Vehicle & Payment Details Vehicle Info Vehicle Make Year Model Kilometres New Used Manual Auto Sedan Hatch Wagon Utility Van Options Replacing Current Vehicle? Replacement Additional Supplier Supplier Contact Name Supplier Phone Number Repayment Info Cost Price Deposit Term Trade-In? SelectYesNo Applicant Company Details Company Info Full Company Name ABN Address Suburb State SelectVictoriaNew South WalesQueenslandSouth AustraliaACTWestern AustraliaNorthern TerritoryTasmania Postal Code Year of Establishment Business Phone Nature of Business Applicant Details Director 1 Title Full Name Address Address 2 Post Code Years at Current Address Date of Birth Driver's Licence Number Licence Issuing State SelectVictoriaNew South WalesQueenslandSouth AustraliaACTWestern AustraliaNorthern TerritoryTasmania Licence Card Number Licence Expiry Gender Male Female Marital Status Single Married Defacto Number of Dependents Phone Number Home Owner Status SelectOwn - OutrightOwn - MortgageRentingBoardingLiving with Relatives Australian Residency Status SelectCitizenPermanent ResidentVisaNon-Resident Landlord Name (if renting) Landlord Contact Number (if renting) Monthly Rent Payment (if applicable) Previous Address (if at current address less than 3 years) Years at Previous Address Director 2 Title Full Name Address Address 2 Post Code Years at Current Address Date of Birth Driver's Licence Number Licence Issuing State SelectVictoriaNew South WalesQueenslandSouth AustraliaACTWestern AustraliaNorthern TerritoryTasmania Licence Card Number Licence Expiry Gender Male Female Marital Status Single Married Defacto Number of Dependents Phone Number Home Owner Status SelectOwn - OutrightOwn - MortgageRentingBoardingLiving with Relatives Australian Residency Status SelectCitizenPermanent ResidentVisaNon-Resident Landlord Name (if renting) Landlord Contact Number (if renting) Monthly Rent Payment (if applicable) Previous Address (if at current address less than 3 years) Years at Previous Address Director's Asset and Liability Statement Director 1 - Assets Cash Home Value Investment Property 1 Investment Property 2 Motor Vehicle Home Contents Super Other Investment Plant and Equipment Recreational Asset (Caravans, Boats, Jet Ski's etc.) Shares/Trusts/Managed Funds Director 1 - Liabilities Bank Overdraft Mortgage on Home Financier Monthly Payment Property 1 Mortgage Financier Monthly Payment Property 2 Mortgage Financier Monthly Payment Motor Vehicle Loan Financier Monthly Payment Credit Card Balance Financier Monthly Payment Credit Card Limit Investment Loan Financier Monthly Payment Plant/Equip. Loan Financier Monthly Payment Rec. Asset Loan Financier Monthly Payment Personal Loan Financier Monthly Payment Director 2 - Assets Cash Home Value Investment Property 1 Investment Property 2 Motor Vehicle Home Contents Super Other Investment Plant and Equipment Recreational Asset (Caravans, Boats, Jet Ski's etc.) Shares/Trusts/Managed Funds Director 2 - Liabilities Bank Overdraft Mortgage on Home Financier Monthly Payment Property 1 Mortgage Financier Monthly Payment Property 2 Mortgage Financier Monthly Payment Motor Vehicle Loan Financier Monthly Payment Credit Card Balance Financier Monthly Payment Credit Card Limit Investment Loan Financier Monthly Payment Plant/Equip. Loan Financier Monthly Payment Rec. Asset Loan Financier Monthly Payment Personal Loan Financier Monthly Payment Previous Credit and Finance Previous credit/finance completed within the last 12 months. Credit reference (either current or completed within last 12 months) required for low-doc loan eligibility. Financier Account Number Amount Borrowed Monthly Payment Finance Agreement Finance Agreement Accountant Details Accountant Business Name Contact Name Phone Number Notes Notes (any further information necessary/useful for finance application): Declaration I have read and understood the particulars which have been completed in this form and declare that they are true and complete relative to this enquiry which you consider necessary. I also understand that this form does not constitute an offer or acceptance, in terms of the Consumer Credit Code or Hire Purchase Act. I authorise and request you or any related company to send us details of other products and services from time to time. I/We acknowledge that the Privacy Act allows a credit provider which Motor Vehicle Solutions may approach in arranging my/our finance (hereinafter the approached Credit Provider), to give a credit reporting agency certain personal information about my/our application for finance. By virtue of this declaration I/we understand that Motor Vehicle Solutions has informed me/us of the disclosure policy to a credit reporting agency of information about me/us by Approached Credit Providers and so authorise such disclosures. I authorise you to contact me to obtain further information that may be necesssary to process this application. Do you agree to this declaration? yes I agree. I am happy to continue with the application process. ” To deliver fast, professional and competitive service in a manner that will entice repeat business and word-of-mouth growth. Our aim is to exceed customer and supplier expectations.” Contact Us What would you like assistance with?Finance/Salary PackagingNew CarUsed CarVehicle Insurance Want help fast? Fill out this form and one of our staff will contact you to answer any of your questions.
