OfficeUseOnly:

ClientQualifiesfortherequestedLoanAmount

LoanAmountSuitableforClientsNeeds

Client'sIncomeandExpenditurematchesinfoonBankStatement

Clientcanaffordloanandrepayments

AllDetailsCompletedandAllrequiredDocumentsReceived

ApplicationDeclarationSignedandDated

Fax: (07)55387200 Post: POBox7099

Email: info@gssfinance.com.au SouthportPark,QLD,4217

LoanDetails

RequestedLoanAmount:

ReasonfortheLoan:

PersonalDetails

Title: FirstName: MiddleName:

LastName: DateofBirth: / /

ContactDetails

ResidentialAddress:

Address:

Suburb: State: PostCode:

PostalAddress

Address:

Suburb: State: PostCode:

HomePhone: MobilePhone:

WorkPhone: EmailAddress:

Gold-SilverStandardFinanceP/L-ApplicationforCredit

$50.00|$120.00|$100.00|$150.00|$200.00|$250.00|$300.00

Pleasefilloutthefollowingform.Whenyouhavecompletedit,pleasesenditplustherequiredattacheddocumentsto:

IncomeandExpenditure

PrimaryIncomeType

Work PayAmount:

EmployerName: PayInterval: Weekly|Fortnightly|Monthly

EmployerNumber: NextPayDate: / /

GovernmentBenefits PayAmount:

TypeofBenefit: Payinterval: Weekly|Fortnightly|Monthly

NextPayDate: / /

OtherIncomes

OtherIncome1 OtherIncome2

SourceofIncome: SourceofIncome:

PayInterval: Weekly|Fortnightly|Monthly PayInterval: Weekly|Fortnightly|Monthly

NextPayDate: / / NextPayDate: / /

Amount: $ Amount:

Expenditure

Rent/Board/MortgagePayments:$ Interval: Weekly|Fortnightly|Monthly

TotalOtherExpenses: $ Interval: Weekly|Fortnightly|Monthly

Declaration:

Signature: Date: / /

BysigningthisdocumentIdeclarethattheinformationIhaveprovidedinthisdocumentisdocumentiscompleteandcorrect.ThisdocumentistobetreatedasmyapplicationforaloanthroughthefinancecompanyFinanceandLoansDirectPtyLtd.IgivepermissionforGold-SilverStandardFinancePtyLtdtoassessmyfinancialsituationandtocontactmeforthepurposesofprocessingthisapplication.

AllPersonalDetailsCompleted

AllContactDetailsCompleted

AllIncomeandExpenditureDetailsCompleted

DeclarationSignedandDated

RequiredDocumentationVerifiedbyaJusticeofthePeaceandAttached:

PhotoID

ARecentBillorOfficialLetterthatStatesyourAddress

OneoftheFollowing:

IfyourPrimaryIncomeisfromWork:

LastThreePayslips

IfyourPrimaryIncomeisfromGovernmentBenefits:

ACurrentPhoneBillinyourName

MostRecent90DaysofyourBankStatements(MusthavetheAccountName,BSBandAccountNumberonit)

BeforeSubmittingtoGold-SilverStandardFinancePtyLtd,pleaseensurethatyouhavecompletedthebelowchecklist: