Dev Dev
1. Bike Details
Bike Model and Year
*
Bike Price
*
Accessories Price
*
Loan term in Years
*
Select Loan term in Years
2
3
4
5
6
7
Do you have good credit rating?
*
Yes
No
Any defaults, paid, unpaid
*
Documents to be provided
*
2 most recent payslips
Front and back copy of drivers license
Front page of bank statement
Current Council/rates notice
Rental Agreement
2. Personal Details
Title
*
Mr
Mrs
Ms
Miss
Dr
Other
First Name
*
Middle Name
Last Name
*
Has the applicant been known by any other name?
*
Yes
No
Date of Birth
*
Gender
*
Select Gender
Male
Female
Non-Binary
Prefer Not to Say
Marital Status
*
Select Marital Status
Single
Married
De-Facto
Divorced
Widowed
Other
Contact Number
*
Email Address
*
No. of dependents
*
Residency Status
*
Select Residency Status
Australian Citizen
Permanent Resident
Temporary Resident/Visa
Other
Citizen of another country?
*
Yes
No
Driver Licence State
*
Select Driver Licence State
New South Wales
Victoria
Queensland
South Australia
Tasmania
Western Australia
Northern Territory
Australian Capital Territory (ACT)
Driver Licence Number
*
Driver Licence Expiry Date
*
3. Address Details
Must provide 3 years of residential address
Residential Address
*
Postcode
*
Length of Residence
*
Years
*
Months
*
What are your current living arrangements?
*
Select current living arrangements
Owner
Mortgaged
Renting
Boarding
Living With Parents
Employer Provided
Other
Previous Address
Postcode
Length of Residence
Years
Months
Living arrangements?
Select living arrangements
Owner
Mortgaged
Renting
Boarding
Living With Parents
Employer Provided
Other
4. Employment Details
Must provide 3 years of employment history
Employer
*
Occupation
*
Industry
*
Address
*
Phone
*
NET Monthly Income ($)
*
Basis of Employment
*
Select Basis of Employment
Self Employed
Full Time Employee
Part Time Employee
Casual Employee
Previous Employer
Occupation
Industry
Address
Phone
NET Monthly Income ($)
Basis of Employment
Select Basis of Employment
Self Employed
Full Time Employee
Part Time Employee
Casual Employee
5. References
Family reference that doesn't live at the same address
Name
*
Relationship
*
Address
*
Phone
*
Email
*
Name
*
Relationship
*
Address
*
Phone
*
Email
*
6. Monthly Income
Net Salary
*
Description
*
Amount ($)
*
Rental Income
Description
Amount ($)
Other
Description
Amount ($)
7. Assets
Residential Property
Description
Value ($)
Savings
Description
Value ($)
Investment Property
Description
Value ($)
Superannuation
Description
Value ($)
Motor Vehicle
Description
Value ($)
Motor Bike
Description
Value ($)
Home Contents
Description
Value ($)
Other
Description
Value ($)
8. Monthly Expenses
Basic Expenses
Groceries & Food including Eating out/takeaway/Alcohol
Description
Value ($)
Clothing for Children/Adults
Description
Value ($)
Utilities (e.g. Electricity, gas, water)
Description
Value ($)
Home & Content Insurance
Description
Value ($)
Vehicle Insurance
Description
Value ($)
Travel Costs (Petrol, Parking, Public Transport)
Description
Value ($)
Mobile Phone/Internet/Pay TV/Streaming Channels
Description
Value ($)
Childcare/Public School Fees
Description
Value ($)
Other Expenses
Rent/Boarding Expense
Description
Value ($)
Expenses associated with additional Motor Vehicles/recreational vehicles (e.g. Boats, Jet Ski's)
Description
Value ($)
Private School Fees
Description
Value ($)
Life Insurance
Description
Value ($)
Health Insurance and medical expenses
Description
Value ($)
Expenses for Owner Occupied Dwelling (e.g. body corporate, rates)
Description
Value ($)
Expenses for Investment Properties (e.g. body corporate, land tax, rates)
Description
Value ($)
Child Maintenance/Alimony Payments
Description
Value ($)
Household items/expenses
Description
Value ($)
HECS/HELP
Description
Value ($)
Buy Now Pay Later (e.g. Afterpay)
Description
Value ($)
Other
Description
Value ($)
9. Liabilities
Mortgage
Description
Limit ($)
Amount Outstanding ($)
Financier
Expense Amount ($)
Personal Loan
Description
Amount Outstanding ($)
Financier
Expense Amount ($)
Credit Card/Store Credit
Description
Limit ($)
Amount Outstanding ($)
Financier
Expense Amount ($)
Description
Limit ($)
Amount Outstanding ($)
Financier
Expense Amount ($)
Asset Finance Loan
Description
Amount Outstanding ($)
Financier
Expense Amount ($)
Other
Description
Limit ($)
Amount Outstanding ($)
Financier
Expense Amount ($)
Description
Limit ($)
Amount Outstanding ($)
Financier
Expense Amount ($)
Description
Limit ($)
Amount Outstanding ($)
Financier
Expense Amount ($)
10. Payment Details
Direct Debit
Account Name
Account Number
BSB
All financed motorcycles, ATV/SSV require insurance. Do you require an insurance quote?
Yes, I would like to know more
No
Insurance Disclosure
Have you had any insurance refused or cancelled?
*
Yes
No
How many consecutive years have you held a motor vehicle/motorcycle license?
*
Select Year
1
2
3
4
5+
Where will the bike be kept overnight?
*
What type of residence do you live in?
*
How many km’s would you travel per annum on the bike?
*
Select km
4,000 km
4,000-8,000 km
8,000-15,000 km
15,000 km+
Is you motorcycle used for daily commuting?
*
Yes
No
Are you entitled to a no claim bonus?
*
Yes
No
Is your motorcycle financed?
*
Yes
No
How many people usually ride your motorcycle once a month or more frequently?
*
How many times has this rider had a motor vehicle accident and/or claim? If YES, provide month/year & details.
*
How many driving infringements have you had in the last 3 years? If YES, provide month/year & details.
*
Have you had any license suspensions, disqualification or good behaviour periods in the last three years? If YES, provide month/year & details.
*
Have you been charged or convicted of any offence (other than vehicle/motorcycle offences)? If YES, provide month/year & details.
*
Have you suffered any motorcycle or theft insurance claims? If YES, provide month/year & details.
*
Your consents
Privacy and Credit Reporting notice and consent
I have read and agree to Pepper Money Finance
Privacy and Credit Reporting notice and consent
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