Business Loan Application Application For Credit – Consents/Acknowledgments Untitled 1 Application For Credit – Consents/Acknowledgments (To be completed by individuals applying for personal or commercial credit) Privacy Protection of Information Privacy Act 1988 (Cth) In compliance with the Privacy Act 1988 (Cth) applicant parties to finance application should complete and return this to the below-named introducer/broker for the purpose of the Privacy Act. Name of Introducer: R P FINANCE AUSTRALIA PTY LIMITED ABN 21 097 347 307 1. - Acknowledgement and authority that credit information may be given to a Credit Reporting Agency I/we understand that Section 18E(8)(c) of the Privacy Act 1988 allows a credit provider, which the approached introducer may approach in arranging my/our finance (hereinafter the Approached Credit Provider), to give a credit reporting agency certain Personal information about me/us which I/we authorise the Approached Credit Provider to do. The information which may be given to an agency is covered by Section 18E(1) of the Act and includes: Identity particulars (as permitted by the Act). The fact that I/we have applied for credit and the amount. The fact that the Approached Credit Provider is a credit provider to me/us. Payments which become overdue more than 60 days. Advice that payments are no longer overdue. Cheques drawn by me/us which the Approached Credit Provider has dishonoured more than once. In specified circumstances, that in the opinion of the Approached Credit Provider, I/we have committed a serious credit infringement. That finance provided to me/us by the Approached Credit Provider has been discharged. 2. - Obtain certain credit information To enable the Approached Credit Provider to assess my/our application for personal or commercial credit, I/we authorise the Approached Credit Provider: To obtain from a credit reporting agency a credit report containing personal information about me/us in relation to my/our application for personal credit. To obtain from a credit reporting agency a credit report containing personal credit information about me/us in relation to my/our application for commercial credit. This in accordance with Section 18K(1)(b) of the Act. To obtain a report containing information about my/our commercial activities or commercial credit worthiness from a business which provides information about the commercial credit worthiness of a person in relation to an application for personal credit. This is in accordance with Section 18L(4) of the Act. To obtain a report from a credit reporting agency and other information in relation to my/our commercial credit activities. 3. - Exchange of information with other credit providers In accordance with Section 18(N)(1)(b) of the Act, I/we authorise the Approached Credit Provider to give to and obtain from credit providers named in this credit application and credit providers that may be named in a credit report issued by a credit reporting agency information about my/our credit arrangements. : I/we understand this information can include any information about my/our credit worthiness, credit standing, credit history or credit capacity that credit providers are allowed to give or receive from each other under the Privacy Act 1988. I/we understand the information may be used for the following purposes: To assess an application by me/us for credit. To assist me in avoiding default on my credit obligations. To notify other credit providers of a default by me. To assess my credit worthiness. 4. - Banker’s opinion I/we authorise the Approached Credit Provider to give and receive a Banker’s Opinion for purposes connected with my/our business, trade or profession. 5. - Disclosure of information to guarantors/s In accordance with Section 18N(1)(bg) of the Act, I/we authorise the Approached Credit Provider give to the guarantor/s who have provided or intend to provide a guarantee, a copy of the letter of offer and credit information that is relevant to: Those persons deciding whether to act as guarantor for the loan. Enforcement or proposed enforcement of the guarantee/s. The amount or possible amount of the Guarantor/s liability under the Contract of Guarantee. 6. - Authorisation to Act on Behalf of Individuals In accordance with Sections 18H(3) and 18N(1)(ga) of the Act, I/we authorise the Introducer to: Obtain on my/our behalf a report or information about my/our consumer or commercial credit worthiness from a credit reporting agency or a commercial credit reporting business or from the Approached Credit Provider in connection with my/our application for the finance described below. Pass on such reports and information to the Approached Credit Provider for the purpose of assessing my/our application for finance described below, and to give to and receive from such persons as are relevant to the arranging of the finance any personal information about me/us as may be necessary to the arrangement. I understand and consent to the above disclosure *I agreeI do not agree PURPOSE OF LOANI/We require finance for *GoodsBuildings/Land Term required in months: * Purchase price/cost: * Less deposit: * Loan amount: * Comments: Maximum words allowed: 50. Total words: 0 BUSINESS DETAILSBusiness name * A.C.N. number A.B.N. number * Business Address *Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepaNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabweCountry Phone Number * Fax Number Contact Email * Type of Business * Date Commenced * Current banker * Branch name * Accountant * Accountant contact name * Accountant phone * FINANCE REFERENCESCurrent Lender (one) Monthly Payment (one) Current Lender (two) Monthly Payment (two) Previous Credit Reference (one) Reference Monthly Payment (one) Previous Credit Reference (two) Reference Monthly Payment (two) TRADE REFERENCESTrade Reference (one) Trade Reference Phone (one) Trade Reference (two) Trade Reference Phone (two) DIRECTOR DETAILS (one)First name (one) * Middle name (one) Last name (one) * Director DOB (one) * Drivers license number * Director address (one) *Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepaNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabweCountry Period at address - years (one) * Period at address months (one) Lived at this address for less than three years? (one) *NoYes Director previous address (one) Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepaNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabweCountry Director phone (one) * Director mobile phone (one) * Home status (one) *OwnRentingBoarding Landlord full name (one) Landlord phone (one) Monthly rental/board (one) Company operating for less than three years? *NoYes Director employment history (one)Previous employer (one) Previous employee phone (one) Previous employer period in years (one) months (one) Director personal assets & liabilities (one)ASSETS Cash at bank (one) Property one address (director one) Property one value (director one) Property two address (director one) Property two value (director one) Motor vehicles Vehicle one make and model (one) * Vehicle one year made (one) 2017201620152014201320122011201020092008200720062005pre 2005 Vehicle one current value (one) Vehicle two make and model (one) Vehicle two year made (one) 2017201620152014201320122011201020092008200720062005Pre 2005 Vehicle two current value (one) Housesold contents insured value (one) Other assets: (Shares, Superannuation, etc) Director other asset one (one) Director other asset one value (one) Director other asset two (one) Director other asset two value (one) LIABILITIES Mortgages on property Director mortgage one to bank? (one) Director mortgage one amount (one) Director mortgage two to bank? (one) Director mortgage two amount (one) Amount owing on cars Director car loan one owed to (one) Car loan amount (one) Director car loan two owed to (two) Car loan two amount (one) Credit card limits VISA total limit (one) Mastercard total limit (one) Amex total limit (one) Other liabilities Liability one (one) Liability one amount (one) Liability two (one) Liability two amount (one) DIRECTOR DETAILS (two)First name (two) Middle name (two) Last name (two) Director DOB (two) Drivers license number (two) Director address (two) Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepaNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabweCountry Period at address - years (two) Period at address months (two) Lived at this address for less than three years? (two) *NoYes Director previous address (two) Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepaNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabweCountry Director phone (two) Director mobile phone (two) Home status (two) OwnRentingBoarding Landlord full name (two) Landlord phone (two) Monthly rental/board (two) Director employment history (two)Previous employer (two) Previous employee phone (two) Previous employer period in years (two) months (two) ASSETS Director personal assets & liabilities (two)Cash at bank (two) Property one address (director two) Property one value (director two) Property two address (director two) Property two value (director two) Motor vehicles Vehicle one make and model (two) Vehicle one year made (two) 2017201620152014201320122011201020092008200720062005Pre 2005 Vehicle one current value (two) Vehicle two make and model (two) Vehicle two year made (two) 2017201620152014201320122011201020092008200720062005Pre 2000 Vehicle two current value (two) Housesold contents insured value (two) Other assets: (Shares, Superannuation, etc) Director other asset one (two) Director other asset one value (two) Director other asset two (two) Director other asset two value (two) LIABILITIES Mortgages on property Director mortgage one to bank? (two) Director mortgage one amount (two) Director mortgage two to bank? (two) Director mortgage two amount (two) Amount owing on cars Director car loan one owed to (two) Car loan amount (two) Director car loan two owed to (two) Car loan two amount (two) Credit card limits VISA total limit (two) Mastercard total limit two) Amex total limit (two) Other liabilities Liability one (two) Liability one amount (two) Liability two (two) Liability two amount (two) VerificationPlease enter any two digits with no spaces (Example: 12) *This box is for spam protection - please leave it blank