How To Apply

Please fill out the application form below, or contact us directly.

Specialists in complex lending and strategic finance.

Step 1 of 12

Company

This field is for validation purposes and should be left unchanged.

Loan Particulars

Amount Required

Term Requested

Timing of when Loan is required

Loan Purpose & Exit Strategy

Loan 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/trust

Company Name

ACN/ABN:

Trustee Company?

Yes

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

List of related entities or a group structure

Drop files here or

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 Borrower

Name

First Last

Business Trading Name(s):

ABN

Drivers Licence Number

Date of Birth

Day

Month

Year

Residential Address

Street Address City State / Province / Region ZIP / Postal Code

Phone Home

Phone Mobile

Phone Work

Security Property Details - Property 1

Address

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

Security Property Details - Property 2

Address

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

Security Property Details - Property 3

Address

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 Details

Solicitor 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 Phone

Accountant Phone

Asset & Liability Position Borrower 1

Name

First Last

ASSETS

LIABILITIES

List

Click on the '+' at row end to add another property

Property Address

Description

Mortgage Lender

Lenders Name

Balance ($ per month)

List

Cash at Bank

Description

Car Leasing with

Lenders Name

Balance ($)

List

Motor Vehicles

Description

Overdraft

Lenders Name

Balance ($)

List

Deposit paid on property

Description

Other loans

Lenders Name

Balance ($)

List

Personal belongings

Description

Credit Card

Lenders Name

Balance ($)

List

Business goodwill

Description

Credit Card

Lenders Name

Balance ($)

List

Shares/Other

Description

Other

Lenders Name

Balance ($)

List

Total Assets

Total Liabilities

List

Net Surplus

Asset & Liability Position Borrower 2

Name

First Last

ASSETS

LIABILITIES

List

Click on the '+' at row end to add another property

Property Address

Description

Mortgage Lender

Lenders Name

Balance ($ per month)

List

Cash at Bank

Description

Car Leasing with

Lenders Name

Balance ($)

List

Motor Vehicles

Description

Overdraft

Lenders Name

Balance ($)

List

Deposit paid on property

Description

Other loans

Lenders Name

Balance ($)

List

Personal belongings

Description

Credit Card

Lenders Name

Balance ($)

List

Business goodwill

Description

Credit Card

Lenders Name

Balance ($)

List

Shares/Other

Description

Other

Lenders Name

Balance ($)

List

Total Assets

Total Liabilities

List

Net Surplus

Borrower Declarations

Have 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

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

Have applications been submitted to other lenders for this loan?

Yes

Signature of Borrower 1

Signature of Borrower 2

Name of Borrower 1

First Last

Name of Borrower 2

First Last

Borrower 1 Position

Borrower 2 Position

Date

Day

Month

Year

Date

Day

Month

Year

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 1

Signature of Borrower 2

Name of Borrower 1

First Last

Name of Borrower 2

First Last

Borrower 1 Position

Borrower 2 Position

Date

Day

Month

Year

Date

Day

Month

Year

Consent(Required)

I have read, understand and agree to the Credit and Personal Information Policy.

Want another way to apply?

If you don’t want to fill out this application form above, please call us on 1300 795 175 or contact us and we will send you another application method.

How To Apply

Loan Particulars

Loan Purpose & Exit Strategy

Corporate Borrower (please complete if the Borrower is a company/trust

Sole Trader/Partnership Borrower

Security Property Details - Property 1

Security Property Details - Property 2

Security Property Details - Property 3

Solicitors/Accountants Details

Asset & Liability Position Borrower 1

Asset & Liability Position Borrower 2

Borrower Declarations

Business Purpose Declaration (must be completed)

Want another way to apply?

Borrow

Company Info

Legal