For Commercial users, we can provide a "no deposit" finance facility. For home use, we have very competitive rates to offer, with small deposits.
For assistance with finance, please print off this application form, and then fax to us for a prompt response.
SWASBROOK POOL TABLES LTD
COMMERCIAL APPLICATION FOR
FINANCE
Phone: 09 444-6535 Fax:
09 444-6534
Email:sales@swasbrooks.co.nz www.swasbrooks.co.nz
Equipment/Purpose _.
Purchase Price (incl GST) ________ Deposit ________ Term (mths)
________________
Type of Agreement (circle type) Rental Lease
to own/Hire Purchase
LEGAL NAME:
________________________________________________ Company No
Trading As:
___________________________________________________________________ Years Trading
Street Address: ______________________________________________________________________________________________
Postal Address: ____________________________________________
Email: ____________________________________________
Telephone: _________________________ Fax: __________________________
Mobile: ___________________________________
Your Line of Business:
_____________________________________________________________ No. of Employees:
____________
Your Landlord: __________________________________________ Phone:
_____________________ Term of Lease: ____________
Debenture Holders (if any)/Mortgages/Business Loans:
_______________________________________________________________
NAME OF APPLICANT
Principal (name in full):
________________________________________________________________________________________
Date of Birth: ________________________ Home Phone:
_________________________Mobile Phone: ______________________
Home Address:
_______________________________________________________ Rent ____________Own ______________
Previous Business or Occupation:
____________________________________________ Years in Previous:
____________________
Principal (name in full):
________________________________________________________________________________________
Date of Birth: ________________________ Home Phone:
_________________________Mobile Phone: ______________________
Home Address:
_______________________________________________________ Rent ____________ Own ______________
Previous Business or Occupation: ____________________________________________
Years in Previous: ____________________
Accountant's Name: __________________________ Firm:
______________________________________ Phone: _______________
Solicitor's Name: _____________________________ Firm:
______________________________________ Phone: ______________
Bank: ________________________________________________________
Account No.: ___________________________________
Insurance Company:
____________________________________________________ Policy No.:
____________________________
CREDIT REFERENCES: (Name &
Phone Number of 2 businesses able to supply credit references)
1. ________________________________ Ph: _________________ 2.
_____________________________ Ph: _________________
Finance Company Accounts (Current or Past): ______________________________________________________________________
Next of Kin: ____________________________Address Ph:
DECLARATION: I/We declare that the above
statements and answers are true and correct and that I/We have never been
adjudged bankrupt nor committed any act of bankruptcy. I/We irrevocably authorise any person or
company to provide you with such information as you may require in response to
your credit enquiries. I/We further
authorise you to furnish any third party details of this application and any
subsequent dealings that I/We may have with you as a result of this application
being made.
Verification
Statement Waiver:
I/We, waive/do not waive (delete one; if none deleted – will be read as
"waives") the need for Swasbrooks Pool Tables Ltd to forward a copy of
any verification statement in respect of any Financing Statement or Financing
Change Statement required under the Personal Property Securities Act 1999
"PPSA" by Swasbrooks Pool Tables Limited in connection with any agreement.
Pursuant to the Privacy Act 1993 I/We authorise Swasbrooks Pool Tables Limited or any finance company/s to contact Baycorp Advantage or any
credit reporting agencies, credit providers, my/our employer/s, accountant/s or
any other source, to collect, check, or
exchange(both now and in the future) any personal information about the
Applicant, its directors and its principal shareholders including the personal
information provided by me/us in your application form for the purpose of
assessing my/our application for finance with you, and any subsequent financial
agreements and any matters arising out of such dealings. Some or all of this information you collect
will be given to Baycorp Advantage or other Credit Reporting Agencies (“Other Credit
Reporting Agency”) in order to obtain further information about me/us and that
the Credit Reporting Agencies will give you information about me/us. Baycorp Advantage or Other Credit Reporting
Agency will hold that information in their systems and use it to provide their
credit reporting service which may include giving some or all of that
information to their customers. You may
use Baycorp Advantage or Other Credit Reporting Agency services in the future
for purposes related to the provision of credit to me. This may include using monitoring services
to receive updated if any, if the information held about me changes. If I default in my payment obligations to
you or any finance company, information about that default may be given to
Baycorp Advantage or other credit reporting agency who may give such
information about my/our default to other customers. I/We are entitled to contact Baycorp Advantage, Private Bag
92156, Victoria Street Auckland, www.mycreditfile.co.nz,
or Other Credit Reporting Agency, or you, or any other party, to access my/our
personal credit information and if it is incorrect, then request correction.
I/We understand that any
agreement ("Agreement") to be entered into by me/us and any
financier I am/we are introduced to as a result of this application form on or
about the date of this application form in connection with the goods referred
to in this application form may be a “credit contract” for the purposes of the
Credit Contracts and Consumer Finance Act 2003.
I/We acknowledge and declare that I am/we are
entering into the Agreement primarily for business and/or
investment purposes. I/We confirm that I/we have read and
understood this declaration.
APPLICANT/S SIGNATURE/S:
_________________________________________________ Dated:
__________________________
