TruBlue Motors » Application Step 2

Is this for you or your business?

Personal
Business

Single or joint application?

Single
Joint

Contact Details

Tell us a little about yourself. Please fill out the fields below.

Name*

First Middle Last

Best Contact Number*

Email Address*

Current Status

Please complete the options below.

Are you over 18?

Yes
No

Residency Status

Employment Status

How would you describe your finance history?

I consent to the privacy policy and terms of Anyfin*

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Tell us a little about your purchase

What do you wish to finance?

Vehicle you intend to purchase

Amount you wish to borrow

Are you contributing any deposit?

Preferred Repayment Amount

Amount $	Per (week/fortnight/month)

eg. $500/week

Tell us a little about yourself

Date Of Birth

Drivers License

Number	Expiry (dd/mm/yy)

Number of dependents and ages.

Number of dependents	Age

Drivers License State

Marital Status

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Your current primary address

Residential Status

Your current residential status for your primary address

Weekly Payment

Duration at this address

Years	Months

Current Employer

Time at this employer

Years	Months

How long have you been with your current employer?

Income after tax

Amount $	Per (week/fortnight/month/annually)

Please enter your average take-home (net income). eg. $500/week

Duration with previous employer

Years	Months

Applicant 2

Name