Quick & easy RENTAL Application Form

 Click here for a printable form.

*Required fields.
Your Details
*Company Name
& Business Name
*ABN
*Established
*Years in Industry
*Business Address
 
*Postcode
*Phone
*Email
*Equipment Address
*Nature of Business
*Bank Name and Branch
 
Individual / Director / Partner (s)
   
  1.
*Name in Full
*Date of Birth
*Residential Address
 
*Time at present address Years    Mths
  Home Owner      Renter
Real Estate Value
Mortgage
Name & Address of Mortgagor / Landlord
   
  2.
Name in Full
Date of Birth
Residential Address
 
Time at present address Years    Mths
  Home Owner      Renter
Real Estate Value
Mortgage
Name & Address of Mortgagor / Landlord
   
Your Account / Financial Information
*Accountant's Name
*Phone
*Your Annual Turnover
*Your Annual Profit
 
Finance Company / Trade References
*Company Name
*Company Type
Contact
*Phone
 
The Equipment
*Description of Equipment
*Name of Supplier
*Salesperson
*Phone
Fax
Purchase Price (incl. GST)
Term (mths)
Monthly Payment
   
PRIVACY ACT AUTHORISATION

Acknowledgment of and consent to disclosure of credit information to a credit-reporting agency.

I/We acknowledge that the Privacy Act allows Auswest Financial Services to give a credit reporting agency certain personal information about my/our application for finance including, but not limited to:

  • Such permitted particulars about me/us which allow me/us to be identified.
  • The fact that I/we have offered to act as a guarantor of a loan.
  • Payments which become overdue more than 60 days and for which collection action has commenced.
  • Advice that payments are no longer overdue and/or that our obligations to Auswest Financial Services have been discharged.
  • In specified circumstances, that in the opinion of Auswest Financial Services have committed a serious credit infringement.

I/We authorise such disclosure to a credit-reporting agency.

Authority for Auswest Financial Services to obtain, give and exchange certain credit information.

I/We agree that if it is considered relevant in assessing my/our application for personal or commercial credit or as guarantor of credit Auswest Financial Services may obtain respectively a report on my/our commercial credit worthiness from a commercial credit reporting agency or a report on my/our personal credit worthiness from a credit reporting agency.

I/We agree that Auswest Financial Services may give to and/or seek from any credit providers named in my/our finance application or in personal or commercial credit reports concerning me/us information about my/our personal or commercial credit arrangements and credit worthiness as permitted under the Privacy Act.

I/We agree that Auswest Financial Services may give and receive information from my/our accountants.

I/We agree to give and receive from My/our agent and/or accountant named, personal and/or commercial information about me/us in connection with my/our offer to guarentee the within application, the processing acceptance and subsequent management of the finance provided.

 
I/We have read and agree with the above Privacy Act Authorisation.
*Name  Date
 Name  Date