address of Property:
 
 
                       Other Loans (Please detail):
 

Motor Vehicles (Please list year, make, model):
 
$
 

$
 
$
 

$
 
                         Bank Overdraft:
 
$
 
Owing
 

Plant & Equipment
 
$
 

$
 
Limit
 

Cash on hand
 
$
 
                          Security Used:
 
 

Sundry Debtors
 
$
 
                          Other Liabilities (Please detail):
 

Other Assets and Investments (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 for the benefit of your creditors?
Yes No
If yes, please provide details:
 

 
 
 
 




 
 
"EZ" Business Online Loan Application Form
 
Step 3
 
 PRIVACY ACT AUTHORISATION - AUTHORISATION BY APPLICANT/GUARANTOR/INDEMNIFIER:
Commonwealth Privacy Act 1988 Section 18E(8)(c), 18E(1), 18L (4), 18K (1)(b), 18$ (1)(b), The Applicant/s & Guarantor/s acknowledges that the Privacy Act allows any Credit Provider to give a Credit Reporting Agency certain personal information about the application for finance. The information that may be given to an agency includes; 
 
  • such permitted particulars about the Applicant/s & Guarantor/s which allows the Applicant/Guarantor to be identified;
  • the fact that the Applicant/s & Guarantor/s have applied for finance and the amount;
  • the fact that Service Finance are a current Credit provider to the Applicant/s & Guarantor/s;
  • payments which become overdue more than 60 days, and for which collection action has commenced;
  • advise that payments are no longer overdue;
  • cheques drawn by the Applicant/s & Guarantor/s which have been dishonoured more than once;
  • in specified circumstances, that in the opinion of Basic Finance the Applicant/s & Guarantor/s have committed a serious credit infringement;
  • that finance provided to the Applicant/s & Guarantor/s by the Basic Finance has been paid or otherwise discharged
The Applicant/s & Guarantor/s agrees that, if it is considered relevant in assessing the application for personal, Service Finance may obtain a report about the commercial credit worthiness of person/s.
 
The Applicant/s & Guarantor/s agrees that, if it is considered relevant in assessing the Applicant/s & Guarantor/s application for commercial credit, Basic Finance may obtain from a Credit Reporting Agency a credit report containing personal credit information about the Applicant/s & Guarantor/s.
 
The Applicant/s & Guarantor/s agrees that EZFinance or Basic Finance may give to and seek from any Credit provider/s named in the accompanying finance application and any Credit Provider/s that may be named in a personal or commercial credit report issued by a Credit reporting Agency or a commercial credit reporting agency respectively, information about the Applicant/s & Guarantor/s personal or commercial credit arrangements for the purpose of assessing the Applicant/s & Guarantor/s finance application or collecting in overdues; the Applicant/s & Guarantor/s understands that this information can include any information about the Applicant/s & Guarantor/s credit worthiness, credit standing, credit history or credit capacity that Credit Provider/s are allowed to give or receive from each other under the Privacy Act.
 
Full Name:
 
 
Date:
 
 
I agree to the above authorisation
 
 
 
 
 
 Please "Click" the "submit" button to submit your Application    
 
 
 
"EZ" Business Online Loan Application Form  
 
Step 4
 
 Thank you for submitting your application.
 
The following documents are required in order to complete the application. These may be submitted  or sent later via fax to (03) 8677 3311 or email to phil.r@ezfinance.com.au  
 
1.     Real estate market appraisal or recent valuation
 
2.     Copy of your most recent mortgage statement
 
3.     Councils rates notice
 
4.     Copy of your car registration certificate
 
5.     100 points of ID
 

 
Thankyou
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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