Are you applying for finance with a Co-Buyer / Spouse?
/
To complete the application form, simply fill in the fields marked with an asterisk (* ), then click submit application, it's as easy as that! Remember if you are applying for a loan with a co-buyer or spouse, be sure to click "Yes" to the question above, before you begin to complete this form.
$
Loan Amount
* (min. $5000)
Title:
Please Choose...
Mr.
Mrs.
Miss.
Ms.
*
First Name
*
Middle Name
Last Name
*
Date of Birth
*
Licence No
*
Licence State
Please Choose...
Aust. Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
New Zealand
Overseas
*
Licence Expiry Date
*
Email Address
*
Marital Status
Please Choose...
Single
Married
Divorced
Separated
Defacto
*
Home Phone
Telephone (BH)
*
Mobile
No. of Dependants
Living Arrangement
Please Choose...
Boarding
Mortgaged
Renting
Owned outright
*
Unit Number
Street Number
*
Street Name
*
Street Type
Please Choose...
Access
Avenue
Beach
Block
Boulevard
Bypass
Causeway
Centre
Circuit
Close
Common
Court
Cove
Crescent
Drive
Esplanade
Estate
Expressway
Flat
Freeway
Gulley
Heights
Highway
Hill
Key
Lane
Link
Motorway
Parade
Park
Parkway
Point
Promenade
Quay
Reserve
Road
Roads
Street
Streets
Terrace
*
City/Suburb
*
State
Please Choose...
Aust. Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
New Zealand
Overseas
*
Post Code
*
Time At Address
years
mths *
Landlord Name
(If renting)
Landlord Telephone
(If renting)
Unit Number
Street Number
Street Name
Street Type
Please Choose...
Access
Avenue
Beach
Block
Boulevard
Bypass
Causeway
Centre
Circuit
Close
Common
Court
Cove
Crescent
Drive
Esplanade
Estate
Expressway
Flat
Freeway
Gulley
Heights
Highway
Hill
Key
Lane
Link
Motorway
Parade
Park
Parkway
Point
Promenade
Quay
Reserve
Road
Roads
Street
Streets
Terrace
City/Suburb
State
Please Choose...
Aust. Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
New Zealand
Overseas
Post Code
Time At Address
years
mths
Employment Status
Please Choose...
Full Time
Part Time
Casual
*
Job Title
*
Employer Name
*
Employer ABN
Employer Address
*
Employer City
*
State
Please Choose...
Aust. Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
New Zealand
Overseas
*
Employment Contact Person
*
Employer Telephone
*
Employed For
years
mths *
Job Title
Employer Name
Employer Address
Employer Telephone
Employed For
years
mths
Job Title
Employer Name
Employer Address
Employer Telephone
Employed For
years
mths
$
Regular Gross Monthly Income
*
$
Extra Income (e.g. Family Allowance)
$
Rent/Mortgage Payments Per Month
$
Credit Card Min. Monthly Payment
$
Other Loan Repayments Per Month
Type of Loan
Lenders Name
Loan Type
Loan Term
years
mths
Monthly Payment
Outstanding Balance (if any)
Personal Reference Name
Personal Reference Relationship
Please Choose...
Family
Friend
Supplier
Associate
Telephone Number (land line)
Unit Number
Street Number
Street Name
Street Type
Please Choose...
Access
Avenue
Beach
Block
Boulevard
Bypass
Causeway
Centre
Circuit
Close
Common
Court
Cove
Crescent
Drive
Esplanade
Estate
Expressway
Flat
Freeway
Gulley
Heights
Highway
Hill
Key
Lane
Link
Motorway
Parade
Park
Parkway
Point
Promenade
Quay
Reserve
Road
Roads
Street
Streets
Terrace
City/Suburb
State
Please Choose...
Aust. Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
New Zealand
Overseas
Post Code
Personal Reference Name
Personal Reference Relationship
Please Choose...
Family
Friend
Supplier
Associate
Telephone Number (land line or mobile)
Unit Number
Street Number
Street Name
Street Type
Please Choose...
Access
Avenue
Beach
Block
Boulevard
Bypass
Causeway
Centre
Circuit
Close
Common
Court
Cove
Crescent
Drive
Esplanade
Estate
Expressway
Flat
Freeway
Gulley
Heights
Highway
Hill
Key
Lane
Link
Motorway
Parade
Park
Parkway
Point
Promenade
Quay
Reserve
Road
Roads
Street
Streets
Terrace
City/Suburb
State
Please Choose...
Aust. Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
New Zealand
Overseas
Post Code
Bank Name
Bank Account Name
BSB Number
Account Number
Type of Account
Please Choose...
Cheque
Savings
Payment Method
Please Choose...
BPAY
Direct Debit
*
Please add any information that may assist us with assessing your loan application.
I / We have read the Privacy Policy *
I / We are over 18 years of age *
Privacy Policy
Smart
Car Loans has developed this Privacy statement to assure you that we
are committed to responsible privacy practices.
Collection of
Personal Information
1. You can browse through this web site,
including searching for a vehicle, without registering any of your
Personal Information.
2. This Website collects Personal
Information about you when you complete a form on the Website and
send it to us.
3. When we collect, store, or use information about
you we try at all times to comply with the national Principles for
the Fair Handling of Personal Information.
4. We do not disclose
any information collected on the Website to any organization not
related to this company.
5. When you provide us with information
on this Website we may ask your permission to contact you in the
future about products or promotions related to this company. If you
give your permission you will be given the opportunity to withdraw it
at any later time we contact you.
6. If you do not give our
permission you will not be contacted again except as it pertains to
your specific request.
Information collected by our Server.
1.
When you visit this site, our server (dealersolutions.com.au) logs
the following information provided by your browser (which does not
personally identify you);
- The type of browser and operating
system you are using the previous site that you visited.
- Your
server's IP address (a number which is unique to the machine through
which you are connected to the Internet: usually one of your service
provider's machines).
2. Our server logs the date and time of
your visit, which pages of our Website you visited and any documents
you downloaded.
3. Our server might use a feature of your browser
called a "cookie" to assign a user ID. Cookies identify
your computer to our server when you visit our site. We only use
cookies to store the sites or databases that a user has selected,
Cookies are not used for any other purpose. You do not need to have
configured your browser to enable the accepting or sending of cookies
in order to use this site.
4. We only use the information
collected by our server to generate statistics and analyse site
activity.
How we use Personal Information collected about you
1.
We will reply to your email address for the purpose for which you
provide it.
2. If your give permission we will use your personal
information (see below for what Personal Information we collect) only
to send you emails to announce products or promotions related to this
company. Every time we send you an email, we will give you the
opportunity to choose not to receive further emails of that type.
3.
We may also use your email address to respond to feedback given about
this site, and to confirm receipt of emails sent to us.
4.
What
personal information do we collect?
When you send a form on this
Website to us, it will provide the following Personal Information:
·
Your name
· Your email address
On some forms It will
additionally ask for:
· Your phone number
· Your
fax number
· Your address
Security of your Personal
Information
1. Any Personal Information you provide to purchase
merchandise on-line, including Credit Card details will be protected
by 128 bit Encryption Security.
2. To view this site securely, you
need a browser such as Netscape Navigator or Microsoft Internet
Explorer displaying a symbol such as a key or lock, to show you are
in secure mode; if not, a warning will appear.
3. Please note
despite the high level of security installed on this website, we
cannot guarantee that any e-mail is secure.
Access to your
personal information.
1. If you have any questions about this
Privacy statement or if you wish to gain access to the information
that we may have collected about you, please contact the Smart Car
Loans Privacy Officer, named below.
2. If any of the Personal
Information we are holding has changed, we will correct it for
you.
Links to Other Sites
This site contains links to other
Websites. We are not responsible for the Privacy Policies of other
sites.
Changes to the Statement
We reserve the right to
change our Privacy Statement. A revised Privacy Statement will only
apply to data collected subsequent to its effective date.
Privacy
Officer – Jeremy Wolfe
Phone: 03) 8781 7200
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