15/08/2016 admin Rent to Own Application Form Step 1 of 2 - Starting Information 0% Where did you hear about us?*SelectGoogleReferralWord of MouthRadioOtherPlease Specify*Referred by:*I have been talking to:*SelectMarioPeterDougBradCoreyAmandaMichaelNickI have not spoken to anyone at Rideshare Solutions yetTrading Name:*Business/Storage Address* Street Address City State / Province / Region ZIP / Postal Code Is your Business Address the same as your Home Address?*YesNoDo you rent or own your own business premises?*RentOwnLandlord/Property Agent Name:*ABN:*ACN (if applicable):Trustee (if applicable):Total years trading:*Business Phone:*Amount Required:*When do you require delivery of the car?* Industry Type:*Uber DriverOtherIf other:*Equipment Type*Uber CarOtherIf other:*Commercial Purpose:*Uber DrivingOtherIf other:*Is this a single or joint application?*SingleJointWill there be any additional addons?*NoneWarrantyOtherIf other:* Applicant 1Full Name:* First Middle Last Date of Birth:* Gender*MaleFemaleResidency*Australian CitizenPermanent ResidentOtherYears of industry experience:*Less than 12345678910More than 10Drivers Licence No.*Drivers Card No. (NSW only):Drivers Licence Expiry Date:* DD MM YYYY Medicare Card No.*Position on Medicare Card:*12345678910Medicare Expiry (MM-YY)*Mobile Phone:*Email* Preferred method of contact:*PhoneSMSEmailHome Address:* Same as Business Address Street Address City State / Province / Region ZIP / Postal Code Do you rent or own your house?*RentOwnHome Value:*Mortgage:*Previous Home Address if at current address less than 12 months: Street Address City State / Province / Region ZIP / Postal Code Security Question: City & country of birth:*Upload a clear picture of your drivers licence:*Accepted file types: jpg, jpeg, gif, png.Upload a clear picture of your medicare card:Accepted file types: jpg, jpeg, gif, png.Upload copy of a document which verifies your name and residential address (e.g. rates notice, bank statement, electricity bill, etc):Accepted file types: jpg, jpeg, gif, png.We’ll need to confirm your commercial lease with your landlord by phone or you can attach a copy of your signed lease:Accepted file types: jpg, jpeg, gif, png. Please read the Statement by applicant(s) for credit Please Confirm* I have read, understood and accept the statement by applicant(s) for credit Signature:*As a final step, you will be redirected once you click "Submit" to a credit sense link that allows you to upload the 90 days bank statements required for your application.Applicant 2Full Name:* First Middle Last Date of Birth:* Gender:*MaleFemaleResidency:*Australian CitizenPermanent ResidentOtherYears of industry experience:*Less than 12345678910More than 10Drivers Licence No.*Drivers Card No. (NSW only):Drivers Licence Expiry Date:* DD MM YYYY Medicare Card No.*Position on Medicare Card:*12345678910Medicare Expiry Date (MM-YY)*Mobile Phone:*Email* Preferred method of contact:*PhoneSMSEmailHome Address:* Street Address City State / Province / Region ZIP / Postal Code Do you rent or own your house?*RentOwnHome Value:*Mortgage:*Previous Home Address if at current address less than 12 months: Street Address City State / Province / Region ZIP / Postal Code Security Question: City & country of birth:*Upload a clear picture of your drivers licence:*Accepted file types: jpg, jpeg, gif, png.Upload a clear picture of your medicare card:Accepted file types: jpg, jpeg, gif, png.Upload copy of a document which verifies your name and residential address (e.g. rates notice, bank statement, electricity bill, etc):Accepted file types: jpg, jpeg, gif, png.We’ll need to confirm your commercial lease with your landlord by phone or you can attach a copy of your signed lease:Accepted file types: jpg, jpeg, gif, png. Please read the Statement by applicant(s) for credit Please Confirm* I have read, understood and accept the statement by applicant(s) for credit Signature:*As a final step, you will be redirected once you click "Submit" to a credit sense link that allows you to upload the 90 days bank statements required for your application.
