ftlinx

� FINANCE
PERSONAL STATEMENT OF ASSETS & LIABILITIES
Name/s: r

Liabilities Assets
Details Pmt Owing Details Value

Overdraft Limit $ Cash on hand

With:

Mortgages/Loans Real Estate owned

With?

Other Liabilities Equipment / other assets

Motor Vehicles

Household/ Personal

Total Liabilities Total Assets

Less Liabilities
NET WORTH

s;gned .. s;gned .....................................................

Da te: Date
 61inx FINANCE
first occurs. This will allow us to continue to provide our
services to you without the need to ask you to sign a new Authorisation
privacy statement and consent each time you require By signing this document, you authorise us to make a request
commercial credit within a 12 month period. The extended on your behalf to obtain information about you from one or
effectiveness does not apply in relation to consumer credit. more credit reporting service(s) and credit provider(s). That
information will assist us in providing our services to you.
Where the applicant, or guarantor, is a company of which you
are a director, you consent to the disclosure and use of your
information, in addition to the company's information, in each
of the ways specified in this document.

Applicant/Guarantor 1 Applicant/Guarantor 2

Signature: X Signature: X

Name:

Date signed Date signed: I I

Applicant/Guarantor 3 Applicant/Guarantor 4

Signature Signature

Name: Name:

Date signed: I I Date signed: I I

# Authorised Contacts
Accountant: Solicitor:
SCHEDULE OF CREDIT PROVIDERS
Name of Credit Provider Website
BOQ Equipment Finance Ltd www.bog.com.au
ANZ Banking Group Ltd www.anz.com
Commonwealth Bank of Australia www.commbank.com.au
Westpac Banking Corporation www.westgac.com.au
St George Equipment Finance Pty Ltd www.Stgeorge.com.au
Suncorp Metway Advances Corporation Pty Ltd www.Suncorgbank.com.au
Capital Finance Australia Ltd www.cagitalfinance.com.au
National Australia Bank Ltd www.nab.com.au
Bank of Melbourne www.bankofmelbourne.com.au
Macquarie Leasing Pty Ltd/ Macquarie Rentals htt11s:l[www.macguarie.com.auLmglLauLleasing
Morris Finance Ltd htt11:LLwww.morrisfinance.com.auL
htt11:LLwww.alto.com .auLheadofficeLa lto-h eadofficeLa Ito-auto-
Group & General Finance
groug-car-dealer-general
GE Capital Finance Pty Ltd www.gecagital.com.au
Thorn Equipment Finance www.thorneguigmentfinance.com.au
Metro Finance www.metrofin.com.au
Go Getta www.gogetta.com.au
Classic Funding Group www.classicfg.com.au
Pepper Asset Finance Pty Ltd www.11e1111ergrou11.com.au
Flexi Commercial www.flexicommercial.com.au
TL Rentals Pty Ltd www.tlrentals.com.au
Toyota Finance Australia Ltd/ Toyota Fleet Management www.tolotafleetmanagement.com.au