Rent to Own Application - Rideshare Solutions

Trading Name:*
Business Address:*
Street Address City State Postcode
Do you rent or own your business premises?*
Landlord/Property Agent Name:*
Landlord/Property Agent Phone:*
ABN:*
ACN (if applicable):
Trustee (if applicable):
Total years trading:*
Business Phone:*
Amount Required:*
When do you require delivery of the car?*
Industry Type:*
Equipment Type*
Commercial Pupose*
Is this a single or joint application?*
Applicant 1
Full Name:*
First Middle Last
Date Of Birth:*
Gender:*
Years of industry experience:*
Drivers Licence No.*
Drivers Card No. (NSW only):
Expiry Date:*

DD
MM
YYYY
Medicare Card No.*
Position on Medicare Card:*
Mobile Phone:*
Email:*
Preferred method of contact:*
Home Address:*
Street Address City State Postcode
Do you rent or own your house?*
Home Value:*
Mortgage:*
Previous Home Address If at current address less than 12 months:
Street Address City State Postcode
Security Question: City & country of birth:*
Upload a clear picture of your drivers licence:
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:*
Applicant 2
Full Name:*
First Middle Last
Date Of Birth:*
Gender:*
Years of industry experience:*
Drivers Licence No.*
Drivers Card No. (NSW only):
Expiry Date:*

DD
MM
YYYY
Medicare Card No.*
Position on Medicare Card:*
Mobile Phone:*
Email:*
Preferred method of contact:*
Home Address:*
Street Address City State Postcode
Do you rent or own your house?*
Home Value:*
Mortgage:*
Previous Home Address If at current address less than 12 months:
Street Address City State Postcode
Security Question: City & country of birth:*
Upload a clear picture of your drivers licence:
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:*
How did you find us?*
Referral name:*
Please specify:*

Applicant 1

Applicant 2