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LOAN APPLICATION FORM201041163856

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					                                                                  LOAN APPLICATION FORM

1. Corporate Applicant
Company Name                                                                                                              ACN No

Name of Trust (if applicable)                                                                                      Date of incorporation            /           /

Principal place of business                                                                                                          Postcode

Registered office address                                                                                                            Postcode


2. Individual Borrowers, Guarantors and/or Directors
Tick where           Applicant              Guarantor                                        Applicant                 Guarantor
applicable                                                   Director: Yes        No                                                    Director: Yes               No


Full Names

Date of Birth               /       /         Drivers licence No:                                 /        /              Drivers licence No:

Dependents          Number:                    Ages:                                         Number:                      Ages:

Marital Status

                    Home: (             )                 Work: (      )                     Home: (           )                    Work: (     )
Contact
Numbers
                    Fax: (      )                       Mobile:                              Fax: (    )                          Mobile:


Email Address




Home Address

                    Postcode:                                        No. years:              Postcode:                                        No. years:



Postal Address

                    Postcode:                                        No. years:              Postcode:                                         No. years:

Employer                                                             No. years:                                                               No. Years:

Occupation                                              Gross income p.a. $                                                        Gross income p.a. $

3. Contacts
Accountant                                                                 Phone No: (   )                            Contact Name:

                                                                           Phone No: (   )                            Contact Name:
Solicitor
                    Email address:

                    Bank Name:                                              Bank contact name:                                     Phone No: (          )
Bank
                    Account no : BSB                                   Account No:

4. Loan details
Amount required     $                                        Term:         months      Interest Rate               % pm      Date required by:              /       /

Loan purpose


Repayment/Exit strategy of loan:
(How do you intend to repay the loan?)



                                                                   Rapid Capital
                                                  Suite 16 HQ , 58 Riverwalk Ave, Robina, QLD 4226
                                                        Ph: (07) 5562 2485 Fax: (07) 5562 2903
                                                    LOAN APPLICATION FORM

5. Credit References
         Business references            Type of Credit                         Address                         Contact Phone No

1.

2.

         Personal references            Relationship                           Address                         Contact Phone No

1.

2.

6. Statement of Assets & Liabilities
                               ASSETS                                                            LIABILITIES

                                                                                                                       Amounts
Property address:                                      Value $   Existing Lender/s
                                                                                                                       Owing $

                                                                 1st Mortgagee:
1.
                                                                 2nd Mortgagee/Caveator:

                                                                 1st Mortgagee:
2.
                                                                 2nd Mortgagee/Caveator:

                                                                 1st Mortgagee:
3.
                                                                 2nd Mortgagee/Caveator:

                                                                 1st Mortgagee:
4.
                                                                 2nd Mortgagee/Caveator:

Motor Vehicles


Bank account balance                                             Business loans


Shares                                                           Credit card limits


Furniture and fittings                                           Personal loans


Other Assets: (Brief description)                                Other Liabilities: (Brief description)



Equity in business                                               Overdraft Limit

TOTAL ASSETS                                                     TOTAL LIABILITIES

7. Description of property used as security

1. Address:                                                           Registered owner:


2. Address:                                                           Registered owner:


3. Address:                                                           Registered owner:


4. Address:                                                           Registered owner:


5. Address:                                                           Registered owner:


                                                         Rapid Capital
                                        Suite 16 HQ , 58 Riverwalk Ave, Robina, QLD 4226
                                              Ph: (07) 5562 2485 Fax: (07) 5562 2903
                                                          LOAN APPLICATION FORM

8. Credit History
1. Has any Applicant ever been declared bankrupt or insolvent, or has either estate been assigned for the
                                                                                                                       YES [ ]      NO [ ]
benefit of creditors?

2. Has any Applicant ever been shareholders or officers of any company of which a manager, receiver
                                                                                                                       YES [ ]      NO [ ]
and/or liquidator has been appointed?

3. Is there any unsatisfied judgment entered in any court against any Applicant or any Company of which any
                                                                                                                       YES [ ]      NO [ ]
Applicant is or has been a shareholder or officer?

4. Has any application in respect of this loan been submitted, either by you or any other person, to any other
                                                                                                                       YES [ ]      NO [ ]
Lending Institution?

If you have answered yes to any of the questions above please provide details separately.

9. Declaration for investment or business purposes
                                                                                                                            (Please tick)
I/We declare the credit applied for by me/us is predominantly for business and/or investment purposes
and will be applied wholly or predominantly (more than 50%) for business and/or investment purposes.             Yes               No

                                                              IMPORTANT NOTE
 You should not sign this declaration unless the loan is wholly or predominantly for business and/or investment purposes and
                 by signing this declaration you may lose your protection under the Consumer Credit Code



Signature:________________________________            Signature:____________________________________ Date:___________________

10. General
By signing this form all applicants mentioned in this application agree to, acknowledge and declare that:

   the information as provided by you is true and correct in every       to pay all necessary fees and expenses incurred in obtaining this loan
   manner for the purpose of this loan;                                  as well as any legal fees;

   you have made an application for credit as described herein           if we provide credit applied for in this application you will execute all
   and you have provided us with personal information;                   mortgage documentation we will require over the properties offered
                                                                         as security;

   Rapid Capital and/or the Lender may obtain a valuation by a           verification may be obtained from any source named in this
   registered valuer, selected by Rapid Capital and/or the               application
   Lender, of the security property at your expense;

   at the time of signing this application were over the age of 18       you have disclosed all information known to you or reasonably
   years old;                                                            expected to know that will be relevant to our decision to provide the
                                                                         finance as requested herein;

   insurance cover will be required noting the interest of Rapid         by accepting this application Rapid Capital and/or the Lender is
   Capital and/or the Lender and will be at least to the value of        under no obligation the grant the credit in this application.
   the improvements on the property;

11. Signatures
Individual / Guarantor declaration

Name                                                                      Signature

                                                                                                                                        Date

Name                                                                      Signature

                                                                                                                                        Date
Corporate Applicant declaration

Name                                                                      Signature

                                                                                                                                        Date

Name                                                                       Signature
                                                                                                                                        Date

                                                              Rapid Capital
                                             Suite 16 HQ , 58 Riverwalk Ave, Robina, QLD 4226
                                                   Ph: (07) 5562 2485 Fax: (07) 5562 2903
                                              LOAN APPLICATION FORM

12. AUTHORITY TO EXCHANGE INFORMATION WITH MORTGAGEES & CREDITORS
I/we authorize Sailfish Developments Pty Ltd (ACN 085 682 944) trading as Rapid Capital or its agents,
associates or related entities, including the prospective lender Yasoo Drachma Pty Ltd (ACN 130 184 824) to
exchange information about me/us with all Mortgagees of the properties listed at paragraph 7 of this Application
for Finance as well as all Creditors listed at paragraph 6 of this Application for Finance Mortgage to enable Rapid
Capital to properly assess my/our application and to facilitate registration of a mortgage(s) over such properties
should financial accommodation be extend to me/us.
The abovementioned condition assumes the applicant for the loan is also the registered proprietor of the
Mortgage Security. If the Mortgage Security is registered to another party, then such party will also be required to
sign a similarly worded Privacy Declaration to enable Rapid Capital, the lender and/or its duly appointed agents
to liaise with any prior or subsequent mortgagees and/or creditors.
13. Signatures

Individual / Guarantor declaration

Name                                                        Signature

                                                                                                          Date

Name                                                        Signature

                                                                                                          Date
Corporate Applicant declaration

Name                                                        Signature

                                                                                                          Date

Name                                                        Signature
                                                                                                          Date




                                                      Rapid Capital
                                     Suite 16 HQ , 58 Riverwalk Ave, Robina, QLD 4226
                                           Ph: (07) 5562 2485 Fax: (07) 5562 2903

				
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Description: LOAN APPLICATION FORM201041163856