Lease application
Email for non-humans
Vehicle Selection
Vehicle Selection
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1. Vehicle Selection
Vehicle Make
Vehicle Model
Annual Kilometres *
Estimated Business Usage *
0%10%20%30%40%50%60%70%80%90%100%
Registration
Vehicle Purchase Price (inc GST)
Customer Details
Customer Details
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2. Customer Details
First Name *
Middle Name/s
Last Name *
Title *
MrMrsMissDr
Date of Birth *
Maiden Name
Gender
MaleFemaleOther
Relationship Status
De FactoDivorcedMarriedSingle
Drivers Licence Number
Drivers Licence State
New South WalesVictoriaQueenslandSouth AustraliaWestern AustraliaTasmaniaNorthern TerritoryAustralian Capital Territory
Drivers Licence Expiry Date
Drivers Licence Card Number
Passport Country
Passport Number
Passport Expiry Date
Medicare Card Number
Medicare Reference Number
Medicare Card Colour
BlueGreenYellow
Medicare Card Expiry Date
Number of Credit Cards
Number of Dependents
Age of Dependent 1
Age of Dependent 2
Age of Dependent 3
Age of Dependent 4
Age of Dependent 5
Age of Dependent 6
Visa Status *
CitizenPermanent ResidentOther
Photographic ID *
Drivers LicensePassport
Upload front and back photo ID *
Colour images only
Customer Address
Customer Address
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3. Customer Address
Current Address
From
Owner / Tenant
BoardingRentingOwner
Previous Addresses
Different Mailing Address
YesNo
Mailing Address *
Phone Business
Email Business
Phone Home
Email Home
Phone / Mobile Number
Current Employer
Current Employer
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4. Current Employer
Employment Status
Casually EmployedContractorFull Time EmployedPart Time EmployedSeasonalSelf-EmployedOther
Occupation Type
BenefitClericalExecutive
Date Started
Job Title
Employer Name
Entity Type
GovernmentLimited
Industry
Employer ABN
Established Date
Trading Address
Director or employer’s authorised person
First Name
Last Name
Email
Mobile
Finance Contact
First Name
Last Name
Email
Mobile
Payroll Contact
First Name
Last Name
Email
Mobile
Previous Employer
If less than two years at current employer, please add previous employer/s.
Income
Income
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5. Income
Income Status
Casually EmployedContractorFull Time EmployedN/APart Time EmployedSeasonalSelf-EmployedOther
Income Type
Base Salary and WagesChild SupportGovernment Benefits / PensionsInterest or DividendInvestment IncomeNet Business Income (Business Only)Other IncomeRegular CommissionRegular Overtime and AllowancesRental IncomeSpousal IncomeSpousal Maintenance
Income Description
Income Frequency
FortnightlyMonthlyWeekly
Annual salary (before tax not inc super) *
Upload 3 most recent payslips *
Partner Annual salary (before tax not inc super) *
Partner Job Title
Partner Income Status
Casually EmployedContractorFull Time EmployedN/APart Time EmployedSeasonalSelf-EmployedOther
Privacy Disclosure Statement
- I understand that the information provided in this application may be shared with a finance provider for the purposes of conducting a credit check.
Budget
Budget
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6. Budget
Expenses *
1
2
3
1
Basic Living Expense
Frequency
AnnuallyMonthlyWeeklyDaily
Description
Amount
Basic Living Expense
Frequency
AnnuallyMonthlyWeeklyDaily
Description
Amount
Basic Living Expense
Frequency
AnnuallyMonthlyWeeklyDaily
Description
Amount
Basic Living Expense
Frequency
AnnuallyMonthlyWeeklyDaily
Description
Amount
Assets *
Liabilities *
1
2
3
1
Liability Type
Home LoanOther
Financier
Amount
Frequency
WeeklyFortnightlyMonthlyYearly
Status
Current
Expense Amount
Balance
Liability Type
Home LoanOther
Financier
Amount
Frequency
WeeklyFortnightlyMonthlyYearly
Status
Current
Expense Amount
Balance
Liability Type
Home LoanOther
Financier
Amount
Frequency
WeeklyFortnightlyMonthlyYearly
Status
Current
Expense Amount
Balance
Liability Type
Home LoanOther
Financier
Amount
Frequency
WeeklyFortnightlyMonthlyYearly
Status
Current
Expense Amount
Balance
Insurance
- Would you like to apply for an insurance quote through our insurance partner, Mecurien. Mecurien specialises in novated lease insurance and comes with gap cover as standard.
Acknowledgement
Acknowledgement
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7. Acknowledgement
Terms and Conditions & Privacy Policy *
- I agree to Terms and Conditions and Privacy Policy
Acknowledgement *
- I hereby declare that the information provided is true and correct. I also understand that any intentional dishonesty may result in rejection of this application. Your application will be evaluated based on the information provided. You acknowledge that the personal and credit-related information you provided in this application may be used, stored or disclosed as permitted under the Privacy Act 1988 (Cth) and the Privacy (Credit Reporting) Code.
Privacy Consent *
- By ticking this box you consent to WhipSmart collecting, using, holding and disclosing personal and credit-related information about you, including with parties for the purpose of conducting a personal credit check. We collect, use, hold and disclose personal and creditrelated information about you for the purposes of arranging or providing credit to you, managing that credit, providing you with novated car leasing services, direct marketing of products and services by us and managing our relationship with you. If you do not provide us with this consent or provide us with your personal information and credit-related information, we may not be able to provide those services or perform those functions. In some circumstances we are also required or authorised to collect information about you in accordance with the following laws that apply to our business: the National Consumer Credit Protection Act 2009 (Cth), the Anti-Money Laundering and Counter-Terrorism Financing Act 2006 (Cth) and the Personal Property Securities Act 2009 (Cth).
Submit Application
Basic plan
From $640 / m
- Electric vehicle
- Car maintenance
- Tyres
- Comprehensive insurance
- Registration
- CTP insurance