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What is the purpose of the application?*

Vehicle/Transportation

Equipment/Machinery

Cashflow

Other

Are the Goods New or Used?

New

>5 years old

>15 years old

How much would you like to borrow?*

Repayment Term

Vehicle/Equipment Description*

Make / Model / Variant

Supplier

Supplier Contact Phone

Do you have an ABN?*

Yes

No

What is your ABN?*

ABN Lookup

Business / Trading Name

Is there a Trust associated with the business?*

Yes

No

Trustee to the Trust*

ACN

Are you an employee receiving a vehicle allowance?*

Yes

No

Primary Contact Name*

First Last

Email*

Phone*

Business website

Leave blank if none exists

Business Phone

If different from the above

Principal place of business*

Enter the location/region where your business primarily operates.

Street Address Address Line 2 Suburb State Postcode Country

Is this the same as the registered office address?

Yes

No

Registered office address*

Street Address Address Line 2 Suburb State Postcode Country

How many Directors, Partners or Sole Traders are in the business?*

Please enter a number from 1 to 5.

Director / Partner / Sole Trader Details

Please ensure that all Directors / Partners / Sole Traders are listed.

Note: You can send this application to another person to fill out their details, using the “Send to other Director / Partner” button at the bottom of this page.

Name	Actions

There are no Directors / Partners.

Consent*

I agree to the below Privacy Act Authorisation.

PRIVACY ACT AUTHORISATION

PO Box 2527 Taren Point NSW 2229

Important Notice to Applicant(s) For Credit (Section 18(E)(1) Privacy Act 1988)

Notice of disclosure of your credit information to a credit reporting agency. (Privacy Act 1988)

Ilease is a division of Benson Leasing Group Pty Ltd and may give information about you to a credit reporting agency, for the following purposes:

to obtain a consumer credit report about you, and/or
to allow the credit reporting agency to create or maintain a credit information file containing Information about you.

The information is limited to:

Identity particulars: your name, sex, address (and the previous two addresses), date of birth, name of employer, and driver’s licence number.
Your application for credit or commercial credit: the fact that you have applied for credit and the amount.
The fact that ilease is a current credit provider to you.
Loan repayments which are overdue by more than 60 days, and for which debt collection action has started.
Advice that your loan repayments are no longer overdue in respect of any default that has been listed.
Information that, in the opinion of ilease, you have committed a serious credit infringement (that is, fraudulently or shown an intention not to comply with your credit obligations).
Dishonoured cheques: cheques drawn by you for $100 or more which have been dishonored more than once.
That credit provided to you by ilease has been paid or otherwise discharged.

Period to which this understanding applies:

This information may be given before, during or after the provision of credit to you.

Statement By Applicant(s) For Credit

Please read carefully before signing. Where there is more than one applicant, each applicant must sign.

Giving information to a Credit Reporting Agency (Section 18E(8)(c) Privacy Act 1988)
Ilease has informed me that it may give certain personal information about me to its financiers and a credit reporting agency.
Access to Commercial Credit Information (Section 18L(4) Privacy Act 1988)
I/we agree that ilease may obtain information about me/us from a business which provides information about the commercial credit worthiness of persons for the purpose of assessing my/our application for consumer credit.
Access to Consumer Credit Information (Section 18K(1)(b), Privacy Act 1988)
I/we agree that ilease may obtain a consumer credit report containing information about me from a credit reporting agency for the purpose of assessing my/our application for commercial credit.
Exchange of Credit Worthiness Information (Section 18N, Privacy Act 1988)
I/we agree that ilease may exchange information with its credit providers or a consumer credit report issued by a credit reporting agency for the following purposes:
- to assess an application by me/us for credit
- to notify other credit providers of a default by me/us
- to exchange information with other credit providers as to the status of this loan where I am in default with other credit providers
- to assess my/our credit worthiness
I/we understand that the information exchanged can include anything about my/our credit worthiness, credit standing, credit history or credit capacity that credit providers are allowed to exchange under the Privacy Act.
Agreement to a credit provider being given a consumer credit report by a credit reporting agency to assess a guarantor (Section 18K 1(c) Privacy Act 1988)
I/we agree that ilease may obtain from a credit reporting agency a consumer credit report containing information about me/us for the purpose of assessing me/us as a guarantor for credit applied for by, or provided to, the borrower(s). I/we agree that this agreement commences from the date of this agreement and continues until the credit covered by the borrower(s) application ceases.
Agreement to a credit provider disclosing a report including a consumer credit report to potential or existing guarantor (Section 18K (1) Privacy Act 1988)
I/we agree that ilease may give to a person who is currently a guarantor, or whom I/we indicated is considering becoming a guarantor, a credit report containing information about me/us for the purpose of [name of prospective guarantor] deciding whether to act as a guarantor, or to keep [name of existing guarantor] informed about the guarantee. I/we understand that the information disclosed can include anything about my/our credit worthiness, credit standing, credit history or credit capacity that credit providers are allowed to disclose under the Privacy Act, and includes a credit report.

Digital Signature Consent*

Consumer Disclosure Regarding Conducting Business Electronically, Signing Documents Electronically, and Receiving Electronic Notices and Disclosures

Please read the information below, carefully, as it concerns your rights. eSignatures are an efficient way to execute an agreement with the same legal force and effect of a handwritten or “wet ink” signature. By signing this document you are agreeing that you have reviewed this Consumer Disclosure and consent and intend to transact business electronically; to use electronic signatures instead of wet ink signatures and paper documents, and to receive notices and disclosures electronically.

You are not required to sign documents electronically or to receive notices and disclosures electronically. If you prefer not to transact business electronically, you may request paper copies from the “sending party” and withdraw your consent at any time, as described below.

Scope of Consent
By utilizing this Service, you agree to receive electronic signature documents with all related and identified documents, notices, and disclosures provided during your relationship with the “sending party.” You may withdraw your consent, at any time, by following the procedures outlined below.

Paper Copies
You are not required to sign documents electronically, or receive notices or disclosures electronically, and may request paper copies of documents or disclosures, if you prefer. You also have the ability to download and print any signed or unsigned documents sent to you through the electronic signature service. We may also email you a copy of all documents you sign using the electronic signature service. If you wish to receive paper copies instead of electronic documents you may close this web browser and request paper copies from the “sending party” by following the procedures outlined below. The “sending party” may apply a charge for additional expenses incurred by printing and mailing paper copies.

Withdrawal of Consent
You may withdraw your consent to receive electronic documents, notices or disclosures at any time. In order to withdraw consent you must notify the “sending party” that you wish to withdraw your consent to transact business electronically and to provide your future documents, notices, and disclosures in paper format. If at any time, after withdrawing your consent you choose to use our electronic signature system your use of this Service will, once again, evidence your consent to receive documents, notices, and disclosures, electronically. You may withdraw your consent to receive electronic notices and disclosures or execute an electronic signature by following the procedures described below.

Withdrawing your consent, requesting a paper copy, or updating your contact information
You always have the ability to download and print any documents sent to you through our electronic signature system. To withdraw your consent to conduct business electronically, sign documents electronically, and receive documents, notices, or disclosures electronically, please contact the “sending party” directly; by telephone, by email (sent to the “sending party” with any of the topics outlined below stated in the subject line of your email) or by postal mail to their mailing address specified to receive such notices.

“Withdrawal of Consent To Transact Business Electronically” To allow the “sending party” to identify and facilitate your withdrawal of consent to transact business electronically, please provide your name, email address, the date on which you are withdrawing your consent, your telephone number and mailing address.

“Requesting A Paper Copy” To allow the “sending party” to identify you to provide a paper copy of the document requiring your signature, the notice, or disclosure, please provide the sending party with your name, email address, mailing address, telephone number, and name of the document of which you are requesting a paper copy .

“Update Your Contact Information” To allow the “sending party” to identify you in order to update your contact information, please provide them with your name, email address, mailing address, and telephone number.

The “sending party” will inform you of any fees related to costs for printing and mailing paper copies or your withdrawal consent to transact business electronically.

I agree to the Digital Signature Consent Statement

Signature of #1 Director / Partner / Sole Trader*

Signature of #2 Director / Partner / Sole Trader*

Signature of #3 Director / Partner / Sole Trader*

Signature of #4 Director / Partner / Sole Trader*

Signature of #5 Director / Partner / Sole Trader*

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Your Application

Giving information to a Credit Reporting Agency (Section 18E(8)(c) Privacy Act 1988)

Access to Commercial Credit Information (Section 18L(4) Privacy Act 1988)

Access to Consumer Credit Information (Section 18K(1)(b), Privacy Act 1988)

Exchange of Credit Worthiness Information (Section 18N, Privacy Act 1988)

Agreement to a credit provider being given a consumer credit report by a credit reporting agency to assess a guarantor (Section 18K 1(c) Privacy Act 1988)

Agreement to a credit provider disclosing a report including a consumer credit report to potential or existing guarantor (Section 18K (1) Privacy Act 1988)