Alan May Group Finance Fast finance application form

Full Name*

Email*

Daytime phone

Mobile phone

Work phone

Title Please Select Mr Mrs Miss Ms

First Name

Middle Name

Surname

Date of Birth

Drivers Licence No.

Licence Expiry Date

Address

Town/Suburb

Postcode

State Select State New South Wales Victoria Queensland South Australia Western Australia Australian Capital Territory Northern Territory Tasmania

Time at this address

Address

Town/Suburb

Postcode

State Select State New South Wales Victoria Queensland South Australia Western Australia Australian Capital Territory Northern Territory Tasmania

Time at this address

Bank Mortgage Rental Property Own Property

Bank/Landlord

Location

Contact Number

Occupation

Status Please Select Full Time Casual Temporary Self Employed

Business Name

Address

Town/Suburb

Postcode

State Select State New South Wales Victoria Queensland South Australia Western Australia Australian Capital Territory Northern Territory Tasmania

Time at this employer

Previous Occupation

Status Please Select Full Time Casual Temporary Self Employed

Business Name

Address

Town/Suburb

Postcode

State Select State New South Wales Victoria Queensland South Australia Western Australia Australian Capital Territory Northern Territory Tasmania

Time at this employer

Income

Net or Gross Please Select Nett Gross

Per Please Select Week Fortnight Monthly Yearly

Other income - investments, rent or other

Source

Income

Net or Gross Please Select Nett Gross

Per Please Select Week Fortnight Monthly Yearly

Property Value

Amount Owing

Other Property Value

Amount Owing

House Contents Value

Investments Value

Cash & Savings Value

Other investments

Rent/Mortgage amount?

Per Please Select Week Fortnight Monthly Yearly

Do you have credit cards? Please Select Yes No

Lender

Limit

Repayments

Do you have other loans? Please Select Yes No

Lender

Loan Amount

Repayments

Please list any other expenses:

Have you been bankrupt? Select Select Yes No

Do you have any paid or unpaid defaults? Please Select Yes No

Do you have any court judgements? Please Select Yes No

If yes for above 3 questions, please give details:

Do you agree to a Veda CRA check? Please Select Yes No

Name

Address

Town/Suburb

Postcode

Accountants Details (if self employed):

Accountants Name

Phone Number