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Application for Motor Vehicles/Plant & Equipment

Use this form if you are an Individual or Partnership with an ABN

Applicant Details
Applicant Name(s)
Surname:
Given Name(s):
Address:
Date of Birth:  eg. 21/4/1970
Surname:
Given Name(s):
Address:
Date of Birth:  eg. 21/4/1970
Trading Name
ABN
Address
Year Established
Accounting Method
(If applicable)
Industry
Phone
Fax
Email
Accountant   Phone:
Accountant Contact Name
Bank and Branch
Goods
Cost of Goods (Inc GST)
New or Used    Age (if used):
Supplier   Phone:
3 Trade References
Name:
Phone:
Name:
Phone:
Name:
Phone:
Finance References
1. Financier
Goods     Start Date:  eg. 21/4/1995
Terms $   

2. Financier
Goods     Start Date:  eg. 21/4/1995
Terms $   

3. Financier
Goods     Start Date:
Terms $   

Business History and
Any Additional Comments
Is this quote for business purposes?
 Yes  No







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