| Application to Assign Lease

Application to Assign Lease

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Fields marked with an * are required

Property Details:

Property ID *

Property Address *

Your Contact Details:

Registered Company Name

Contact Name *

Address

Postcode

Mobile Phone

Work Phone

Home Phone

ABN

ACN Number

Lease Details:

Proposed Lease Start Date *

Proposed Lease Length *

Proposed Rent Per Annum *

Lease Renewal Options

Proposed Use For Premises *

Does your proposed use supply goods or services to the public? *

Conditions

Your Trade Experience:

1. Company

1. Contact's Name

1. Contact's Phone

2. Company

2. Contact's Name

2. Contact's Phone

3. Company

3. Contact's Name

3. Contact's Phone

Current or Previous Landlord:

Landlord Company Name

Contact's Name

Contact's Phone

Finances:

Are you or any of your business partners an undischarged bankrupt or have any of you assigned your estate for the benefit of creditors or had a judgement record against you? *

Assets and Liabilities:

Assets

1. Property Owned

Detail

Value

2. Property Owned

Detail

Value

3. Property Owned

Detail

Value

Furniture

Detail

Value

1. Vehicle Owned

Detail

Value

2. Vehicle Owned

Detail

Value

Plant & Machinery

Detail

Value

Stock

Detail

Value

Bank Savings

Detail

Value

Accounts Receivable

Detail

Value

Cash in Hand

Detail

Value

1. Other Assets

Detail

Value

2. Other Assets

Detail

Value

Liabilities

1. Mortgage On Property

Detail

Value

2. Mortgage On Property

Detail

Value

3. Mortgage On Property

Detail

Value

Credit Card Debt

Detail

Value

Hire Purchase / Lease

Detail

Value

Overdraft

Detail

Value

Accounts Payable

Detail

Value

1. Other Liabilities

Detail

Value

2. Other Liabilities

I/We hereby certify that the above information is true and correct as the date of this application and that the assets as stated are held solely by me/us and are not held in a trust capacity. *

Detail

Value

Existing Lease / Business Purchase:

Is this application for the purpose of signing an existing lease due to the purchase of a business?

If yes, what is the Settlement Date

If yes, who is your Solicitor / conveyancer handling the transaction?

Solicitor's Company Name

Solicitor's Contact Name

Business Phone

Mobile Phone

Identification:

Primary Documents

*You must provide at least one item from this primary list

Current Passport

Citizenship Certificate

Birth Certificate

Identification Cards

*You must provide at least one item from this identification list

Current Drivers

Licence

Current Tertiary Education ID

Current Identification Card

Social Security, Health Care or Pension Card

Secondary Documents

*You must provide at least one item from this secondary list

Written reference signed by an officer from a financial body where you have been a customer for a minimum of 12 months

Verification from a local government officer who has known you for 12 months or more

Name and address of signatory verified from mortgage documents

Current credit and debit cards

Medicare card

Utility Bill

Foreign Drivers Licence

Upload Identification Documents Here (up to 8 files, 10MB Max Upload size - .jpg, .jpeg, .gif, .png, .pdf, .doc, .docx files accepted - upload will timeout after 30 seconds)

In accordance with Section 18n(1) (b) of the Privacy Act I authorise you to give information to and obtain information from all credit providers and references named in this application. I understand this can include information about my credit worthiness, credit standing, credit history or credit capacity. I understand this information may be used to assess my application.I/We hereby certify that the above information is true and correct as the date of this application and that the assets as stated are held solely by me/us and are not held in a trust capacity. *

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