Rook & Associates

Loan Application Form

Fill out the loan application form below with your particulars, then simply submit the application to Rook & Associates.

If you would prefer a PDF version to fill out and fax into Rook & Associates, you can download a copy of it here.

Application Form

Applicant One

Applicant(1):

Date of Birth:

Age:

Marital Status:

D/L No:

Applicant Two

Applicant(2):

Date of Birth:

Age:

Marital Status:

D/L No:

Section 2

Address:

Years:

Telephone Home:

Telephone Business:

Fax:

Mobile:

Email:

Section 3

Employer (1):

Occupation:

Years:

Employer (2):

Occupation:

Years:

Section 4

Reason for Loan:

Loan Amount:

Details:

Have you ever been bankrupt?:

Bad Credit Histroy?:

Assets

House/Land

Furniture

Motor Vehicles

Other

Superannuation (Surrender Value)

Deposit Paid

Savings/Cheque Accounts

Liabilities

	$Only	Company	Monthly Repayments
House/Land
House/Land
House/Land
House/Land
House/Land
House/Land
Other
Car
Credit Cards
Personal

Notes

Please Provide Notes of Nature of Finance Needed: