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The renter declares that the Rental equipment is to be used wholly or predominantly for business purposes.

You acknowledge that EZY Rental Aus is under no obligation to accept your request for Rental equipment and that any successful enquiry will be subject to a formal Equipment Rental Agreement.

 

APPLICATION TYPE Individual/Sole Trader Company/Trust/Partnership
YOUR PERSONAL DETAILS

Surname* First Name*

Mobile* Home Phone*

Date of Birth* Driver's Licence No.*

Email*

Street*

Suburub* State* Postcode*

Business Name* ABN*

Your Title* (Person authorised to sign agreement on behalf of the business)

How long have you owned and operated the above business* (Years/Months)

Residential Status*

YOUR ASSET AND LOAN DETAILS

If zero, please type '0' at each item below

AssetsLoan AmountOutstandingCurrent Value
Car
Home
Business
Total
 
Loans/FinanceAmount/LimitOutstandingMonthly Payment
Credit Cards
Personal Loans
Home Loan

LIST THE EQUIPMENT YOU WOULD LIKE TO RENT TO OWN
QtyType of EquipmentBrandModelPrice
PRIVACY AND CREDIT INFORMATION PRIVACY ACT AUTHORISATIONS / AGREEMENTS AUTHORISATION ON BEHALF OF INDIVIDUALS

In accordance with the Privacy Act 1988 (Cth) provided on the web site (www.ezyrentalequipment.com.au/privacy-policy), the Applicant/Renter acknowledges and agrees that EZY Rental Aus Pty Ltd (owner) may give to and seek from financial institutions, credit reporting agencies, or any personal credit and/or consumer credit information providers (“the Sources”) information in relation to the Renter’s personal and/or commercial creditworthiness. The Renter authorises the Owner to obtain from the Sources, and authorises the Sources to provide, a credit report containing personal information in relation to the Renter and/or any information concerning the personal and/or commercial creditworthiness or commercial activities of the Renter including, but not limited to, credit standing, credit history, credit capacity or any other information which may be provided under the Privacy Act 1988 (Cth). The Renter authorises the Owner to disclose any information in its possession concerning the Renter’s commercial creditworthiness or commercial activities to the Sources.

I/We hereby declare that the above particulars are true and correct. I am /We are over the age of 18 and that I am /We are not an undischarged bankrupt. I/We hereby authorise you to make any enquiries relating to the persons herein named or otherwise.

Acceptance by Applicant or authorised director/person/proprietor

I hereby declare that the above information is true and correct.

 

 

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