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Loan Request
Amount Requested
$
What is the purpose of the loan?
     
Personal Details
Applicant 1
Applicant 2
Surname
First Name
Middle Name
Date of Birth
Marital Status
Dependant Children?

Ages of Children
Drivers License #
Drivers License expiry
     
Telephone Numbers
Home
Work
Mobile
email Address
     
Residential Details
Full Home Address
Mailing Address
Length of time at this address
Are you:
Name of owner/ agent
Monthly accommodation cost:
$
$
Phone #
If at this address less than 3 years, provide previous address.
Length of time at that address
Were you
     
Current Employment
Employment Status
Occupation
Length of time with employer
Employers Name
Employers Address
Telephone #
     
Previous Employment
1.    
Occupation
Length of time with employer
Employers Name
Employers Address
Telephone #
     
2.    
Occupation
Length of time with employer
Employers Name
Employers Address
Telephone #
     
     
Assets - include home, contents, investments, vehicles, etc.
Description
Value
 
$
 
$
 
$
 
$
 
$
 
$
 
$
     
Liabilities - include personal loans, store cards, credit cards, etc.  
Lender:
$ Balance:
$ Limit:
$ Monthly Payment:
     
Budget
Figures below are:


     
Income
Applicant 1 net income:
$
Applicant 2 net income:
$
Other income(overtime etc):
$
Government Assistance:
$
     
Banking Details
Financial Institution
Branch
Balance
$
$
$
$
     
References
Have you ever had, or are there now judgements or legal proceedings against you?
If yes, please give details:
     
Details of the nearest relative not living with you:
Name
Address
Phone Number
     
Please give 2 personal references:
Reference 1
Reference 2
Name
Address
Phone
   
Where did you hear about BizOz finance?
 
 
TERMS AND CONDITIONS - Please Read Carefully
 
     
By clicking the Submit Application button you confirm you have read and understand the terms and conditions above.
 
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