Lease Back Application - Biz-Oz Australia

To be able to come back to you with which lenders may be able to give you likely approval we need your authorisation to act as your agent in seeking access to your Consumer Credit Information file held by a credit reporting agency. This is only an enquiry and is standard procedure for anyone applying for credit.

Are you aware of any defaults on your CRAA?

Yes No

If YES, are these paid defaults?

Yes No

Have you applied for this loan elsewhere in the past 30 days?

Yes No

What amount would you like to borrow?

Over what period would you like the loan?

How did you hear about us?

First Name

Middle Name

Surname

Drivers Lic. #

or

Passport #

Expiry

Date of Birth

Marital Status

Do you have any dependants?

Yes No

If Yes, what ages?

Contact Numbers

Mobile

Home

Office

Fax

Email

What is your current address?

Street

Suburb

State

Post Code

How long have you been at this address?

Months

Years

Are you renting, mortgage, boarding etc?

What is your monthly cost of accomodation?

What is your previous address? (not required if living at current address for 3 years or more)

Street

Suburb

State

Post Code

How long were you at this address?

Months

Years

Were you renting, mortgage, boarding etc?

Occupation Information

What is your current occupation?

Status:

Employer name

Contact Phone #

Current Employers Address:

Street

Suburb

State

Post Code

How long have you been with this employer?

Previous employment details (not required if you've been with your current employer for 3 years or more)

Previous employer name

Street

Suburb

State

Post Code

How long were you with this employer?

Months

Years

What was your employment status?

If self employed, what was your ABN?

Accountants name

Contact Phone #

Date of last tax return preparation

Your bank accounts:

Bank Name	Branch	Approximate Balance
		$
		$
		$
		$
		$

What is your gross income per month?

$

Do you have any other income sources? e.g. government benefits, overtime, etc.

What assets do you own? (include home, investments, cars, household furniture, shares etc.)

Type / Description / Address

Current Market Value

$

What are your current liabilities? (include mortgage and any other loans and/or debts)

Type / Lender

Balance

Monthly Payment

$

Investment Property Details

Mortgage

Repayments

Rent

$

Leasing agents name

Contact Phone #

What credit / store cards do you have?

Card type	Lender	Amount Owing	Credit Limit
		$	$
		$	$
		$	$
		$	$

Next of Kin details (not living with you)

Name:

Phone #

Street

Suburb

State

Post Code

Relationship to you:

In regards to your current living arrangements: a) if buying, what is your bank/lender's name, or if b) renting / boarding etc, what is your Agent / Landlord's details?

Name:

Position

Branch

Street

Suburb

State

Post Code

Phone

TERMS AND CONDITIONS - Please Read Carefully

PRIVACY PROTECTION OF INFORMATION: IMPORTANT NOTICE TO APPLICANT(S) FOR CREDIT (Section 18 (8)(c) Privacy Act 1988) Please read carefully. Biz-Oz Pty Ltd may give information about you to a credit reporting agency but only limited kinds of information allowed by the Privacy Act 1988 (Commonwealth) This includes: * Identity particulars - this only includes your name, sex, date of birth, current known address, two immediate previous addresses, your current or last known employer, and your drivers licence number. * The fact that you have applied for credit and the amount. * The fact that Biz-Oz Pty Ltd is a credit provider to you. * Payments overdue for at lease 60 days, which Biz-OZ Pty Ltd has taken steps to recover. * Advice that payments are no longer due. * Cheques for an amount over $100, drawn by you which have been dishonoured more than once. * The opinion of Biz-Oz Pty Ltd that you have committed a serious credit infringement * When the credit to you has been discharged. STATEMENT BY APPLICANT(S) FOR CREDIT. Please read carefully before signing. When more than 1 applicant , each applicant to sign. 1. TYPE OF CREDIT The credit I am applying for is wholly or primarily for a domestic, family or household purpose (consumer credit) 2. GIVING INFORMATION TO A CREDIT REPORTING AGENCY (SECTION 18E(8) (C) PRIVACY ACT 1988) Biz-Oz Pty Ltd has informed me that it may give my personal information to a credit reporting agency. I understand that Biz-Oz Pty Ltd can only give limited kinds of information which are set out in the Privacy Act 1988 and examples of which are listed previously. 3. EXCHANGING INFORMATION WITH OTHER CREDIT PROVIDERS (SECTION 18N(1) (B) PRIVACY ACT 1988) I agree to Biz-Oz Pty Ltd checking personal information about me with any credit provider named in my application, and with other credit providers that may be named in a credit report issued by a credit reporting agency, for the following purposes. * To assess my creditworthiness * To assess an application by me for credit * To help me avoid defaulting on my credit obligations * To notify a default by me * The collection of overdue amounts I understand that this information can include any information about my credit worthiness, credit standing, credit history or credit capacity that credit providers are allowed to give or receive from each other under the Privacy Act 1988. 4. CONSENT TO USE INFORMATION I/We hereby authorise Biz-Oz Pty Ltd to use the personal information contained in this application, and if approved, supplying and administering the products and services to me for which I have applied. I understand that in order to consider this application and if approved, in order for Biz-Oz Pty Ltd to supply the products and services to me for which I have applied, it may be necessary for Biz-Oz Pty Ltd to provide information contained in this application form to its related entities and other service providers, our agents as well as your agents and contractors, including your finance broker, accountant, legal adviser builder and settlement agent. I / We represent that, if at any time we supply you with personal information about another person (for example a referee), we are authorised to do so and we agree to inform that person who you are and that you will use and disclose their personal information for the purpose set out above, and that they can gain access to that information. 5. DECLARATIONS I declare that I am the owner of the assets listed in this application. I declare that the information in this application is true and correct. I declare that I am not an un-discharged Bankrupt, and there are no outstanding claims or judgements against me. I understand that I am liable to pay Biz-Oz Pty Ltd reasonable costs and expenses in regards to processing this application and the preparation and stamping of any documents. I understand that any false declaration will render any loan document null and void, and I will be liable to make full payment of any outstanding amounts plus interest owed to Biz-Oz Pty Ltd

By clicking the Submit Application button you confirm you have read and understand the terms and conditions above.
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