Rent to Own Application Form - Rideshare Solutions

I have been talking to:*

Specify:*

My budget is:*

Weekly
Vehicle Purchase Price

Vehicle Purchase Price*

Amount

Amount*

per week

Preferred vehicle:*

Business Details

Business Type*

If other:*

ABN*

ACN (if applicable)

Business Name*

Trading Name

Nature of Business

What is your business going to do?

Phone Number*

Physical Address*

Same as Home Address?

Street Address City State / Province / Region ZIP / Postal Code

Postal Address*

Same as Home Address?

Street Address City State / Province / Region ZIP / Postal Code

Income

Annual Sales Estimate*

Annual Net Profit*

1st Director

Personal Details

Full Name*

First Last

Email*

Enter Email Confirm Email

Gender*

Date of Birth*

Mobile Number*

Home Number

Work Number

Drivers Licence

Licence Number*

Expiry Date*

State*

Acquired Date*

Residency

Residency Status*

Marital Status*

Dependants*

Residential Details - Current Address

Property Address*

Street Address City State / Province / Region ZIP / Postal Code

If at current address for under 3 years, what was your previous address

Street Address City State / Province / Region ZIP / Postal Code

Residential Status*

Real Estate/Complex Manager Name*

Parent Name*

First Last

Parent Contact Phone*

If other:*

Years living at address*

Landord Name*

First Last

Landlord Phone Number*

Additional Income

Do you receive additional income from any source?*

Yes
No

Description*

Value*

Frequency*

Tell us about your Assets & Liabilities

What assets and liabilities do you have? Tick all that apply

Property / Mortgage
Investment Property
Motor Vehicle
Personal Loan
Credit Card
Shares

Property / Mortgage

What's the value of the property?