Application for Business Finance

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1 Application for Business Finance please print neatly in block letters using black or blue pen Branch Name Lender s Name OFFICE USE ONLY Loan details Type of facility requested: Purchase price/amount required Term Loan Performance Guarantee Additional costs Overdraft Facility Other (please specify) Credit Union loans to consolidate RediPOS Sub Total Loan Purpose (please specify): Less your own contribution Total loan required Account numbers of Credit Union loans to be consolidated: Application details Applicants name ( show name of company/firm/sole trader ): AC N/ABN number: Trading name (if different to business name): Business CIF/membership number: Business/registered address: Time at address: Postal address (if different to Business/Registered Address): Name of business contact: address: Business telephone number: Mobile telephone number: Business fax number: Current banking arrangements Whom do you currently use for your banking needs? This C redit Union Since: Another Bank, C redit Union or Building Society Since: Business cheque and deposit accounts Bank Branch Account number C urrent balance (D r/c r) Your business partners Partner Business name C ontact name Phone number Accountant Solicitor Page 1. ABN: ACL:

2 Business details Nature of business No. of employees When did you start business? Business structure Company Proprietorship Sole Trader Business premises status Rented Mortgaged Owned How did you first get involved in the business? Is there a trust involved? Yes No Number of D irectors/proprietors Started from scratch Purchased Franchise Family business Previous business experience Tell us about your business - Its history, major achievements, milestones, large contracts currently held Business owners, partners or directors Names Title Ownership % D ate of Birth Years in industry Current loans and borrowings Details of current bank or finance company loans including leases, commercial hire purchase and other liabilities such as bonds, guarantees, trade finance and bill facilities (add another page if insufficient space) Loan type (overdraft, business loan, lease) Name of bank/finance company Outstanding balance Approved limit Monthly payment Interest Rate% of security Type of security % % % Owing to Tax Office as at / / payable by / / Do you have in place arrangement to be able to continue to service these commitments if you or your key business personnel are unable to work within the business for an extended period of time? Yes No Security for the loan Security already held by the Credit Union Yes - go to next section No - complete details below Real Estate Description(e.g. home, factory, retail store) Name of owners Address Estimated market value Guarantees (mandatory for loans to a company) Full names of Guarantors Documents required (in order to proceed with your application please ensure you return the following documents with your completed application) Application for business finance (this form - all sections completed) Personal details of each Director/Owner (page 5 of this form) Business financial statements and taxation returns. (last two complete years profit & loss and balance sheets) Bank statements (last 6 months) Personal tax returns and assessment notices for each partner (last 2 years if available) Business plan and cash flow projections (if available) Confirmation of clear taxation position from your accountant Page 2.

3 Privacy Notification Outline This Privacy Notification sets out: why we collect and use your information how we collect and use your information what happens if you do not wish to provide us with information whether we provide your information to other entities the availability of our Privacy Policy when we can disclose certain information to a credit reporting body how a credit reporting body may use your information whether we disclose your information overseas and if so, where how you can contact us. Collection & use of your information We collect and use your information to: provide you with membership benefits, financial services and products or information about those benefits, services and products provide you with information about financial services and products from 3 rd parties we have arrangements with conduct market and demographic research in relation to the products and services you and other members acquire from us establish your eligibility for a loan establish your capacity to repay a loan. The law also requires us to collect and hold your information: for our register of members under the Corporations Act to verify your identity under the AML/CTF Act to assess your capacity to pay a loan under the National Consumer Credit Protection Act. If you are a Prospective Guarantor, we collect and use your information to: assess whether to enter into an arrangement with you for you to guarantee a loan we propose to make to one of our customers. How we collect your information We will collect information about you and your financial position from you directly. When you apply for a loan, we will collect information about your credit history from a credit reporting body. If you are a Prospective Guarantor, we may collect information about your credit history from a credit reporting body. However, you must provide us with your written consent to do so. How you can access your information You can request access to your information at any time. What if you do not wish to provide us with information? If you do not give us the information we require, we may not be able to admit you to membership or provide you with the financial service or product you have applied for. Or, if you are a Prospective Guarantor, we will not proceed with the loan to our customer. Providing your information to credit reporting bodies The credit reporting body we disclose information to is Veda Advantage. If you do not make your repayments when they fall due or commit a serious credit infringement, we may disclose this to Veda Advantage. Or, if you are a Prospective Guarantor and our customer does not make their repayments when they fall due or commit a serious credit infringement and you do not remedy their default, we may disclose this to Veda Advantage. Any information we provide to Veda Advantage will be included in reports provided to credit providers to help them to assess your creditworthiness. You can ask Veda Advantage not to use your information for pre-screening of direct marketing by a credit provider. You can also ask them not to use or disclose your information if you reasonably believe that you have been or are likely to be a victim of fraud. Veda Advantage s policy on the management of information is available at You can contact Veda Advantage by: Phone Web Providing your information to other entities We may disclose your information to other entities. We only disclose your information as needed and as required by law. We can disclose your information to: entities that verify identity lawyers, conveyancers, accountants, brokers and agents who represent you contractors for statement printing and mail out, card and cheque production, market research or direct marketing affiliated product and service suppliers to provide information to you about their services and products credit reporting bodies and other financial institutions that have previously lent to you persons you use as referees for property loans property valuers and insurers mortgage documentation service trustee and manager of securitised loan programs any proposed guarantor of a loan debt collection agencies, lawyers, process servers our auditors. We will also disclose your information to law enforcement and government agencies as required by law. Our Privacy Policy Our Privacy Policy is available at or The Policy contains information about: how you can access your information how you can seek correction of your information how you make a complaint and how we will deal with it in what overseas countries we are likely to disclose your information. Disclosure to overseas recipients We do not currently disclose your information to overseas recipients. How to contact us You can contact us by: Phone Fax (02) Page 3.

4 Declarations and Consent Proprietors/ Directors/ Company Secretary Consents Business Purpose Declaration I/we declare that the credit to be provided to me/us by the credit provider is to be applied wholly or predominantly for business purposes or investment purposes other than investment in residential property and is not regulated by the National Credit Code. Bankruptcy Declaration I/we declare that I/we have never been declared bankrupt, insolvent or had judgments listed against me/us, or I/we have attached full details to this application to allow the Lender to assess this issue at a subsequent loan interview. General Declarations I/we confirm that the information contained in this application and the financial information supporting it are true and accurate, and all financial commitments are fully stated. I/we have been given or have been advised where we can access your Privacy Notification. By submitting this application you expressly consent to our obtaining a credit report containing your credit information in order to assess your commercial application. Proprietors/ Directors/ Company Secretary to sign: Name Position in business Signature Date Please tick here if you do not wish the Credit Union to contact you in regards to additional services and products that may assist you with your financial needs and requirements. Guarantor Consents Bankruptcy Declaration I/we declare that I/we have never been declared bankrupt, insolvent or had judgments listed against me/us, or I/we have attached full details to this application to allow the Lender to assess this issue at a subsequent loan interview. General Declarations I/we confirm that the information contained in this application and the financial information supporting it are true and accurate, and all financial commitments are fully stated. I/we have been given or have been advised where to can access your Privacy Notification document and, as a Prospective Guarantor I/we confirm that the signature below is consent for you to obtain information about my credit history from a credit reporting body. By submitting this application you expressly consent to our obtaining a credit report containing your credit information in order to assess this commercial application. Guarantors to sign: Name Signature Date ABN: Australian credit licence Page 4.

5 Business proprietor s / Guarantors personal details Complete for each owner, partner, director, proprietor or guarantor Membership Number: No. of Dependants: Ages: Surname: Title: H ome Phone No.: Work No.: Given Names: Mobile Phone No.: D ate of Birth: Gender: Driver s Licence No.: Expiry Date: Suburb: Marital Status Married Single Defacto Other Name of spouse: Time at current address: : Owner Buying Renting Other Statement of Posi on Assets Real Estate Property (Address Details) Property Type D eposit Accounts Motor Vehicles/Caravans/Boats etc Account Numbers Balance Investment Type Other Assets/ Personal effects and home contents Liabilities Mortgages / Rent Personal and Other loans Credit Cards / Store Cards / Overdrafts etc Other liabilities (Not detailed above) Total Assets (a) Monthly Repayment Monthly Repayment C redit Limit Total Liabilities (b) Net Assets (a-b) Balance/Limit Balance/Limit Balance Please tick here if you do not wish the Credit Union to contact you in regards to additional services and products that may assist you with your financial needs and requirements. I declare that the above information, provided by me is true and correct: Signature D ate Page 5.

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