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FINANCE APPLICATION FORM

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Amount to be Financed : *(Minimum 1000 AUD)

Business Details

Applicant Name : *
Trading Name : (If applicable)
ABN : *
For Registered ABN go to: ABN Lookup

Business Address :
*
Business Phone : *
Fax :
Contact Person : *
Mobile :
Email:

Type of Business : *
Year Established : *
Current Owners Since : *

Accountant :
Contact :
Phone :
Bank :
Branch :

Trade References 1. Ph :
2. Ph :

Director, Business Owner details

First Name : *
Last Name : *
DOB : *
D/Lic :
Exp :
Property Owner :YesNo*
Property Address : *
Mortgage Funder :
Market Value :
Balance of Mortgage :
Have you ever been declared bankrupt or is there an unsatisfied judgement that may appear on your credit history? Yes No *
I have read the Privacy Act Declaration for Benson Leasing Group Pty Ltd. *

First Name :
Last Name :
DOB :
D/Lic :
Exp :
Property Owner :YesNo
Property Address :
Mortgage Funder :
Market Value :
Balance of Mortgage :
Have you ever been declared bankrupt or is there an unsatisfied judgement that may appear on your credit history?YesNo
I have read the Privacy Act Declaration for Benson Leasing Group Pty Ltd.

First Name :
Last Name :
DOB :
D/Lic :
Exp :
Property Owner :YesNo
Property Address :
Mortgage Funder :
Market Value :
Balance of Mortgage :
Have you ever been declared bankrupt or is there an unsatisfied judgement that may appear on your credit history?YesNo
I have read the Privacy Act Declaration for Benson Leasing Group Pty Ltd.

First Name :
Last Name :
DOB :
D/Lic :
Exp :
Property Owner :YesNo
Property Address :
Mortgage Funder :
Market Value :
Balance of Mortgage :
Have you ever been declared bankrupt or is there an unsatisfied judgement that may appear on your credit history?YesNo
I have read the Privacy Act Declaration for Benson Leasing Group Pty Ltd.

If you have any further queries or additional information that you would like us to address, please let us know below

Freight is at a Flat Rate of $22.00

FINANCE AVAILABLE

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