FINLEASE CONTACT (Who have you been dealing with at Finlease)
Individual Application for Finance

How did you hear about Finlease:
GOODS
Goods - Brief Description
New or Used

Asset Cost:	$	Desired Term (mths):	Desired Balloon/Residual:
Deposit:

Amount to Finance:	$

$
Exp’t Date of Purchase
Supplier:
Contact:	Phone:
FINANCE REFERENCES (Prior Loans)
Finance Company:	Type of Loan	Status:
1.	Current Expired
2.	Current Expired
PERSONAL REFERENCES (Nearest Relative, Personal)
Contact Name:	Relationship	Contact Number:
1.
2.
NOTES (please include any information in support of your application)
Do you have any defaults on your public Credit Reference (CRAA) file?	Yes No
If yes, please provide comments on each:

APPLICANT 1
Full Name:
D.O.B.	Drivers Licence:	Exp Date:
Address:
Suburb:	Postcode:	How Long:
If less than 3 years please state previous address
Address:
Suburb:	Postcode:	How Long:
Home Phone (Land Line):	Facsimile:	Work Number:
Mobile No:	Email Add:
By completing your email address you give Finlease express permission to send you emails. You may unsubscribe at any time.
Employer:	Length of Emp’t:
Occupation:	Annual Salary:	$
Employer’s Contact No:	Employer’s ABN:
Employer’s Address:
If less than 3 years please state previous employment
Employer:	Length of Emp’t:
Occupation:	Annual Salary:	$
Marital Status: Single Married Defacto Other:

Number of Dependents:

Age(s):

a.

b.

c.

d.

e.

Residential Status	Own Rent Mortgage Live with parents Other:
If Renting, Landlord’s or Agent’s Name & Phone:	Rent Paid (per month):	$
Average Living Expense (per month):	$
BANK DETAILS
Personal Bank:	Branch:
ACCOUNTANT DETAILS
Accountants Company Name:
Contact Name:	Phone:
PERSONAL ASSETS AND LIABILITIES DETAILS (Real Estate)
Address, Suburb & State Only	Value	Loan Value	Financier	Mthly Repayment	Mthly Rent Collected
$	$	$	$
$	$	$	$
$	$	$	$
OTHER ASSETS (Vehicles, Boats, Savings, Shares etc)
Asset Type	Value	Loan Value	Financier	Mthly Repayment	Expiry Date
$	$	$
$	$	$
$	$	$
$	$	$
Cash at Bank	$
OTHER LIABILITIES
Type of Liability	Current Balance	Financier	Mthly Repayment	Expiry Date
$	$
$	$
$	$
CREDIT/STORE CARD LIABILITIES
Current Balance	Limit	Financier/Store	Mthly Repayment
$	$
$	$
APPLICANT 2 (if applicable)
Full Name:
D.O.B.	Drivers Licence:	Exp Date:
Address:
Suburb:	Postcode:	How Long:
If less than 3 years please state previous address
Address:
Suburb:	Postcode:	How Long:
Home Phone (Land Line):	Facsimile:	Work Number:
Mobile No:	Email Add:
By completing your email address you give Finlease express permission to send you emails. You may unsubscribe at any time.
Employer:	Length of Emp’t:
Occupation:	Annual Salary:	$
Employer’s Contact No:	Employer’s ABN:
Employer’s Address:
If less than 3 years please state previous employment
Employer:	Length of Emp’t:
Occupation:	Annual Salary:	$
Marital Status: Single Married Defacto Other:

Number of Dependents:

Age(s):

a.

b.

c.

d.

e.

Residential Status	Own Rent Mortgage Live with parents Other:
If Renting, Landlord’s or Agent’s Name & Phone:	Rent Paid (per month):	$
Average Living Expense (per month):	$
BANK DETAILS
Personal Bank:	Branch:
ACCOUNTANT DETAILS
Accountants Company Name:
Contact Name:	Phone:
PERSONAL ASSETS AND LIABILITIES DETAILS (Real Estate)
Address, Suburb & State Only	Value	Loan Value	Financier	Mthly Repayment	Mthly Rent Collected
$	$	$	$
$	$	$	$
$	$	$	$
$	$	$	$
OTHER ASSETS (Vehicles, Boats, Savings, Shares etc)
Asset Type	Value	Loan Value	Financier	Mthly Repayment	Expiry Date
$	$	$
$	$	$
$	$	$
$	$	$
Cash at Bank	$
OTHER LIABILITIES
Type of Liability	Current Balance	Financier	Mthly Repayment	Expiry Date
$	$
$	$
$	$
CREDIT/STORE CARD LIABILITIES
Current Balance	Limit	Financier/Store	Mthly Repayment
$	$
$	$

Finlease Guarantee:

Finlease is pleased to seek this finance approval on your behalf. It is at your sole discretion whether you wish to utilise any finance approvals which may be forthcoming and such approvals are provided at NO COST to you.

Finance Broking Contract - 14 January 2011

Borrowers Name:
Date by which finance approval is to be obtained:
Establishment Fee & Relevant Government Fees:	Up to $365.00 + Relevant Government Fees
Total Amount to Finance:	$
Term:	Months
Residual Value / Balloon Payment	$

You engage Finlease (Australia) Pty Ltd to arrange the loan described above on your behalf.

Finlease (Australia) Pty Ltd will use its best endeavours to seek a loan at interest rates, terms and payments which are acceptable to your requirements. Finlease (Australia) Pty Ltd will provide details of any loan approvals obtained, at which time you will be able to decide whether you wish to utilize such approvals at your complete discretion. Should you not wish to utilise such approvals, there will be no financial or other benefit earned by Finlease (Australia) Pty Ltd and other intermediaries.

You understand that Finlease (Australia) Pty Ltd is acting as an independent contractor assisting you to locate a loan. You are advised to obtain independent legal and financial advice regarding the suitability of any loan.

Statement about Funders:

We have accreditation with the following lenders; this list does not represent a complete list of financiers who may consider an application for finance from the applicant. Subject to the applicant meeting their criteria, we are able to obtain credit from:-

Esanda Finance Corporation Limited (ABN 64 004 346 043) 10/1 Rider Boulevard, Rhodes NSW 2138

Yamaha Motor Finance Australia Pty Ltd (ABN 29 101 928 670 ) 489 – 493 Victoria Street, Wetherill Park NSW 2164

GE Automotive Financial Services (ABN 80 004 187 419) trading as GE Money 572 Swan Street, Richmond VIC 3121

Capital Finance Limited (ABN 23 069 663 136) 20 Lexington Drive, Bella Vista NSW 2153

Benefits to be received by us:

We and other intermediaries may earn a financial or other benefit from a person or persons other than you. This financial or other benefit will be a payment by the end of the month (of settlement) of between nil and 5% of the net amount financed. Such benefits are subject to amount sought, term / residual balloon values, work detail involved, nature of goods and overall monthly volume introduced by Finlease (Australia) Pty Ltd and other intermediaries to those applicable lenders. The Commission paid increases as the amount & rate applied increases. The amount is determined by the goods sought and amount you elect to borrow, the residual & term could be influenced by the lender and the rate by Finlease (Australia) Pty Ltd.

Should you accept and utilize such approvals obtained on your behalf by Finlease (Australia) Pty Ltd, we will upon request disclose, prior to you entering into the credit contract, either the quantum of any financial or other benefit from a person or persons other than you where ascertainable, or where unascertainable, provide the method of calculation for such financial or other benefits and an estimation of such benefits.

3rd party referrals:

Finlease (Australia) Pty Ltd is contacting you, the consumer, as a result of being provided with your contact details by the a 3rd party introducer - .

In the event that you have been referred to Finlease (Australia) Pty Ltd by a 3rd party introducer, that introducer may receive a financial or other benefit from Finlease (Australia) Pty Ltd of between nil and 1% of the net amount financed.

External Dispute Resolution:

If at any time you are unsatisfied with the level of service, and you are not satisfied with the outcome of our Internal Dispute Resolution Process, you have the option of contacting our External Dispute Resolution provider - Credit Ombudsman Service Ltd on:

Freecall: 1800 138 422

Phone: 02 9273 8400

Website: www.cosl.com.au

Email: info@cosl.com.au

X
X
X
Customer Signature
Name in Full
Date
X
X
X
Customer Signature
Name in Full
Date

Signed for and on behalf of Finlease (Australia) Pty Ltd by:

X
X
X
Broker Signature
Broker Name
Date

PRIVACY CONSENT	FAX TO:
A. Consent of Individual Applicant

In connection with my application and any subsequent applications to any of the financiers described in the Schedule (Financier) for credit, I acknowledge that the Financier will collect personal information about me (which may include “sensitive information” as defined in the Privacy Act 2001 (C’wlth)(Privacy Act), and that such information will be used to help the Financier assess this and subsequent applications, and if my applications are approved, for the subsequent administration of the credit facilities. I consent to the Financier collecting, using and disclosing my personal information for these purposes, and acknowledge that without this information, the Financier may be unable to process or accept my applications, or to operate or administer the credit facility.

I consent to the Financier and its related companies using or disclosing my personal information for;

Performing administrative tasks and managing business operations, providing services to me in relation to credit facilities (if granted) or other products or services, and telling me about its products, services or other organisations;

Product development, research, risk assessment, loan management, modeling, and fraud and crime prevention;

Keeping guarantors informed about the credit facility;

Complying with legislative and regulatory requirements.

B. Consent of Individual Guarantor/Other Individuals

In connection with this application and any subsequent applications to any of the financiers described in the Schedule (Financier) for credit by the applicant described in the Schedule (the applicant), I acknowledge that the Financier will collect personal information about me (which may include “sensitive information” as defined in the Privacy Act) and that such information will be used to support this and subsequent applications and help the Financier assess these applications. Where I am to provide a guarantee or other support in connection with these credit facilities, I acknowledge that the personal information will be used to assess whether to accept me as a guarantor or to accept the support for such credit facilities, and if necessary, in the enforcement of the guarantee or that support. I consent to the Financier collecting, using and disclosing my personal information for this purpose, and acknowledge that without this information the Financier may be unable to process or accept such applications.

Other Consents of Individual Applicant and Individual Guarantor/Other Individuals

I consent to the Financier disclosing my personal information to its related companies, and each of them disclosing my personal information:

To credit reporting agencies, other financial institutions and credit providers, and service providers;

Where I am the applicant for the credit, to persons who may guarantee or give other support in connection with my obligations under these credit facilities (including to help that person assess whether to act as guarantor or provide the support);

Where I am to provide a guarantee or other support in connection with these credit facilities, to the applicant;

To governmental and regulatory organisations; and to any person authorised by me to operate these credit facilities, any organisation through whom I choose to make payments to the Financier or its related companies, and to any other entity to whom the Financier or any of its related companies is required by law, or authorised by me, to disclose my personal information, regardless of how or when that information is collected.

I agree to the transfer of my personal information by the Financier and its related companies to organisations overseas for use in connection with any of the purposes authorised by this consent or the Privacy Act.

If and to the extent that the Financier does so in a manner and for purposes that conform with the Privacy Act;

I agree to the Financier obtaining information about my commercial activities and commercial credit worthiness from a business which provides information about the commercial credit worthiness of persons, and to the Financier using that information in assessing these applications, assessing future changes to the approved limits and reviewing such limits;

I acknowledge and consent that credit information may be given to a credit reporting agency;

I/we acknowledge that the Privacy Act allows a credit provider which the introducer/broker may approach in arranging my/our finance, to give a credit reporting agency certain personal information about my/our applications for finance.

The information which may be given to an agency includes such permitted particulars about me/us which allow me/us to be identified;

The fact that I/we have applied for finance and the amount; The fact that the credit provider is a current credit provider to me/us;

Payments which become overdue more than 60 days, and for which collection action has commenced; That payments are no longer overdue;

Cheques drawn by me/us for an amount not less than $100, which have been dishonoured more than once;

That in the opinion of the above-named credit provider, I/we have committed a serious credit infringement;

Information as to court judgements against me.

I agree to the Financier giving to and receiving from any credit provider named in the application, and any credit provider named in a credit report issued by a credit reporting agency, information about my credit arrangements, provided that the information is given or received to assess an application for credit made to the recipient credit provider, to assess my credit worthiness, to assess future changes to approved limits or in the review of such limits;

I agree to the Financier obtaining a credit report containing personal information about me from a credit reporting agency, using that report or any information derived from the report in assessing the application, assessing future changes to approved limits or in reviewing such limits, or if relevant, collecting overdue payments in respect of credit provided to me, and for any other purposes permitted under the Privacy Act (including where I am to provide a guarantee or other support in connection with the credit facility, to assess whether to accept me as a guarantor or whether to accept that support); and

I authorise a trade insurer in relation to my application (where it is for commercial credit) to obtain a credit report to assess whether to insure or assess the risk of insuring the Financier, and where I am the applicant for credit, to assess the risk of default by me on the credit provided.

I acknowledge that the bank of financier may pay a commission to the broker as a result of any banking services offered to me by the bank of financier.

I consent to the bank or financier disclosing ongoing information in relation to my banking services to the broker

Subject to the Privacy Act, I acknowledge that I may have access to my personal information collected and held by the Financier and its related companies, and that I can enquire as to the identity of each related company of the Financier, by contacting the Privacy Officer of the Financier at the address of the Financier shown in the Schedule. I acknowledge that if I provide information about any other individual to the Financier, I will ensure that the individual is made aware that the Financier has his or her personal information, of the purposes (and the persons involved) of the collection, use and/or disclosure of the personal information by the Financier, and that the Financier can be contacted in the manner outlined above.

Where I am an applicant for the credit, Part A and Part C apply to me. Where I am to provide a guarantee or other support in connection with the credit facility, Part B and Part C apply to me. Where two or more persons sign this consent, it is to be read as given by each of us individually.

INDIVIDUAL APPLICANT/GUARANTOR/OTHER INDIVIDUAL SIGNATURE SECTION including APPLICANT SCHEDULE

Name	X
Name	X
Signature	X
Signature	X
Date	X
Date	X
Name and Address of Financier – Each and any of;

Aussie Car Loans Pty Ltd (ABN 36 077 683 820), Australia and New Zealand Banking Group Limited (ABN 11 005 357 522), BOQ Equipment Finance Limited (ABN 78 008 492 582), Capital Finance Australia Ltd (ABN 23 069 663 136), Cash Resources Australia Pty Ltd (ABN 48 784 573 234), Commonwealth Bank of Australia (ABN 48 123 123 124), Finecorp Financial Services Pty Limited (ABN 71 072 066 141), Finlease (Australia) Pty Ltd (ABN 35 003 752 636), Finrent Pty Ltd (ABN 40 389 557 981), GE Automotive Financial Services (ABN 80 004 187 419), IBM Global Financing Australia Ltd (ABN 27 002 955 571), Macquarie Equipment Rental Pty Ltd (ABN 44 112 079 268), Macquarie Leasing Pty Limited (ABN 38 002 674 982), National Australia Bank Ltd (ABN 12 004 044 937), Nimik Finance Pty Ltd (ABN 88 988 589 302), Service Finance Corporation Ltd (ABN 93 077 860 256), St George Finance Ltd (ABN 99 001 094 471), Suncorp Metway Advances Corporation Pty Ltd (ABN 89 100 845 127), Toyota Financial Services, a division of Toyota Finance Australia Limited (ABN 48 002 435 181), United Financial Services (QLD) Pty Ltd (ABN 43 073 887 813), Westpac Banking Corporation (ABN 33 007 457 141), Yamaha Motor Finance Australia Pty Ltd (ABN 29 101 928 670)

Finlease (Australia) Pty Ltd A.B.N. 35 003 752 636 Unit 26, Norberry Terrace 177-199 Pacific Highway North Sydney NSW 2060
P.O. Box 1013 North Sydney NSW 2059 P 02 9959 3122 F 02 9959 3677 E finlease@finlease.com.au www.finlease.com.au

Application for Finance

sgrech

2009-04-06

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Finlease (Australia) Pty Ltd