How To Apply How To Apply Step 1 of 12 8% Loan ParticularsAmount Required Term Requested Timing of when Loan is required Loan Purpose & Exit StrategyLoan Purpose Intended Loan Repayment Strategy Refinance Asset Sale Other The Borrower is a: Company/trust Individual/Partnership Corporate Borrower (please complete if the Borrower is a company/trustCompany Name ACN/ABN:Trustee Company? Yes No If yes, Trust Fund Name: Trust Fund ABN:Registered Office Address: Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Trading Premises Address: Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Director 1 Name: First name Last name Director 1 Mobile:Director 1 Email: Director 2 Name: First name Last name Director 1 Mobile:Director 2 Email: Principal Activities: Is the Entity part of a Group? Yes No List of related entities or a group structure Drop files here or Select files Accepted file types: docx, pdf, jpg, png, Max. file size: 128 MB. Please attach/upload a list of related entities or a group structure. Accepted files: .docx, .pdf, .jpg, .png Sole Trader/Partnership BorrowerName First Last Business Trading Name(s): ABNDrivers Licence NumberDate of BirthDay12345678910111213141516171819202122232425262728293031Month123456789101112Year20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Residential Address Street Address City State / Province / Region ZIP / Postal Code Phone HomePhone MobilePhone WorkEmail Security Property Details - Property 1Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Zoning Property Residential Commercial Industrial Development Other Registered owner of property (if not Borrower) Mortgagee: Price/Value ($): Mortgage Liability ($): Estimated Equity ($): Add second property? Yes No Security Property Details - Property 2Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Zoning Property Residential Commercial Industrial Development Other Registered owner of property (if not Borrower) Mortgagee: Price/Value ($): Mortgage Liability ($): Estimated Equity ($): Add third property? Yes No Security Property Details - Property 3Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Zoning Property Residential Commercial Industrial Development Other Registered owner of property (if not Borrower) Mortgagee: Price/Value ($): Mortgage Liability ($): Estimated Equity ($): Solicitors/Accountants DetailsSolicitor Business Name Accountant Business Name Solicitor Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Accountant Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Solicitor Contact Name Accountant Contact Name Solicitor PhoneAccountant Phone Asset & Liability Position Borrower 1Name First Last ASSETSLIABILITIESListClick on the '+' at row end to add another propertyProperty AddressDescription$Mortgage LenderLenders NameBalance ($ per month) Add RemoveListCash at BankDescription$Car Leasing withLenders NameBalance ($) Add RemoveListMotor VehiclesDescription$OverdraftLenders NameBalance ($) Add RemoveListDeposit paid on propertyDescription$Other loansLenders NameBalance ($) Add RemoveListPersonal belongingsDescription$Credit CardLenders NameBalance ($) Add RemoveListBusiness goodwillDescription$Credit CardLenders NameBalance ($) Add RemoveListShares/OtherDescription$OtherLenders NameBalance ($) Add RemoveListTotal Assets$Total Liabilities$ Add RemoveListNet Surplus$ Add Remove Asset & Liability Position Borrower 2Name First Last ASSETSLIABILITIESListClick on the '+' at row end to add another propertyProperty AddressDescription$Mortgage LenderLenders NameBalance ($ per month) Add RemoveListCash at BankDescription$Car Leasing withLenders NameBalance ($) Add RemoveListMotor VehiclesDescription$OverdraftLenders NameBalance ($) Add RemoveListDeposit paid on propertyDescription$Other loansLenders NameBalance ($) Add RemoveListPersonal belongingsDescription$Credit CardLenders NameBalance ($) Add RemoveListBusiness goodwillDescription$Credit CardLenders NameBalance ($) Add RemoveListShares/OtherDescription$OtherLenders NameBalance ($) Add RemoveListTotal Assets$Total Liabilities$ Add RemoveListNet Surplus$ Add Remove Borrower DeclarationsHave you, or your spouse, ever been declared bankrupt or insolvent, or have you, our your spouse, had any unsatisfied court judgements against you or defaulted on any previous loans? Yes No Have you, or your spouse, ever been shareholders or officers of any company of which an administrator controller, receiver and/or liquidator has been appointed or have there been any unsatisfied judgements against such a company? Yes No Have applications been submitted to other lenders for this loan? Yes No Signature of Borrower 1Signature of Borrower 2Name of Borrower 1 First Last Name of Borrower 2 First Last Borrower 1 Position Borrower 2 Position DateDay12345678910111213141516171819202122232425262728293031Month123456789101112Year20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920DateDay12345678910111213141516171819202122232425262728293031Month123456789101112Year20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Business Purpose Declaration (must be completed)To: Secured Lending ("the Credit Provider") I/We declare that the credit to be provided to me/us by the Credit Provider in connection with the Loan is to be applied wholly or predominately for: business purposes, or investment purposes other than investment in residential property, or both (a) and (b). IMPORTANT You should only sign this declaration if this loan is wholly and predominately for business or investment (other than investment in residential property) purposes. By signing this declaration you may lose protection under the National Credit Code.Signature of Borrower 1Signature of Borrower 2Name of Borrower 1 First Last Name of Borrower 2 First Last Borrower 1 Position Borrower 2 Position DateDay12345678910111213141516171819202122232425262728293031Month123456789101112Year20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920DateDay12345678910111213141516171819202122232425262728293031Month123456789101112Year20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Consent(Required) I have read, understand and agree to the Credit and Personal Information Policy.EmailThis field is for validation purposes and should be left unchanged.