Individual application form – AGL Solar Please fill in this form on-line and once complete, press ‘submit application’ to email the form directly to us. Alternatively complete the form and either print and fax to 1800 559 857 or send via post to Macquarie Leasing, GPO BOX 4017, Sydney NSW 2001 with your proof of income documents. 24 month payment plan 60 month payment plan AGL customer reference no: (Found on your quote) Applicant’s personal details (complete a separate application form for each applicant) Title First name Middle name Surname Date of birth Work number Mobile Home phone Email Marital status Single Married Defacto No. of children Drivers licence type Full Provisional Learner None Australian residency status Citizen Visa Permanent resident Drivers licence no. Heavy vehicle Non-resident Residential address Suburb State Residential status Own Mortgage Time at address Years Months Rent Postcode Boarding With relatives Previous address (If less than 2 years at above) State Years Postcode Months Employment details Occupation Current employer Contact name Contact number Position Length of employment Years Months Years Months Previous employer (if less than 2 years at current) Contact name Contact number Position Length of employment 1 of 2 Individual application form Income and expense details Personal asset and liabilities Monthly income (after tax) Assets Applicant net income $ Cash $ Spouse’s net income $ Home value $ Other income (please specify below) $ Other property $ Motor vehicles $ Furniture $ Other (e.g. Super, shares, business value, investments) $ Total $ Monthly expenses Mortgage/rent/board $ Household/living (e.g. food, phone, discretionary purchases, utilities, council rates etc.) $ Other expenses (e.g. other loan repayments, child support, spousal support) $ Liabilities Other info Credit card limit $ Mortgage on home $ Other mortgages/loans $ Other (please specify below) $ Total $ Please provide details of any circumstances that could impact your financial situation (for example, retirement plans, seasonal employment, changes under your other loan arrangements, expecting a child) Once complete, please press the ‘Submit application’ button and attach the following financial information with your email: • two recent payslips or; • individual tax returns. If you do not have access to a scanner, you can send a photo of your documents from your smartphone. Please ensure you attach these files in the submission email. For assistance with your application or to find out more, please call 1800 014 301. If you cannot submit your form using the submit button, please email your application to [email protected] Declaration and signature I have read and understood the particulars that have been completed in this declaration and state that those particulars are true, complete and not misleading, and have been made to Macquarie Leasing Pty Ltd to enable it to assess my finance application. Also, I consent and agree that: (a) Macquarie Leasing may give me notices or documents by electronic communication by sending the notice or document to the email address disclosed above or the last email address I have otherwise notified; (b) if a notice or document is so given, it will be taken to be given at the time when the notice or document has entered my information system; (c) paper notices and documents may no longer be given to me; (d) electronic communications should be regularly checked for notices and documents; and (e) my consent to the giving of notices and documents by electronic communication may be withdrawn by me at any time. Please review Macquarie’s privacy form. Click here. I have read and accepted Macquarie’s privacy form and agree to the above declaration. Submit application Macquarie Leasing Pty Ltd ABN 38 002 674 982 (Australian Credit Licence 394925) reserves its right to approve applications on such conditions as it may consider necessary in its sole discretion, and may alter the information and requirements in this document at any time without notice. All applications to Macquarie Leasing are subject to duly executed satisfactory transaction documents, approval conditions and normal settlement criteria. No part of this document is to be construed as an offer by anyone capable of acceptance or as a solicitation to obtain a financial product The information is not an expression of opinion or recommendation and does not constitute financial, accounting, taxation, general or personal advice and should not be relied upon as such. The recipient should make its own assessment of any product or service referred to in this document and seek appropriate advice.Macquarie Leasing Pty Limited is not an authorised deposit-taking institution for the purposes of the Banking Act (Cth) 1959, and Macquarie Leasing Pty Limited’s obligations do not represent deposits or other liabilities of Macquarie Bank Limited ABN 46 008 583 542. Macquarie Bank Limited does not guarantee or otherwise provide assurance in respect of the obligations of Macquarie Leasing Pty Limited. ML0499/0515 2 of 2
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