BUSINESS/ INVESTMENT - SHORT TERM LOAN APPLICATION

Transcription

1 TO: BUSINESS/ INVESTMENT - SHORT TERM LOAN APPLICATION AAGT Private Loans I/We ( Borrower ) hereby submit my/ our application for a Short Term/ Bridging Loan to be made available to me/us/the Company, subject to your terms & conditions. Date: /./. BORROWING ENTITY FULL NAME: Reg d Address: Physical/ Trading Address: Period of Occupation: Date of Incorporation: Period of Occupation: ACN: Main Work Ph: Coy ABN: Direct Work Ph: Trust ABN (If applicable): Trustee Status: YES or NO Name of Trust (if Applicable) Directors Names Share-Holders Names & %age Holdings Name & Address of Company Accountant: Proposed Security Property Details Address & RPD Coy Solicitors Details Firm Name: Contact Name: VERY IMPORTANT!! Ph No.: Fax No.: Their address: Loan Term of Facility Requested Amount requested Write here why the Borrower requires the Loan. Max. Term = 6 Months

2 COMPANY ASSETS Existing Invest Property(s) (Address): Estimated Value Rent & Type (eg. 150 Registered Owner, Date Purchased, & Amount Paid pw & t house)) (eg. Joint, 1990 & 200,000) Existing Invest Property(s) (Address): Estimated Value Rent & Type (eg. 150 Registered Owner, Date Purchased, & Amount Paid pw & t house) (eg. Joint, 1990 & 200,000) Cash Holdings Debtors Motor Vehicles Type of Car(s) Shares, Managed Funds, Bonds etc. Any Other Asset LIABILITIES COMPANY LIABILITIES ORIGINAL LOAN LENDER NAME(S) AMT / CREDIT LIMIT OUTSTANDING AMOUNT Invest. Prop 1 MONTHLY PAYMENT Invest. Prop 2 Invest. Prop 3 Motor Vehicles Guarantees/ Tax Obligations SGC & GST Obligations, Bus. O/Drafts Write here how the Borrower plans to repay the Loan. (eg. Selling an Asset, Refinancing, Funds coming from 3 rd party, etc.) I/We hereby certify, as evidenced by our signatures & initials below, that: - 1. The information outlined herein is true & correct and is not fraudulent, misleading or deceptive in any way. 2. I/We further acknowledge that the lender will be relying on the information in this application in assessing my/our application. 3. I/We have read & understood the attached Privacy Agreement. 4. Unless specifically stated otherwise, this loan application is for business or investment-purposes. Please Initial each box to prove your understanding and acceptance Signature/ s for Corporate Borrower... Print FULL Name of Corporate Borrower (inclusive of Trust, if Applicable)...

3 BUSINESS/ INVESTMENT - SHORT TERM LOAN APPLICATION Borrowers/ Guarantors TO: AAGT Private Loans I/We ( Borrowers/ Guarantors ) hereby submit my/ our information in order to support my/ our/ our company s application for a Short Term/ Bridging Loan with your company. Date: /./. Borrower/ Guarantor/ Director 1 Borrower/ Guarantor/ Director 2 Address: Address: Period of Residence: Date of Birth: Period of Residence: Date of Birth: Home Ph: Home Ph: Work Ph: Work Ph: Marital Status: For Marital Status: For Employers Name & Address: Employers Name & Address: Term of Employment: Term of Employment: Your ABN: Your ABN: Relationship to Applicant : Relationship to Applicant : Name of Nearest Relative NOT living with you: Name of Nearest Relative NOT living with you: Address Address Ph. Name & Address of Personal Accountant: Ph. Your Prsnl Solicitors Details Firm Name: Contact Name: VERY IMPORTANT!! Ph No.: Fax No.: Their address: Pls Confirm your understanding of Loan Term Requested Pls Confirm your understanding of Amount requested Write here why the Borrower requires the Loan. Max. Term = 6 Months

4 Home Location (Address): BORROWER/ GUARANTORS ASSETS Est. Value Zoning & Size (eg. Rural, 2 acres) Registered Owner, Date Purchased, & Amount Paid (eg. Joint, 1990 & 200,000) Existing Invest Property(s) Location: Est. Value Rent & Type (eg. 150 Registered Owner, Date Purchased, & Amount Paid pw & t house) (eg. Joint, 1990 & 200,000) Cash Savings Personal Effects Motor Vehicles Type of Car(s) Shares, Managed Funds, Bonds etc. Cash Value of Super Super Fund Name LIABILITIES BORROWER/ GUARANTOR LIABILITIES LENDER NAME(S) ORIGINAL LOAN AMT / CREDIT LIMIT OUTSTANDING AMOUNT Home MONTHLY PAYMENT Invest. Prop 1 Invest. Prop 2 Motor Vehicles Credit Cards Personal Loans, O/Drafts, Tax Debts Write here how the Borrower plans to repay the Loan. (eg. Selling an Asset, Refinancing, Funds coming from 3 rd party, etc.) I/We hereby certify, as evidenced by our signatures & initials below, that: - 1. The information outlined herein is true & correct and is not fraudulent, misleading or deceptive in any way. 2. I/We further acknowledge that the lender will be relying on the information in this application in assessing my/our application. 3. I/We have read & understood the attached Privacy Agreement. 4. Unless specifically stated otherwise, this application is for business or investment-purposes only. Borrower 1/ Borrower 2/ G tor 1 Name:.... G tor 2 Name :..... Borrower/ G tor 1 Signature:. Borrower/ G tor 2 Signature:... Please Initial each box to prove your understanding and acceptance

5 BUSINESS PURPOSE DECLARATION (section 13 (5) of the National Credit Code, regulation 68, National Consumer Credit Protection Regulations) This declaration must be signed by all Borrowers for it to be effective. I/We declare that the credit to be provided to me/us by the credit provider is to be applied wholly or predominantly for investment or business purpose (or for both purposes). WARNING!!! YOU SHOULD NOT SIGN THIS DECLARATION UNLESS THIS LOAN IS WHOLLY OR PREDOMINANTLY FOR BUSINESS OR INVESTMENT PURPOSES. BY SIGNING THIS DECLARATION, YOU WILL LOSE YOUR PROTECTION UNDER THE NATIONAL CONSUMER PROTECTION CODE. 1 st Signature: - Applicant Date: / / 2 nd Signature: - Guarantor Date: / / 3 rd Signature: - Guarantor Date: / / PRIVACY ACT 1988 AND GENERAL CONSENT I/we acknowledge that I/we have made an application for credit through AAGT Private Loans (AAGT). AAGT may seek, disclose and use the personal information you provide for the purpose of providing credit and subject to the provisions of the Privacy Act, you may have access to personal information held (if any) by contacting the Privacy Officer at the address or in the manner disclosed in the Schedule. Authority to exchange information with other credit providers In accordance with Section 18N(1)(b) of the Prvacy Act, I/we authorise AAGT to give and obtain from credit providers named in this credit application, and credit providers that may be named in a credit report issued by a credit reporting agency, or any other credit provider who has lent money on the same security information about my/our credit arrangements. I/we understand this information can include any information about my/our credit worthiness, credit standing, credit history, or credit capacity that credit providers are allowed to give or receive from each other under the Privacy Act In particular, AAGT may provide a reference on me/us. By signing the acknowledgement, you agree and consent to AAGT seeking, using and disclosing the personal information it collects about you for the purposes set out above (subject to any restrictions imposed on AAGT and Insurer by Privacy Act 1988): AAGT may disclose, seek and use personal information of the kind it collects about you to: its related companies; credit reporting agencies; its service providers; its agents, contractors and external advisers; your referees, including your employer; your legal and financial advisers; government and other regulatory bodies; ratings agencies; payment systems operators; and other financial institutions, securitisers and credit providers; guarantors and prospective guarantors; title insurers By signing the acknowledgements, you agree and consent to any such disclosures of your collected personal information by AAGT, regardless of when or how the information was collected, even though some of the organisations may be overseas. If, and to the extent, that AAGT does so in a manner and for purposes that conform with the Privacy Act, by signing the acknowledgement below, you agree and consent to: AAGT obtaining information about your commercial activities and commercial credit worthiness from a business which provides information about the commercial credit worthiness of persons, AAGT giving to and receiving from any credit providers, and any credit providers named in a credit report issued by a credit reporting agency, information about your credit worthiness, provided that the information is given or received for the purpose of assessing AAGT s application; and AAGT giving information about me/us to a credit reporting agency for the following purposes to obtain a consumer credit report about me/us, and/or to allow the credit reporting agency to create or maintain a credit information file about me/us. AAGT giving information about me/us to a credit reporting agency for the following purposes to obtain a consumer credit report about me/us, and/or to allow the credit reporting agency to create or maintain a credit information file about me/us. AAGT assessing my/our application for personal or commercial credit and to collect payments that are overdue in respect of personal or commercial credit provided to me/us by AAGT and AAGT are authorised to obtain reports from a credit reporting agency or other business that provided information about credit worthiness. Provide information to credit reporting agencies. You permit AAGT to give to a credit reporting agency any personal or commercial information about me/us. The information includes identity particulars, the fact that credit has been applied for and the amount; the fact that AAGT is a current credit provider to you; payments which become overdue more than 60 days, and for which collection has commenced; advice that payments are no longer overdue; advice that cheques drawn by you have been dishonoured more than once; in specific circumstances that in the opinion of AAGT, you have committed a serious credit infringement; and the credit provided to you by AAGT has been paid or otherwise discharged. I/We agree that AAGT s associates may use my/our personal information to: offer products of a similar type which we expect may be of interest to me/us; provide information about AAGT s products and services to me/us. The information you provide on this form may, from time to time, be used to provide information to you about products and services. If you prefer not to receive this information then please advise us on Borrower 1 Date: / / Borrower 2/ Guarantor 2 Date: / / Borrower 3/ Guarantor 3 Date: / /