(01/08)
Aussie Consumer Finance
Locked Bag 5026
Parramatta CBD BC
NSW 2124
Car Loan Application
Please contact Aussie Customer Care on 131 355 for any assistance.
To ensure your application is processed promptly, please provide all the details requested below. Questions marked (*)
are essential to your application – without this information, your application cannot be processed.
Please read the “Important Privacy Notice” in its entirety (located on the last page of this form) and sign
to acknowledge your acceptance. This needs to be completed in order for us to process your application.
Completed forms can be faxed to us at 1300 721 492 or mailed to the above address.
Loan Details
1
Preferred loan term (maximum 60 months)*
months
Have you found the actual vehicle you’d like to finance?
Yes
No
Amount requested*
$
.00
Vehicle Details
2
Purchase price includes ALL on-road costs
Make (e.g. Toyota)*
Model description (e.g. Corolla)*
Condition*
New
Used
Demo
Year of manufacture*
Body type (e.g. sedan)
No. of doors
Manual
Auto
Transmission type
No. of cylinders
Trade-in amount
$
.00
Cash deposit amount
$
.00
Is the trade-in vehicle under finance?
Yes
No
Amount owing $
.00
Purchase price*
$
.00
Registration number
Colour
Odometer reading
km
Private
Dealer
Buying vehicle from*
Auction
About You
3
Type of applicant
Personal
Business
Business name
ACN/ABN
Title*
First name*
Middle name
Surname*
Current home address*
Postcode
Previous address if you have lived for less than 3 years at your current address*
Postcode
Maiden name (if applicable)
Gender*
M
F
Marital status*
Date of birth*
DD/MM/YYYY
Applicant 1 (Please enter your name and address as it appears on your primary ID e.g. driver licence or passport)
Mobile phone
Work phone*
( )
Fax number
( )
Home phone*
( )
Email address
No. of dependants (exclude partner)
Driver licence number*
Licence expiry date*
DD/MM/YYYY
Preferred contact number
Home phone
Work phone
Mobile phone
Preferred time to be called
Morning
Afternoon
Evening
Time at previous addre