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ChildrenAddressStatePostcodePrevious (if < 3yrs at above)Phone AHBHFaxMob.Email OccupationEmployer Date StartedGross Income (p.a.)"Surname (2nd Applicant/Guarrantor) Other Income LOAN DETAILSEstablishment FeemonthsSettlement Date RefinanceASSETS LIABILITIESProperty (Address & State)Value Value ($)Lender Mthly Payment Amount OwingYearMakeModel!Other Investments (Jewellery etc)Home Contents (Furniture, etc)SavingsSharesSuperannuationOther (please list details) Total AssetsTotal Liabilities Lease/CHP etc Credit Cards'Other Liabilities (please list details) NET POSITION&STATEMENT OF ASSETS AND LIABILITIES OFDocumentNumber Place Issued PassportBirth CertificateCitizenship Certificate Place issuedDrivers LicencePublic Service ID CardPension or Health CardEducational Institution ID Card Name & TitleDate & AddressEmployer Reference Account Number Issue Date Rates Notice(One only from each financial Institution Type of Card Expiry DateCredit Card or ATM CardDocument NumberBankBranch Bank Passbook Issue date Medicare CardPlace of IssueMarriage CertificateElectricity Account Gas AccountTelephone AccountTotal Number of PointsPoints AwardedExpiry Date / Ref. No Council NameCertifying Name & Address Account No.&Copies of Documents Should be attached Full Name SignatureDateVerification conducted by:dVERIFICATION OF BORROWER - 100 POINT CHECKLIST (AS REQUIRED BY THE FINANCIAL TRANSACTIONS REPORT ACT Name of Person being Identified: Motor Vehicles (Cars, Boats Etc)APPLICANT DECLARATIONNOYESn1) Have you, your co-applicant or any person acting as guarantor ever been declared bankrupt or insolvent?2) Have you or your co-applicant, or any person acting as guarantor ever been shareholders or officers of any company of which manager, receiver and/or liquidator has been appointed ? l5) Has any part of the Deposit, or the balance due above this loan, been obtained from borrowings 3) Is there any unsatisfied judgment entered in any court against you, or your co-applicant or any company of which you or your spouse are or were a shareholder or officer ? 4) Have you, or your co-applicant, or any company with which you are or were associated, ever had a property foreclosed upon or sold through a mortgagee sale proceeding ? s6) Has any application in respect of this loan been submitted by you, or any other person, to any Other lender?4Signature: (Applicant/Authorised Office of Borrower)PRIVACY ACT 1988 CONSENTSIGNATURE OF THE APPLICATIONI/we declare that I am/we are over the age of 18 and the information contained in this application is true and correct in every particular and it is upon this basis that I/we make this application for credit. I/we also confirm our agreement to the matters set out above:Signature and Print Name Applicant LOAN SUMMARY9BACKGROUND (attach extra pages if further space reqruied).(attach extra pages if further space reqruied)ShareName of Trust (if Applicable)1. Commercial credit information: Seek and use commercial credit information about me/us to assess an application for consumer credit or commercial credit. 2. Consumer Information: Seek and use consumer credit information about me/us to assess an application for commercial credit or consumer credit.$6. Exchange of information with advisors: Seek from and use or give to any originator, financial consultant, accountant, lawyer, or other advisor acting in connection with any financing provided or proposed to the borrower, any personal information, consumer or commercial credit information.(18. Provide information for securitisation: Disclose any report or personal information about the borrower to another person in connection with funding financial accommodation by means of an arrangement involving securitisation, or any other proposed transfer of a proposed dealing with the borrowers loan.)3. Collection of overdue payments: Seek and use a credit report about the borrower provided by a credit-reporting agency to collect overdue payments from the borrower."4. Provide Information to mortgage insurer: Provide information to a mortgage insurer to assess the risk of providing mortgage insurance or to assess the risk of default.*9. Provide information to Guarantors: Provide information to any person who proposes to guarantee or has guaranteed repayment of any credit provided to the borrower.$REQUIRED DOCUMENTS/Leases & Rental Statements from managing agents RENTAL INCOMEEXISTING LIABILITIESPURCHASELast Council Rates NoticeIDENTIFICATION$Copies of 100 points, as identified. Brokerage FeeRate po box 2231burwood north 2134f : 02 9744 1944 t : 02 9744 1955#DESCRIPTION OF GOODS BEING FINANCEDBalloon/Residule Asset CostGSTTrade Inn/DepositFeesAmount Financed ASIC FeesPurchase Other FeesResidule Balloon /ConsumerChattle Mortgage Hire PurchaseLeaseRental Term/Months RepaymentFACILITYGOODS Motor VehicleIndustrial EquipmentMedicalINCOMEDLast 2 years Financials for Borrower, Guarantors & Related Entities.Last current statements Sales invoicePROPERTY OWNERSHIP Novated Lease EarthmovingFinance RequiredBrokerage Rate Maximum 3% BrokerageComputers & SoftwareOffice & Shop FitoutsNewUsedDealerPrivate!Last 3 trading account statementsACCOUNT CONDUCTEQUIPMENT FINANCE APPLICATIONOwnerStatusRenting MortgagedBoarderLiving w/ Parents PurchasingD.O.B.Years Date MovedContact Phone NumbersREFERRES(PERSONAL (known applicant for 12 months)Surname:First:Address:Suburb:State: Postcode: Relation:Home:Office:Mobile:BUSINESS COLLOGUE Company:Fax:TRADEThe borrower agrees that Capital Edge and any other financier or manager who at any time provides or has any interest in the credit (all included in the term  Capital Edge ) can do any of the following at any time.qIf Capital Edge cannot not provide personal information, Capital Edge may be unable to provide or arrange credit.In accepting this agreement the borrower hereby authorises Capital Edge, its agents or lenders to make such enquiries and take up such references, as it considers necessary in relation to the borrowers application. The borrower also understands and agrees that Capital Edge and other intermediaries may be paid and retain fees, margins and commissions in respect of the credit arranged by Capital Edge or any of its related entites.6Capital Edge Commercial Mortgages Pty Ltd ABN 18 091 682 585 ("Capital Edge') may use the personal information you provide about you for the purpose of providing credit and for direct marketing of products and services offered by Capital Edge or any organisation Capital Edge are affiliated with or represents.The information provided by you will be held by Capital Edge and you can obtain information about it by contacting Capital Edge. You have the right to request not to receive direct marketing material.r10. Disclosure of personal information: Disclose personal information about the borrower to organizations involved in providing credit to the borrower, or any other associate, or contractor of Capital Edge, includ<ing, for example, stationary printing houses, mail houses, lawyers, accountants, or people considering acquiring an interest in your business or your assets.'7. Provide information to credit reporting agencies: Give to a credit reporting agency personal or commercial information about the borrower. The information may include identity particulars; the fact that credit has been applied for and the amount; the fact that Capital Edge is a current credit provider to you; payments which become overdue more than 60 days, and for which action is commenced; advice that payments are no longer overdue; advice that cheques drawn by you have been dishonoured more than once; in specified circumstances that in the opinion of Capital Edge you have committed a serious credit infringement; and the credit provided to you by Capital Edge has been paid or otherwise discharged.4}5. Exchange of information between credit providers: Seek from and use or give to another credit provider (including without limitation any other credit provider who has lent money on the same security) any information about the borrowers credit worthiness, credit standing, credit history or credit capacity. 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