Section 1: Company Details |
Company name: |
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ABN: |
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Trust name (if company is a trustee): |
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Year trust was established: |
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Time company has been trading: |
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Number of directors: |
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Is the company premises: |
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Email Address |
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Phone number: |
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Fax number |
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Company street address: |
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Suburb: |
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Postcode: |
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Postal address (if different from street address): |
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Suburb: |
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Postcode: |
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Accountant's name (if other than self): |
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Accountacy firm: |
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Accountant's phone number: |
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Section 2: Director's Personal Details |
First Name: |
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Middle Name/s: |
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Last Name: |
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Title: |
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Marital Status : |
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Children under 18: |
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Date Of Birth: |
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Home Phone: |
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MobilePhone: |
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Work Phone: |
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Current Address: |
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Suburb: |
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Postcode: |
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Residential Status: |
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Time at address: |
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Rent/mortgage per month: |
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Mortgagee/ landlord: |
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Mortgagee/ landlord phone number: |
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Previous Address (if less than 3 years in current address): |
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Suburb: |
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Postcode: |
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Time at previous address: |
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License No: |
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License Expiry: |
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Section 3: Financial Information |
Net liabilities (any money that you owe in total): |
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Net value of all assets (including cars, property, etc): |
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Net Weekly Income: |
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Job title: |
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Employer Name: |
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Employer Address: |
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Suburb: |
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Postcode: |
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Previous Employer (if less than three years in current job): |
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Previous Employer Address: |
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Suburb: |
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Postcode: |
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Income Type: |
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Section 4: Vehicle Details |
Price of car: |
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Make: |
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Model: |
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Year of manufacture: |
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Sale type: |
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Kms: |
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Section 5: Financial History |
Financial Status: |
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Defaults Unpaid |
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Defaults Paid |
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Loan type: |
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I have read and agree to Motorcore's privacy policy, I also hereby agree to let 'Motorcore Finance' and any authorized agents of 'Motorcore Finance' access my individual credit information stored with any such organization that may have such information available relating to my credit and financial history. I understand that 'Motorocore Finance' and any authorized agents of 'Motorcore Finance' will have full access to such files. I authorize 'Motorcore Finance' and any authorized agents of 'Motorcore Finance' to keep and share records of my credit and financial history with any other credit agencies and credit reporting agencies that I have authorized to do so.
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