Client intake Form – Car loan Client intake Form - Car loan Name First Last Residential StatusCitizen/Permanent ResidentTemp VisaPhone Number Email Driver's License number Address Street Address City State Post Code What type of vehicle are you looking to purchase New Car old car other Enquiry Type Car loan other Name of the vehicle looking to purchase? Make and Model Recorded Mileage Registration number Engine Size Registered Date MM slash DD slash YYYY Expiry date of registration MM slash DD slash YYYY Do you have any current loan? yes no Who is the current lender and how much do you currently owe? Loan type and purpose of the loan How much deposit do you have? How long have you been working?What is your current employment statusFull TimeSelf EmployedPart TimeCasualUnemployedIF Self Employed Company Name Self Employed- ABN Self Employed- GST yes No Years of Company Financials/Tax Returns available? What is your gross income? Any other income Sources? Are you Married? Yes No Are you seeking loan on your name or with your partner? Sole Applicant Joint Depended If Joint , Name of your Partner Partner Address Street Address City State Post Code Partner Phone Number Partner Email Partner Employment StatusFull TimePart TimeCasualUnemployedSelf employedDriver's License number Partner Residential StatusCitizen/Permanent ResidentTemp VisaHow long has your partner been working?Partner occupation Partner gross income Any other source of income IF Self Employed Company Name? Self Employed- ABN Self Employed- GST yes No Years of Company Financials/Tax Returns available? Have you or partner ever missed any loan payments or payments?YesNoIf Yes,What are the defaults/judgments and the amount? Has it been paid PAID UNPAID Date MM slash DD slash YYYY Financial Name How many Credit cards do you have? NameThis field is for validation purposes and should be left unchanged.