Application

FINANCE APPLICATION

SECTION 1 — NAME AND ADDRESS OF APPLICANT / COMPANY

Business / Sole Trader ABN * — enter your ABN to auto-fill your company name

Name / Company *

Type of Business *

Number and Street *

Website

Suburb *

State

Post Code *

Phone No *

Mobile No

Business ACN (if applicable)

Email *

Years Established

Trust Name (if applicable)

Trust ABN (if applicable)

SECTION 2 — DIRECTORS / PARTNERS

Director / Partner 1

Full Name *

Drivers Licence No

Date of Birth

Residential Address

Property Owner?

Yes No

Director / Partner 2

Full Name

Drivers Licence No

Date of Birth

Residential Address

Property Owner?

Yes No

SECTION 3 — PROFESSIONAL CONTACTS

Accountant

Accountant Company

Contact Name

Phone No

Insurance

Insurance Company / Broker

Contact Name

SECTION 4 — DIRECTOR'S STATEMENT OF POSITION

Name, Date of Birth, Address and Licence are auto-filled from Section 2 as you type — edit below if different.

Full Name *

Date of Birth

Residential Address *

How Long at This Address?

Previous Address (if less than 3 years at current)

How Long at Previous Address?

Drivers Licence No

Mobile

Assets

Asset	Description / Address	Estimated Value ($)
Property 1
Property 2
Property 3
Superannuation
Other

Liabilities

Liability	Lender	Monthly Repayment ($)	Amount Owing ($)
Mortgage 1
Mortgage 2
Car Loan
Credit Card(s)
Other

Application Submitted — One Final Step Required

Please click below to read and sign the Privacy Disclosure Statement and Consent. This authorises Discount Leasing to collect and use your personal and credit information to process your application.

Click Here to Sign the Privacy Disclosure

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PERTH — HEAD OFFICE

SYDNEY