Online Application Form

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5 steps - 7 minutes
First Name*
Surname Name*
Email Address*
Mobile Number*
Username*
Password*
Investor or Borrower*
Amount of Funding Needed or to Invest*
Type of Funding Needed
(Press & hold "Ctrl" to select multiple choices)
Date Funding Needed*

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About Your Business
Your Business Name*
Your Business / Entity Type*
Business Website URL
Business Street Address*
Suburb*
State*
Postcode*
Managing Directors Name?*
Managing Director / Principals Email*
Office/Admin Managers - Name
Office/Admin Manager Email
Business ACN/ABN*
Years Trading*
No. of Directors / Principals*
No. of Shareholders*
Trust Deed Available?
Can you supply your trust deed.
Annual Income Average*
Postal Address
Suburb
State
Postcode

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Director / Principal No 1
Director/Partners/Trustees/Sole Traders
First Name*
Middle Name
Last Name*
Residential Street Address*
Suburb*
State*
Postcode*
Date of Birth*
Drivers License*
Own or Rent*
Years at Current Address*
Please enter a value between 0 and 80.
Australian Citizen / Resident*
Real Estate License
Home Phone
Mobile Phone*
Main Email Address*
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Director / Principal No 2
First Name*
Middle Name
Last Name*
Residential Street Address*
Suburb*
State*
Postcode*
Date of Birth*
Drivers License*
Own or Rent*
Years at Current Address*
Australian Citizen / Resident*
Real Estate License
Home Phone
Mobile Phone*
Main Email Address*
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Director / Principal No 3
First Name*
Middle Name
Last Name*
Residential Street Address*
Suburb*
State*
Postcode*
Date of Birth*
Drivers License*
Own or Rent*
Years at Address*
Please enter a value between 0 and 80.
Australian Citizen / Resident*
Real Estate License
Home Phone
Mobile Phone*
Main Email Address*
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Director / Principal No 4
First Name*
Middle Name
Last Name*
Residential Address*
Suburb*
State*
Postcode*
Date of Birth*
Drivers License*
Own or Rent*
Years at Current Address*
Please enter a value between 0 and 80.
Australian Citizen / Resident*
Real Estate License
Home Phone
Mobile Phone*
Main Email Address*

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Accountant & Bank Details
Accountant's Firm Name*
Accountant Street Address*
Suburb*
State*
Postcode*
Phone*
Contact Name*
Contact Email*
Your Bank Name*
Your Account Name*
Branch Number (BSB)*
Account Number*
EFT Deposit*
Is a EFT deposit best for you?

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Application Declaration
Have you or your any of your company directors ever been declared bankrupt or insolvent?
Your Answer*
Have you or your any of your company directors ever been shareholder
or officers of any company of which a manager, receiver and /or a liquidator has been appointed?
Your Answer*
Is there any unsatisfied judgement entered in any court against you,
your company directors or any company of which you or your company
directors are or were a shareholder or company officer?
Your Answer*
Has any application in respect of this loan been submitted to you or any
other person to any other lender?
Your Answer*
Applicant 1 Name*
Signature*
- By checking this box I declare the information I have provided as true and correct
Date*
Applicant 2 Name*
Signature*
- By checking this box I declare the information I have provided as true and correct
Date*
Applicant 3 Name*
Signature*
- By checking this box I declare the information I have provided as true and correct
Date*
Applicant 4 Name*
Signature*
- By checking this box I declare the information I have provided as true and correct
Date*
I/We declare that the credit to be provided to me/us by the credit provider is to be applied wholly or predominantly for business purposes or investment purposes, other than investment in residential property.
Important Notice

You should NOT sign this Declaration unless this loan is wholly or predominantly for business purposes or investment purposes, other than investment in residential property. By signing this Declaration you may lose your protection under the National Credit Code.
Your Answer*
The applicant(s) hereby applies for the loan described herein to be secured by a commission Invoice described herein and represents that all statements made in this application are true and made for the purpose of obtaining the loan. Verification may be obtained from any source name herein. The applicant(s) agree to support this application with a valid and verified invoice for commissions owed for their services and by assignment of this invoice(s) to Statim Capital Pty Ltd Trading as Commission Capital at the expense of the applicants and without implied obligation on the part of Statim Capital Pty Ltd Trading as Commission Capital . The applicants further agree to pay all necessary expenses, including legal costs, incurred in obtaining this loan. It is agreed that by accepting this application Statim Capital Pty Ltd Trading as Commission Capital is not obligated to grant a loan. The Applicant(s) solicitor or agent is authorised to accept notice on behalf of the applicant(s). I/ We declare that I/We, the Applicant(s), am/are over the age of 18 years old at the time of the execution of this application
Document Upload List
Upload PDF, JPG, PNG, DOCX, XLSX or DOC files only !
100 Point Identification
Clear or enlarged copy of:
- Passport of Birth Certificate / Extract of Citizenship Certificate - 70 points (each)
- Australian Drivers License - 40 points
Documents with your full name and address - 25 points (each)
- Electricity / Water / Gas Bills / Telephone Bill / Council Rates Notice / Medicare Card
- Foreign Drivers License / Credit or Debit Cards
File*
Drop files here or

Accepted file types: pdf, jpg, png, doc, docx, xlsx.
Maximum file size: 500 MB, Total Files: 1 GB.
ATO Tax Portal print out
(A scanned copy of you Tax Portal showing current Tax debt)
File*
Drop files here or

Accepted file types: pdf, jpg, png, doc, docx, xlsx.
Maximum file size: 500 MB, Total Files: 1 GB.
Company Financials & Bank Statements
(A scanned copy of the last 2 years Company Financials & last 3 months of Bank Statements)
File*
Drop files here or

Accepted file types: pdf, jpg, png, doc, docx, xlsx.
Maximum file size: 500 MB, Total Files: 1 GB.

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About Your Business

Director / Principal No 1

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Director / Principal No 2

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Director / Principal No 3

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Director / Principal No 4

Accountant & Bank Details

Application Declaration

Document Upload List