Suite 4 City Arcade, 168 Queen Street (P.O. Box 339) Campbelltown NSW 2560
Phone (02) 4628 4470
Fax (02) 4627 1677
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Site is under construction and in testing mode (forms not functional) completion expected soon.
Company/Partnership name
ACN/ABN
Description of business activity
Date commenced
Trading address
Suburb & postcode
Postal address
Suburb & postcode
Email address
Phone no.
Contact name
Mobile no.
No. of director/partners
No. of other staff
Accountant's firm/contact
Phone no.
Details of directors, proprietors or individual applicants
Individual 1. Full name
Date of birth
Full Address
Drivers licence no.
Employer
Phone no.
Occupation
Since date
Individual 2. Full name
Date of birth
Full Address
Drivers licence no.
Employer
Phone no.
Occupation
Since date
Individual 3. Full name
Date of birth
Full residential address
Drivers licence no.
Employer
Phone no.
Occupation
Since date
Individual 4. Full name
Date of birth
Full residential address
Drivers licence no.
Employer
Phone no.
Occupation
Since date
Description of goods to be financed
Year built
New
Used
Full description of goods
Purchase Price
Trade In
Amount
Less other deposit
Amount
Finance Amount
Finance Type
Commercial Hire Purchase
Lease Finance
Chattel Mortgage
Consumer Loan
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