{"id":1278,"date":"2016-09-11T15:02:10","date_gmt":"2016-09-11T15:02:10","guid":{"rendered":"http:\/\/finconnect.wpengine.com\/?page_id=1278"},"modified":"2016-10-13T11:07:08","modified_gmt":"2016-10-13T00:07:08","slug":"apply-now","status":"publish","type":"page","link":"https:\/\/financeconnections.com.au\/apply-now\/","title":{"rendered":"Apply Now"},"content":{"rendered":"<p>[vc_row][vc_column width=&#8221;2\/3&#8243; css=&#8221;.vc_custom_1473618480915{border-top-width: 1px !important;border-right-width: 1px !important;border-bottom-width: 1px !important;border-left-width: 1px !important;padding-right: 30px !important;padding-left: 20px !important;background-color: #f2f2f2 !important;border-left-color: #bababa !important;border-left-style: solid !important;border-right-color: #bababa !important;border-right-style: solid !important;border-top-color: #bababa !important;border-top-style: solid !important;border-bottom-color: #bababa !important;border-bottom-style: solid !important;border-radius: 5px !important;}&#8221;]\n                <div class='gf_browser_safari gform_wrapper' id='gform_wrapper_4' style='display:none'><div id='gf_4' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data'  id='gform_4'  action='\/wp-json\/wp\/v2\/pages\/1278#gf_4'>\n                        <div class='gform_heading'>\n                            <h3 class='gform_title'>Finance Application - Private Company \/ Partnership \/ Sole Trader<\/h3>\n                        <\/div><div id='gf_page_steps_4' class='gf_page_steps'><div id='gf_step_4_1' class='gf_step gf_step_active gf_step_first'><span class='gf_step_number'>1<\/span>&nbsp;<span class='gf_step_label'>Your Business Details<\/span><\/div><div id='gf_step_4_2' class='gf_step gf_step_next gf_step_pending'><span class='gf_step_number'>2<\/span>&nbsp;<span class='gf_step_label'>Business Commitments & Equipment Details<\/span><\/div><div id='gf_step_4_3' class='gf_step gf_step_pending'><span class='gf_step_number'>3<\/span>&nbsp;<span class='gf_step_label'>Details of Business owners<\/span><\/div><div id='gf_step_4_4' class='gf_step gf_step_last gf_step_pending'><span class='gf_step_number'>4<\/span>&nbsp;<span class='gf_step_label'>Privacy Act Declaration<\/span><\/div><div class='gf_step_clear'><\/div><\/div>\n                        <div class='gform_body'><div id='gform_page_4_1' class='gform_page' >\n                                    <div class='gform_page_fields'><ul id='gform_fields_4' class='gform_fields right_label form_sublabel_below description_below'><li id='field_4_22'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Customer Details<\/h2><\/li><li id='field_4_2'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Type of Business<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_4_2'><li class='gchoice_4_2_0'><input name='input_2' type='radio' value='Company' checked='checked' id='choice_4_2_0'    \/><label for='choice_4_2_0' id='label_4_2_0'>Company<\/label><\/li><li class='gchoice_4_2_1'><input name='input_2' type='radio' value='Partnership'  id='choice_4_2_1'    \/><label for='choice_4_2_1' id='label_4_2_1'>Partnership<\/label><\/li><li class='gchoice_4_2_2'><input name='input_2' type='radio' value='Individual'  id='choice_4_2_2'    \/><label for='choice_4_2_2' id='label_4_2_2'>Individual<\/label><\/li><li class='gchoice_4_2_3'><input name='input_2' type='radio' value='Other'  id='choice_4_2_3'    \/><label for='choice_4_2_3' id='label_4_2_3'>Other<\/label><\/li><\/ul><\/div><\/li><li id='field_4_3'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_3' >Legal Name<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_4_3' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_4'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_4' >Trading Name<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_4_4' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_5'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_5' >ABN \/ ACN<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_4_5' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_43'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Business Address<\/h2><\/li><li id='field_4_6'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_6' >Address<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_4_6' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_8'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_8' >Suburb<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_4_8' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_28'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_28' >State<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_28' id='input_4_28' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='NSW' >NSW<\/option><option value='VIC' >VIC<\/option><option value='QLD' >QLD<\/option><option value='ACT' >ACT<\/option><option value='SA' >SA<\/option><option value='WA' >WA<\/option><option value='NT' >NT<\/option><option value='TAS' >TAS<\/option><\/select><\/div><\/li><li id='field_4_9'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_9' >Postcode<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_4_9' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_45'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Is the mailing address the same as the business address?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_4_45'><li class='gchoice_4_45_0'><input name='input_45' type='radio' value='Yes'  id='choice_4_45_0'    \/><label for='choice_4_45_0' id='label_4_45_0'>Yes<\/label><\/li><li class='gchoice_4_45_1'><input name='input_45' type='radio' value='No'  id='choice_4_45_1'    \/><label for='choice_4_45_1' id='label_4_45_1'>No<\/label><\/li><\/ul><\/div><\/li><li id='field_4_44'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Mailing Address<\/h2><\/li><li id='field_4_24'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_24' >Mailing Address<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_24' id='input_4_24' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_146'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_146' >Suburb<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_146' id='input_4_146' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_147'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_147' >State<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_147' id='input_4_147' class='medium gfield_select'   aria-required=\"true\" aria-invalid=\"false\"><option value='NSW' >NSW<\/option><option value='VIC' >VIC<\/option><option value='ACT' >ACT<\/option><option value='QLD' >QLD<\/option><option value='WA' >WA<\/option><option value='NT' >NT<\/option><option value='TAS' >TAS<\/option><option value='SA' >SA<\/option><\/select><\/div><\/li><li id='field_4_148'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_148' >Postcode<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_148' id='input_4_148' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_47'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Business Details<\/h2><\/li><li id='field_4_13'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_13' >Nature of Business<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_4_13' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_14'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_14' >Operating Since (month \/ year)<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_4_14' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_50'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_50' >Current Owners Since (month \/ year)<\/label><div class='ginput_container ginput_container_text'><input name='input_50' id='input_4_50' type='text' value='' class='medium'      aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_51'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >How did you hear about us?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_4_51'><li class='gchoice_4_51_0'><input name='input_51' type='radio' value='Google'  id='choice_4_51_0'    \/><label for='choice_4_51_0' id='label_4_51_0'>Google<\/label><\/li><li class='gchoice_4_51_1'><input name='input_51' type='radio' value='Equipment Supplier'  id='choice_4_51_1'    \/><label for='choice_4_51_1' id='label_4_51_1'>Equipment Supplier<\/label><\/li><li class='gchoice_4_51_2'><input name='input_51' type='radio' value='Word of Mouth'  id='choice_4_51_2'    \/><label for='choice_4_51_2' id='label_4_51_2'>Word of Mouth<\/label><\/li><li class='gchoice_4_51_3'><input name='input_51' type='radio' value='Other'  id='choice_4_51_3'    \/><label for='choice_4_51_3' id='label_4_51_3'>Other<\/label><\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                         <input type='button' id='gform_next_button_4_52' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_4\").val(\"2\");  jQuery(\"#gform_4\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_4\").val(\"2\");  jQuery(\"#gform_4\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_4_2' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_4_2' class='gform_fields right_label form_sublabel_below description_below'><li id='field_4_154'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Do you have any other current business commitments?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_4_154'><li class='gchoice_4_154_0'><input name='input_154' type='radio' value='Yes' checked='checked' id='choice_4_154_0'    \/><label for='choice_4_154_0' id='label_4_154_0'>Yes<\/label><\/li><li class='gchoice_4_154_1'><input name='input_154' type='radio' value='No'  id='choice_4_154_1'    \/><label for='choice_4_154_1' id='label_4_154_1'>No<\/label><\/li><\/ul><\/div><\/li><li id='field_4_53'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Current Business Commitments<\/h2><\/li><li id='field_4_54'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_54' >Financier 1<\/label><div class='ginput_container ginput_container_text'><input name='input_54' id='input_4_54' type='text' value='' class='medium'      aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_55'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_55' >Expiry Date<\/label><div class='ginput_container ginput_container_text'><input name='input_55' id='input_4_55' type='text' value='' class='medium'      aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_56'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_56' >Monthly Repayments<\/label><div class='ginput_container ginput_container_text'><input name='input_56' id='input_4_56' type='text' value='' class='medium'      aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_57'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_57' >Financier 2<\/label><div class='ginput_container ginput_container_text'><input name='input_57' id='input_4_57' type='text' value='' class='medium'      aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_58'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_58' >Expiry Date<\/label><div class='ginput_container ginput_container_text'><input name='input_58' id='input_4_58' type='text' value='' class='medium'      aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_59'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_59' >Monthly Repayments<\/label><div class='ginput_container ginput_container_text'><input name='input_59' id='input_4_59' type='text' value='' class='medium'      aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_60'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_60' >Other Financial Business Commitments<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_60' id='input_4_60' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_4_61'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Accountant Details<\/h2><\/li><li id='field_4_62'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_62' >Accountant Name<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_62' id='input_4_62' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_63'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_63' >Contact<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_63' id='input_4_63' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_64'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_64' >Phone<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_64' id='input_4_64' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_153'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_153' >Email<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_153' id='input_4_153' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_70'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Equipment \/ Vehicle Details<\/h2><\/li><li id='field_4_15'  class='gfield gf_left_half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_15' >Equipment Description<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_4_15' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_49'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_49' >Approx Equipment Value<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_49' id='input_4_49' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_155'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Have you found a supplier \/ dealer for your purchase?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_4_155'><li class='gchoice_4_155_0'><input name='input_155' type='radio' value='yes'  id='choice_4_155_0'    \/><label for='choice_4_155_0' id='label_4_155_0'>yes<\/label><\/li><li class='gchoice_4_155_1'><input name='input_155' type='radio' value='no' checked='checked' id='choice_4_155_1'    \/><label for='choice_4_155_1' id='label_4_155_1'>no<\/label><\/li><\/ul><\/div><\/li><li id='field_4_72'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Supplier \/ Dealer Details<\/h2><\/li><li id='field_4_71'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_71' >Supplier<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_71' id='input_4_71' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_73'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_73' >Contact<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_73' id='input_4_73' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_74'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_74' >Phone<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_74' id='input_4_74' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_4_75' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_4\").val(\"1\");  jQuery(\"#gform_4\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_4\").val(\"1\");  jQuery(\"#gform_4\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_4_75' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_4\").val(\"3\");  jQuery(\"#gform_4\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_4\").val(\"3\");  jQuery(\"#gform_4\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_4_3' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_4_3' class='gform_fields right_label form_sublabel_below description_below'><li id='field_4_95'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >How many Directors \/ Partners \/ Guarantors does the Business have?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_4_95'><li class='gchoice_4_95_0'><input name='input_95' type='radio' value='1'  id='choice_4_95_0'    \/><label for='choice_4_95_0' id='label_4_95_0'>1<\/label><\/li><li class='gchoice_4_95_1'><input name='input_95' type='radio' value='2'  id='choice_4_95_1'    \/><label for='choice_4_95_1' id='label_4_95_1'>2<\/label><\/li><li class='gchoice_4_95_2'><input name='input_95' type='radio' value='3 or more'  id='choice_4_95_2'    \/><label for='choice_4_95_2' id='label_4_95_2'>3 or more<\/label><\/li><\/ul><\/div><\/li><li id='field_4_96'  class='gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible' >Please fill out the first 2 principals details. We will contact you to get the details of the other principals of the business.<\/li><li id='field_4_76'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Person 1<\/h2><\/li><li id='field_4_77'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_77' >Full Name<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_77' id='input_4_77' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_78'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_78' >Drivers License No.<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_78' id='input_4_78' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_79'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_79' >D.O.B.<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_79' id='input_4_79' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_80'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_80' >Current Address<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_80' id='input_4_80' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_81'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_81' >Suburb<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_81' id='input_4_81' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_82'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_82' >State<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_82' id='input_4_82' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_83'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_83' >Postcode<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_83' id='input_4_83' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_151'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_151' >Email<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_151' id='input_4_151' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_152'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_152' >Phone<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_152' id='input_4_152' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_84'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Are the premises...<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_4_84'><li class='gchoice_4_84_0'><input name='input_84' type='radio' value='Owned'  id='choice_4_84_0'    \/><label for='choice_4_84_0' id='label_4_84_0'>Owned<\/label><\/li><li class='gchoice_4_84_1'><input name='input_84' type='radio' value='Leased'  id='choice_4_84_1'    \/><label for='choice_4_84_1' id='label_4_84_1'>Leased<\/label><\/li><\/ul><\/div><\/li><li id='field_4_85'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_85' >Value of Premises $<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_85' id='input_4_85' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_149'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_149' >Amount Owing<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_149' id='input_4_149' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_158'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_158' >How many years?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_158' id='input_4_158' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_86'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_86' >Monthly Rent $<\/label><div class='ginput_container ginput_container_text'><input name='input_86' id='input_4_86' type='text' value='' class='medium'      aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_159'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_159' >How many years?<\/label><div class='ginput_container ginput_container_text'><input name='input_159' id='input_4_159' type='text' value='' class='medium'      aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_87'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Person 2<\/h2><\/li><li id='field_4_88'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_88' >Full Name<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_88' id='input_4_88' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_89'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_89' >Drivers License No.<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_89' id='input_4_89' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_90'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_90' >D.O.B.<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_90' id='input_4_90' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_91'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_91' >Current Address<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_91' id='input_4_91' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_92'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_92' >Suburb<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_92' id='input_4_92' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_93'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_93' >State<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_93' id='input_4_93' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_94'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_94' >Postcode<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_94' id='input_4_94' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_97'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Are the premises...<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_4_97'><li class='gchoice_4_97_0'><input name='input_97' type='radio' value='Owned'  id='choice_4_97_0'    \/><label for='choice_4_97_0' id='label_4_97_0'>Owned<\/label><\/li><li class='gchoice_4_97_1'><input name='input_97' type='radio' value='Leased'  id='choice_4_97_1'    \/><label for='choice_4_97_1' id='label_4_97_1'>Leased<\/label><\/li><\/ul><\/div><\/li><li id='field_4_98'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_98' >Value of Premises $<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_98' id='input_4_98' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_150'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_150' >Amount Owing?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_150' id='input_4_150' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_156'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_156' >How many years?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_156' id='input_4_156' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_99'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_99' >Monthly Rent $<\/label><div class='ginput_container ginput_container_text'><input name='input_99' id='input_4_99' type='text' value='' class='medium'      aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_157'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_157' >How many years?<\/label><div class='ginput_container ginput_container_text'><input name='input_157' id='input_4_157' type='text' value='' class='medium'      aria-invalid=\"false\" \/><\/div><\/li><li id='field_4_100'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Personal Statement of Assets and Liabilities<\/h2><\/li><li id='field_4_114'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Assets Person 1<\/h2><\/li><li id='field_4_115'  class='gfield gfield_price gfield_price_4_115 gfield_product_4_115 field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_115' >Motor Vehicle Value<\/label><div class='ginput_container ginput_container_product_price'>\n\t\t\t\t\t<input name='input_115' id='input_4_115' type='text' value='' class='medium ginput_amount'    aria-invalid=\"false\" \/>\n\t\t\t\t<\/div><\/li><li id='field_4_116'  class='gfield gfield_price gfield_price_4_116 gfield_product_4_116 field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_116' >Furniture &amp; Fittings \/ Plant Equipment \/ Tools Value<\/label><div class='ginput_container ginput_container_product_price'>\n\t\t\t\t\t<input name='input_116' id='input_4_116' type='text' value='' class='medium ginput_amount'    aria-invalid=\"false\" \/>\n\t\t\t\t<\/div><\/li><li id='field_4_117'  class='gfield gfield_price gfield_price_4_117 gfield_product_4_117 field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_117' >Cash in Bank<\/label><div class='ginput_container ginput_container_product_price'>\n\t\t\t\t\t<input name='input_117' id='input_4_117' type='text' value='' class='medium ginput_amount'    aria-invalid=\"false\" \/>\n\t\t\t\t<\/div><\/li><li id='field_4_118'  class='gfield gfield_price gfield_price_4_118 gfield_product_4_118 field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_118' >Value of Investments &amp; Other<\/label><div class='ginput_container ginput_container_product_price'>\n\t\t\t\t\t<input name='input_118' id='input_4_118' type='text' value='' class='medium ginput_amount'    aria-invalid=\"false\" \/>\n\t\t\t\t<\/div><\/li><li id='field_4_120'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Assets Person 2<\/h2><\/li><li id='field_4_122'  class='gfield gfield_price gfield_price_4_122 gfield_product_4_122 field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_122' >Motor Vehicle Value<\/label><div class='ginput_container ginput_container_product_price'>\n\t\t\t\t\t<input name='input_122' id='input_4_122' type='text' value='' class='medium ginput_amount'    aria-invalid=\"false\" \/>\n\t\t\t\t<\/div><\/li><li id='field_4_123'  class='gfield gfield_price gfield_price_4_123 gfield_product_4_123 field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_123' >Furniture &amp; Fittings \/ Plant Equipment \/ Tools Value Value<\/label><div class='ginput_container ginput_container_product_price'>\n\t\t\t\t\t<input name='input_123' id='input_4_123' type='text' value='' class='medium ginput_amount'    aria-invalid=\"false\" \/>\n\t\t\t\t<\/div><\/li><li id='field_4_124'  class='gfield gfield_price gfield_price_4_124 gfield_product_4_124 field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_124' >Cash in Bank<\/label><div class='ginput_container ginput_container_product_price'>\n\t\t\t\t\t<input name='input_124' id='input_4_124' type='text' value='' class='medium ginput_amount'    aria-invalid=\"false\" \/>\n\t\t\t\t<\/div><\/li><li id='field_4_125'  class='gfield gfield_price gfield_price_4_125 gfield_product_4_125 field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_125' >Value of Investments &amp; Other<\/label><div class='ginput_container ginput_container_product_price'>\n\t\t\t\t\t<input name='input_125' id='input_4_125' type='text' value='' class='medium ginput_amount'    aria-invalid=\"false\" \/>\n\t\t\t\t<\/div><\/li><li id='field_4_127'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Liabilities Person 1<\/h2><\/li><li id='field_4_132'  class='gfield gfield_price gfield_price_4_132 gfield_product_4_132 field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_132' >Current Loan Liabilities<\/label><div class='ginput_container ginput_container_product_price'>\n\t\t\t\t\t<input name='input_132' id='input_4_132' type='text' value='' class='medium ginput_amount'    aria-invalid=\"false\" \/>\n\t\t\t\t<\/div><\/li><li id='field_4_130'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Liabilities Person 2<\/h2><\/li><li id='field_4_160'  class='gfield gfield_price gfield_price_4_160 gfield_product_4_160 field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_4_160' >Current Loan Liabilities<\/label><div class='ginput_container ginput_container_product_price'>\n\t\t\t\t\t<input name='input_160' id='input_4_160' type='text' value='' class='medium ginput_amount'    aria-invalid=\"false\" \/>\n\t\t\t\t<\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_4_135' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_4\").val(\"2\");  jQuery(\"#gform_4\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_4\").val(\"2\");  jQuery(\"#gform_4\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_4_135' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_4\").val(\"4\");  jQuery(\"#gform_4\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_4\").val(\"4\");  jQuery(\"#gform_4\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_4_4' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_4_4' class='gform_fields right_label form_sublabel_below description_below'><li id='field_4_136'  class='gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible' ><strong>PRIVACY ACT CONSENT &amp; DECLARATION<\/strong>\n\n<\/p>In compliance with the Commonwealth Privacy Act 1988, the Applicants and Guarantors (\u201cI\/We\u201d) to the finance application should complete and return to the below named introducer\/agent for the purposes of the Privacy Act.\n\n<\/p><strong>Name of introducer\/agent:\tLark-Hill Group Unit Trust T\/as Finance Connections (ABN 94 324 181 282)<\/strong>\n\n<\/p><strong>Authority to obtain and disclose certain credit information concerning an Application for Finance.<\/strong>\n\n<\/p>To enable the agent\/credit provider to assess my\/our application for commercial or personal credit, I\/we authorise the agent\/credit provider to obtain: from a credit reporting agency, a credit report containing personal or commercial information about me\/us in relation to personal or commercial credit provided to me\/us: and from a business which provides information about the commercial creditworthiness of persons, information about my\/o ur commercial activities or commercial credit worthiness (Section 18L (4)). \n\n<\/p>I\/we acknowledge that Section 18E(8c) of the Privacy Act allows a credit provider which the approached introducer\/agent may approach in arranging my\/our finance, to give a credit reporting agency certain personal information about my\/our application for finance: \n<\/p>The information which may be given to an agency is covered under Section 18E (1) of the Act and includes: \n<\/p>The fact that I\/we have applied for finance and the amount; \n<\/p>Such permitted particulars about me \/us which allow me\/us to be identified; \n<\/p>The fact that the credit provider is a current credit provider to me\/us; \n<\/p>Payments which become overdue more than 60 days, and for which collection action has commenced; \n<\/p>Advice that payments are no longer overdue; \n<\/p>Cheques drawn by me\/us for an amount not less than $100, which have been dishonoured more than once; \n<\/p>That in the opinion of the above-named credit provider\/agent, I\/we have committed a serious credit infringement; \n<\/p>Information as to court judgements against me\u2019 \nI\/we acknowledge that a reference to the agent\/introducer in this declaration is also a reference to a credit provider;\n\n<\/p>By virtue of this declaration, I\/we understand the above-named introducer\/agent has informed me\/us of the disclosure policy to a credit reporting agency of information about me\/us and so authorise such disclosures.\n\n<\/p><strong>Other acknowledgments and Consents<\/strong>\n\n<\/p>I\/We agree that the credit provider may give to and receive from the introducer\/agent personal and\/or commercial information about me in connection with this application, the processing, acceptance and on-going management of the facility. \n<\/p>I\/We acknowledge that the credit provider relies on this information when making its decision. I\/We acknowledge that the introducer\/agent\/credit provider has the right to confirm the details of the information provided in this application.\n\n<\/p>I\/We understand that only the credit provider can decide whether this application is approved and that any introducer \/agent to the credit provider has no authority to give that approval. \n<\/p>I\/We acknowledge that the credit provider may pay a commission to the introducer\/agent as a result of services rendered. \n<\/p>I\/We consent to the credit provider exchanging information concerning my\/our financial affairs with the introducer\/agent.\n\n<\/p>I\/We consent that my\/our obligation for this debt will continue regardless of any changes in my\/our circumstances. <\/p>I\/We acknowledge that I\/we may access my\/our personal information by contacting 1800 50 60 10. If the credit applied for includes an insurance premium finance facility the applicant authorises the introducer\/agent to provide information about it to a reinsurer or parties associated with the reinsurer for any purpose in connection with the contract of reinsurance between the credit provider\/agent\/introducer and the reinsurer. <\/p>I\/We acknowledge as a guarantor(s) that the personal information obtained will be used to assess whether to accept me as a guarantor or to accept the support for such credit facilities. 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