Welcome to Whytes Specialised Equipment		  
     
 
Finance Application Form
 
Company / Applicant Name:
ABN:
Trading Name:
   
Street Address:
Suburb:
State:
Postcode:
   
Postal Address:
Suburb:
State:  
Postcode:
   
Contact Name: *
Phone Number: *
Mobile Number:
Fax:
Email: *
Type of Business:
Years Established:
Current Owners Since:
   
Personal Details of Director / Partner - 1
   
Full Name:
Date of Birth:
Drivers License:
Residential Address
Suburb
State:  
Postcode:
Are you a home owner?
Yes: No:
If No - Landlord
Yrs / Mths /
Monthly Rent $
 
Personal Details of Director / Partner - 1
   
Full Name:
Date of Birth:
Drivers License:
Residential Address
Suburb
State:  
Postcode:
Are you a home owner?
Yes: No:
If No - Landlord
Yrs / Mths /
Monthly Rent $
   
Equipment Required:
   
Requried Term:
Amount: $
(ex GST): $
 
Statement of Position for:
Address:
 
Liabilities  
Mortgage 1 $
Mortgage 2 $
   
Personal Loans: $
Other: $
   
Total Liabilities: $
Excess Assets over liagillities $
   
Total $
   
Assets  
Property 1 $
Property 2 $
Furniture & Fittings: $
Motor Vehicles: $
Cash at Bank: $
Investments: $
   
Total: $
 
Privacy Act Authorisation Agreements Yes
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