Newsagency Finance

Applicant Details - Sole Trader or Partner #1

First Name:
Last Name:
Email Address :
Date of Birth:	Enter in dd/mm/yy format
Driver Licence No:
Street Address:
Suburb:
State/Territory:
Post Code:
Home Phone:
Residential Status:
Time at Residential:	Years Months
Property Value:	(If Buying or Own)
Mortgage Owing :	(If Buying)
Other Property Value:
Other Property Loans :

Partner #2 (If applicable)

First Name:
Last Name:
Date of Birth:	Enter in dd/mm/yy format
Driver Licence No:
Street Address:
Suburb:
State/Territory:
Post Code:
Home Phone:
Residential Status:
Time at Residential:	Years Months
Property Value:	(If Buying or Own)
Mortgage Owing :	(If Buying)
Other Property Value:
Other Property Loans :

Partner #3 (If applicable)

First Name:
Last Name:
Date of Birth:	Enter in dd/mm/yy format
Driver Licence No:
Street Address:
Suburb:
State/Territory:
Post Code:
Home Phone:
Residential Status:
Time at Residential:	Years Months
Property Value:	(If Buying or Own)
Mortgage Owing :	(If Buying)
Other Property Value:
Other Property Loans :

Partner #4 (If applicable)

First Name:
Last Name:
Date of Birth:	Enter in dd/mm/yy format
Driver Licence No:
Street Address:
Suburb:
State/Territory:
Post Code:
Home Phone:
Residential Status:
Time at Residential:	Years Months
Property Value:	(If Buying or Own)
Mortgage Owing :	(If Buying)
Other Property Value:
Other Property Loans :

Newsagency Details

Newsagency Name:
Street Address:
Suburb:
State:
Post Code:
Date Purchased:	Month Year
Newsagency Value :
Newsagency Debt :
Newsagency Contact Details
Phone:
Fax:
Email:

Trade References E.g. News Limited, Hallmark Cards, GNS etc)

Name:
Phone:
Trade Reference #2 (If Available)
Name:
Phone:

Finance Reference (If Available)

Company:
Current or Finalised:
Bank:
Branch:
Accountant Name:
Accountant Phone:

Point of Sale System Supplier Details

Supplier Name:
Contact Person Name:
Contact Person Phone Number :
Amount to be Financed:
Estimated Installation Date:
Required Finance Term:
Finance Type:

Privacy Declaration:

I confirm the information provided is true and correct. I have read and understand the Privacy Policy and authorise Newsagency Finance to act on my behalf.

Please click inside the checkbox to accept these terms and conditions. Click the Submit button to lodge the information with us.

Companies & Trusts Application

Company/Trust Details

Company or Trustee Name:
ACN:
Trust Name (If applicable):
Trust ABN:
Trading Name :
Trading Street Address:
Suburb:
State/Territory:
Post Code:
Phone:	Include Area Code
Fax:	Include Area Code
Mobile:
Email:
Date Newsagency Purchased:
Newsagency Value:
Newsagency Debt :

Director Details

First Name:
Last Name:
Date of Birth:	Enter in dd/mm/yy format
Driver Licence No:
Residential Street Address:
Suburb:
State/Territory:
Post Code:
Home Phone:
Residential Status:
Time at Residence:	Years Months
Previous Address:	If less than two years
Residential Street Address:
Suburb:
State/Territory:
Post Code:
Residence Value:	(If Buying or Own)
Mortgage Owing :	(If Buying)
Other Property Value:
Other Property Loans :

Director #2 (If applicable)

First Name:
Last Name:
Date of Birth:	Enter in dd/mm/yy format
Driver Licence No:
Residential Street Address:
Suburb:
State/Territory:
Post Code:
Home Phone:
Residential Status:
Time at Residence:	Years Months
Previous Address:	If less than two years
Residential Street Address:
Suburb:
State/Territory:
Post Code:
Residence Value:	(If Buying or Own)
Mortgage Owing :	(If Buying)
Other Property Value:
Other Property Loans :

Director #3(If applicable)

First Name:
Last Name:
Date of Birth:	Enter in dd/mm/yy format
Driver Licence No:
Residential Street Address:
Suburb:
State/Territory:
Post Code:
Home Phone:
Residential Status:
Time at Residence:	Years Months
Previous Address:	If less than two years
Residential Street Address:
Suburb:
State/Territory:
Post Code:
Residence Value:	(If Buying or Own)
Mortgage Owing :	(If Buying)
Other Property Value:
Other Property Loans :

Director #4 (If applicable)

First Name:
Last Name:
Date of Birth:	Enter in dd/mm/yy format
Driver Licence No:
Residential Street Address:
Suburb:
State/Territory:
Post Code:
Home Phone:
Residential Status:
Time at Residence:	Years Months
Previous Address:	If less than two years
Residential Street Address:
Suburb:
State/Territory:
Post Code:
Residence Value:	(If Buying or Own)
Mortgage Owing :	(If Buying)
Other Property Value:
Other Property Loans :