ONLINE APPLICATION FORM
1. Preliminary Information
*Applying as a...
*Number of applicants:
*Number of guarantors:
*Which type of finance do you require?
*Have you purchased the asset?
*Estimated amount to finance:
2. Main Applicant Details:
*Your Name:
*Your E-mail Address:
*Best Contact Phone Number:
*Postcode or Suburb:
3. A Quick Question:
Where did you hear about us?
Who is your Finance Consultant?
Yes I would like to receive Pure Capital Finance's monthly e-newsletter and occasional product offers
By ticking this box you acknowledge receiving our Privacy Policy
3. Personal Details:
Date of birth:
Gender:
Marital Status:
Number of dependent children:
Age of dependent children:
Drivers license state:
Driver license expiry date:
Residency Status:
Visa Sub-Class Number:
4. Home Residence Details:
Home Ownership:
Country:
Postcode:
Street Address:
Moved into residence:
5. Personal Reference:
Full Name:
Postcode or Suburb:
Street Address:
Contact phone number:
Relationship:
6. Current Employment:
Type of employment:
Date began employment:
Job Title:
Company / Business Name:
Name of payroll contact:
Phone number of payroll contact:
Employer ABN:
Country:
Suburb or Postcode:
Street Address:
7. Financials:
Income
Do you know your after tax (net) salary?
After-tax (net) salary:
Overtime (after tax):
Bonuses (after tax):
Other Income (after tax):
Description of other income:
Your spouses income (after tax):
Details of Foreseen Changes in Income:
How many credit cards do you have?
8. Financials:
Expenses
Household expenses:
Insurance Payments:
Other regular expenses:
Description of other expenses:
9. Financials:
Essentials
Name of main bank:
Name of accountant:
Phone Number of Accountant:
10. Financials:
Credit History
Note: We can assist most clients who have problems with their credit history, but we need to know about any credit problems up-front. Non-disclosure of credit problems will be looked upon unfavorably by our lenders and will compromise any attempt to obtain a loan approval.
Are you currently bankrupt:
Are you discharged bankrupt:
Any other credit problems within the past 7 years:
Have you previously had finance?
11. Assets & Liabilities:
Basic Assets
Cash on hand / in bank:
Value of home's contents that you own:
Superannuation:
Estimated Value of your home:
Estimated Value of any investment properties:
Estimated Value of any plant & equipment:
Estimated Value of any motor vehicles:
Estimated Value of any Boats, Motorbikes or Trucks:
Estimated Value of any other assets:
Basic Liabilities
12. Assets & Liabilities:
Do you have an overdraft?
Do you have a secured loan?
Do you have a un-secured loan?
Do you have any other liabilities?
Max File Size 15MB
Max File Size 15MB
Max File Size 15MB