Online Application Form

Use this form to apply for a (Business Loan)

Before you begin

Please ensure you have read and agree to the Terms and Conditions.

Need Help

Need help with this form? Call 1300 761 130 or email finance@integra.net.au Find ABN & GST details: https://abr.business.gov.au

What to do next
  • Complete this form (All information is editable online).
  • Sign the form if your device supports “touch on glass” or print the application and email to finance@integra.net.au
  • Click the Submit button at the end of the application form.

    1 | Business Type
    Sole TraderPartnershipPrivate Company (Pty Ltd)Public Company (Ltd)
    Statutory CompanyTrustNot For Profit
    Other (If other, please provide details below)

    2 | Business Details







    YesNo



    ABN & GST details can be found: https://abr.business.gov.au/

    3 | Business Trading Address





    4 | Applicants Contact Details





    5 | Director, Partner or Guarantor Details


















    MortgageRentingOwned

    6 | Identification
    Selfie Guide

    New anti-money laundering legislation requires companies like us to ask our customer’s for a 'selfie' document to verify their identity.

    To verify your identity, please use one of the below approved forms of ID to feature in your ‘selfie’- quality must be clear and readable with no obstruction of fingers, out-of-frame cuts or blurred pixels. This can be taken on a smart phone or with another digital camera device.

    We require you to take a photo ('selfie') of yourself whilst holding your photo identification close to your face so that we can see the picture clearly. We can accept one of the following forms of ID :

    • Australian Driver’s Licence,
    • Australian Passport / Permanent Residency Visa
    • Australian Fire Arm’s License.
    • 18 Plus Card











    7 | Asset & Liability Statement

    Less than $50,000$50,000 to $100,000$100,000 to $250,000$250,000 to $1,000,000Over $1,000,000

    LessLess than $30,000$30,000 to $100,000Over $100,000

    Less than $30,000$30,000 to $50,000Over $50,000

    Has there been or are there now any financial judgements, defaults or legal proceedings against the Business/ Company/ Trust or any of the applicants?

    NoYes ‐ give details

    Has the Business / Company/ Trust or any of the applicants had any difficulties making loan repayments in the past 2 years?

    NoYes ‐ give details

    Do you foresee any major changes that will affect the loan over the next 12 months that will make it difficult for the Business/ Company/ Trust or any of the applicants to meet its/their financial commitments

    NoYes ‐ give details

    8 | Assets

    Home / Investments Properties

    Owner(s)

    App1App2Bus.

    Property

    HomeInvestment

    App1App2Bus.

    HomeInvestment

    App1App2Bus.

    HomeInvestment

    Accounts(Bank, Credit Union, Building Soc, Etc)

    Owner(s)

    App1App2Bus.

    Property

    HomeInvestment

    App1App2Bus.

    HomeInvestment

    App1App2Bus.

    HomeInvestment

    Motor Vehicle

    All Other Assets - except usual home contents

    9 | Liabilities

    Home / Investments Property Loans

    Borrower(s)

    App1App2Bus.

    Principal

    Home

    Invest.

    Prop.

    Original

    Amount

    App1App2Bus.

    Home

    Prop.

    App1App2Bus.

    Home

    Prop.

    Personal Loans

    Borrower(s)

    App1App2Bus.

    Original

    Amount

    App1App2Bus.

    App1App2Bus.

    Credit Cards (Include even if nil)

    Borrower(s)

    App1App2Bus.

    Original

    Amount

    App1App2Bus.

    App1App2Bus.

    All Other Debt and Liabilities

    Borrower(s)

    App1App2Bus.

    Original

    Amount

    App1App2Bus.

    App1App2Bus.

    10 | Equipment & Supplier Details

    11 | Finance Details

    Equipment RentalFinance LeaseChattel MortgageHire Purchase


    12 | Business Contents Insurance



    13 | Payment / Bank Account Details





    14 | Introducer Details





    15 | Privacy Consent

    (Tick before continuing) I have read, understood and agree to the terms and conditions above. I confirm that I am authorised to provide these personal details presented and I consent to my information being checked with the document issuer or official record holder via third party systems for the purpose of confirming my identity

    I/We have read and understand the particulars that have been completed in this form and state that those particulars are accurate and correct. These have been provided to Integra Coporation Pty Ltd to enable it to determine whether or not to provide credit.

    Applicant 1




    Applicant 2




    I would like to receive a copy of this application form.

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