Application & Privacy Form

Please complete the following application form. Once you submit it, you will be giving the opportunity to print and sign the form.

Application Reference #
Type of Finance Required*
- Construction Finance
- Immediate Short Term Finance
Did somebody refer you to this loan?
- No
- Yes
Referrer's Details
Referrer's Full Name
Referrer's Email Address
Referrer's Mobile Number
Applicant Details
Applicant 1
Capacity of Applicant
- Borrower
- Guarantor
- Joint Applicant
Full Name*
Mobile / Telephone*
Email*
Occupation / Position
Home Street Address
Suburb
State
Post Code
Driver's Licence No.
Date of Birth
Home Ownership Status
- Own
- Rent
Residency Status
- Australian Citizen
- Permanent Resident
Years at Home Address
Business Ownership %
Add Applicant 2?
- No
- Yes
Applicant 2
Capacity of Applicant
- Borrower
- Guarantor
- Joint Applicant
Full Name
Mobile / Telephone
Occupation / Position
Email
Home Street Address
Suburb
State
Post Code
Driver's Licence No.
Date of Birth
Home Ownership Status
- Own
- Rent
Residency Status
- Australian Citizen
- Permanent Resident
Years at Home Address
Business Ownership %
Add Applicant 3?
- No
- Yes
Applicant 3
Capacity of Applicant
- Borrower
- Guarantor
- Joint Applicant
Full Name
Mobile / Telephone
Email
Occupation / Position
Home Street Address
Suburb
State
Post Code
Driver's Licence No.
Date of Birth
Home Ownership Status
- Own
- Rent
Residency Status
- Australian Citizen
- Permanent Resident
Years at Home Address
Business Ownership %
Business Details
Type of Entity
- Company
- Partnership
- Sole Trader
Company / Trust Name
ABN / ACN
Trading Street Address
Suburb
State
Post Code
Postal Address different to Trading Address?
- No
- Yes
Postal Street Address
Suburb
State
Post Code
Principle Business Activity
Business Start Date
Owner's Name
Phone Number
Email
Website
Monthly Rent $
Lease End Date
Details of Loan Required
Loan Amount Required $
Term
(Months)
Settlement Date
If known.
Loan Purpose
Loan Repayment Strategy
(e.g. refinance, sale of property etc)
Security Offered for the Loan
Property 1
Property Street Address
Suburb
State
Post Code
Ownership of Property
- Being Purchased
- Already Owned
Type of Property
- Residential
- Commercial
- Vacant Land
Estimated Value or Purchase Price $
Rental Value Per Week $
(if applicable)
Lender
Current Debt $
Notes or Comments?
Add Security Property 2?
- No
- Yes
Property 2
Property Street Address
Suburb
State
Post Code
Ownership of Property
- Being Purchased
- Already Owned
Type of Property
- Residential
- Commercial
- Vacant Land
Estimated Value or Purchase Price $
Rental Value Per Week $
(if applicable)
Lender
Current Debt $
Notes or Comments?
Add Security Property 3?
- No
- Yes
Property 3
Property Street Address
Suburb
State
Post Code
Ownership of Property
- Being Purchased
- Already Owned
Type of Property
- Residential
- Commercial
- Vacant Land
Estimated Value or Purchase Price $
Rental Value Per Week $
(if applicable)
Lender
Current Debt $
Notes or Comments?
Add Security Property 4?
- No
- Yes
Property 4
Property Street Address
Suburb
State
Post Code
Ownership of Property
- Being Purchased
- Already Owned
Type of Property
- Residential
- Commercial
- Vacant Land
Estimated Value or Purchase Price $
Rental Value Per Week $
(if applicable)
Lender
Current Debt $
Notes or Comments?
Additional Assets and Liabilities
Asset / Liability 1
Type of Asset 1
- Property
- Vehicle or Machinery
Property Type
- Residential
- Commercial
- Rural
Details
Lender
Current Debt $
Estimated Value or Purchase Price $
Make / Brand
Model Number
Year of Manufacture
Registration Number
Vin Number
Kms on the Odometer
Upload Photo or Documents

Drop files here or
Add Asset / Liability 2?
- No
- Yes
Asset / Liability 2
Type of Asset 2
- Property
- Vehicle or Machinery
Property Type
- Residential
- Commercial
- Rural
Details
Lender
Current Debt $
Estimated Value or Purchase Price $
Make / Brand
Model Number
Year of Manufacture
Registration Number
Vin Number
Kms on the Odometer
Upload Photo or Documents

Drop files here or
Add Asset / Liability 3?
- No
- Yes
Asset / Liability 3
Type of Asset 3
- Property
- Vehicle or Machinery
Property Type
- Residential
- Commercial
- Rural
Details
Lender
Current Debt $
Estimated Value or Purchase Price $
Make / Brand
Model Number
Year of Manufacture
Registration Number
Vin Number
Kms on the Odometer
Upload Photo or Documents

Drop files here or
Add Asset / Liability 4?
- No
- Yes
Asset / Liability 4
Type of Asset 4
- Property
- Vehicle or Machinery
Property Type
- Residential
- Commercial
- Rural
Details
Lender
Current Debt $
Estimated Value or Purchase Price $
Model Number
Year of Manufacture
Registration Number
Vin Number
Kms on the Odometer
Upload Photo or Documents

Drop files here or
Business owner to complete information disclosure statement
Business Owner's Full Name*
I / We, {{Business Owners Full Name Above}} grant our irrevocable permission to release our confidential information to EasyBizFinance and/or its affiliated partners. I/We understand this information is being used for their credit and underwriting purposes only.
Trading Street Address
Suburb
State
Post Code
MY LANDLORD INFORMATION
Landlord / Mortgage company
Contact Name
Phone Number
Statement By Borrowers
Have you or your spouse ever been declared bankrupt or insolvent, or has either estate been assigned for the benefit of creditors?
- YES
- NO
Have you or your spouse ever been shareholders or officers of any company of which a manager, receiver or liquidator has been appointed?
- YES
- NO
Is there any unsatisfied judgement entered in any court against you, your spouses or any company of which either of you or your spouse are or were a shareholder or officer?
- YES
- NO
Have you or your spouse ever been registered with the CRAA as in default?
- YES
- NO
Are you the director or shareholder of any companies?
- YES
- NO
I confirm that the above information is complete and correct
SIGNATURES
(Verification of this authorisation may be obtained by contacting us on the business above)

By signing this application, I/We certify the above information supplied is true and correct to the best of my/our knowledge and belief. Privacy Act 1988: The Applicant and each Owner named above hereby irrevocably authorises Capital Empire Pty Ltd, its servants and agents to make such enquiries as they deem necessary to investigate their credit worthiness from time to time, including the making of enquiries with persons nominated as trade references, the bankers of the Applicant, any credit provider or Credit Reporting Agency and including personal credit and consumer credit information and LandData/property inquiries and name searches (hereinafter called “the sources”). The Applicant and each Owner hereby authorises the sources to disclose to Capital Empire Pty Ltd such information concerning the Applicant and each Owner which is within their possession. I/we further grant to any source from which Capital Empire Pty Ltd has requested information about applicant(s), the authorisation to release such information to Capital Empire Pty Ltd. The Applicant and each Owner agrees that the information provided in this application concerning the Applicant and each Owner and any relevant trading information arising from any dealings between Capital Empire Pty Ltd and the Applicant and each Owner may be disclosed to a Credit Reporting Agency or any other interested person, subject to Capital Empire Pty Ltd’s Privacy Policy which can be obtained upon request. You authorise Capital Empire Pty Ltd to complete any incomplete sections of this form verbally or via electronic communication with You.
Signature - Applicant 1
Print Name
Date
Signature - Applicant 2
Print Name
Date
Signature - Applicant 3
Print Name
Date
Upload Documents
Please upload relevant documentation including but not limited to:
- Transaction overview
- Funding table & Feasability
- Site Information
- Development approval [DA]
- CV of builder
- Summary of Presales
Please upload relevant documentation including but not limited to:
- Copy of any Recent Valuations
- Assets and Liabilities Statement for Borrower (A&L)
- A&L for all Guarantors - not included above
Upload Documents

Drop files here or
Name
This field is for validation purposes and should be left unchanged.

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Application & Privacy Form

Referrer's Details

Applicant Details

Applicant 1

Applicant 2

Applicant 3

Business Details

Details of Loan Required

Security Offered for the Loan

Property 1

Property 2

Property 3

Property 4

Additional Assets and Liabilities

Asset / Liability 1

Asset / Liability 2

Asset / Liability 3

Asset / Liability 4

Business owner to complete information disclosure statement

MY LANDLORD INFORMATION

Statement By Borrowers

I confirm that the above information is complete and correct

SIGNATURES

(Verification of this authorisation may be obtained by contacting us on the business above)

Upload Documents

Please upload relevant documentation including but not limited to:

Please upload relevant documentation including but not limited to: