Online Application

• Loan Purpose *
  Please select Medical Loans Car Loans Bike Loans Caravan Loans Jet Ski Loans Truck Loans Personal Loans Consolidation Loans Equipment Loans

• Loan Amount *
  Please select $8,000 $9,000 $10,000 $11,000 $12,000 $13,000 $14,000 $15,000 $16,000 $17,000 $18,000 $19,000 $20,000 $21,000 $22,000 $23,000 $24,000 $25,000 $26,000 $27,000 $28,000 $29,000 $30,000 $31,000 $32,000 $33,000 $34,000 $35,000 $36,000 $37,000 $38,000 $39,000 $40,000 $41,000 $42,000 $43,000 $44,000 $45,000 $46,000 $47,000 $48,000 $49,000 $50,000 $51,000 $52,000 $53,000 $54,000 $55,000 $56,000 $57,000 $58,000 $59,000 $60,000 $61,000 $62,000 $63,000 $64,000 $65,000 $66,000 $67,000 $68,000 $69,000 $70,000 $71,000 $72,000 $73,000 $74,000 $75,000 $76,000 $77,000 $78,000 $79,000 $80,000 $81,000 $82,000 $83,000 $84,000 $85,000 $86,000 $87,000 $88,000 $89,000 $90,000 $91,000 $92,000 $93,000 $94,000 $95,000 $96,000 $97,000 $98,000 $99,000 $100,000 over $100,000

• Full Name *
  

• Address *
  

• Email Address *
  

• Best Contact Number *
  

• Drivers Licence # *
  

• Date of Birth (dd/mm/yyyy) *
  

• Gender *
  Male Female

• Property Status *
  Please select Owner/Buyer Renting Boarding Living with Parents Employer Sponsored

• Current Residency Length *
  Years 0 Year 1 Year 2 Years 3 Years 4 Years 5 Years 6 Years 7 Years 8 Years 9 Years 10 Years 11 Years 12 Years 13 Years 14 Years 15 Years Months 0 Month 1 Month 2 Months 3 Months 4 Months 5 Months 6 Months 7 Months 8 Months 9 Months 10 Months 11 Months 12 Months

• Current Weekly Payments *
  $

• Employment Type *
  Please select Casual Full Time Part Time Benefits Self Employed

• Employment Length *
  Years 0 Year 1 Year 2 Years 3 Years 4 Years 5 Years 6 Years 7 Years 8 Years 9 Years 10 Years 11 Years 12 Years 13 Years 14 Years 15 Years Months 0 Month 1 Month 2 Months 3 Months 4 Months 5 Months 6 Months 7 Months 8 Months 9 Months 10 Months 11 Months 12 Months

• Weekly Income *
  $

• Second Income
  $

• Credit Status *
  Please select Excellent Good Average Known Default Court Judgement Bankruptcy

• Marital Status *
  Single Married Defacto

• Number of Children (under 16)
  

I declare that I am not bankrupt/insolvent and the information given by me to 13004finance is true and correct.

I further declare and acknowledge that by ticking the box below, that the Income and Expenses declared represent an accurate assessment of my monthly financial position

I have considered alternate funding sources before proceeding with this application and am satisfied that the credit applied for is Not Unsuitable and meets my needs.

Privacy, Terms & Conditions Yes, I Accept