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| AddCash Invoice Financing Application |
Thank you for your interest in an AddCash Invoice Financing facility.
Please note that AddCash only provides finance to businesses who sell mainly to businesses and not consumers. Sales made to consumers are unable to be funded. In addition, AddCash only finances sales for non-returnable, fully delivered goods or fully provided services.
* Indicates mandatory field.
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If you can answer yes to the following two questions you are eligible for an AddCash Invoice Financing facility. If not, thank you for the enquiry. |
| Do you sell business to business? |
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Yes - I sell business to business* |
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No - I don't sell business to business |
| Do you make sales for non-refundable, fully delivered goods or fully-provided services? |
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Yes - I make sales for non-refundable goods or services* |
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No - I do not make sales for non-refundable goods or services |
| Tell us the name and ABN of your business? |
| Business Name* |
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| ABN* |
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| Business Address* |
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| How can we contact you? |
| Your Name* |
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| Business Phone* |
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| Business Fax |
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| Mobile |
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| Email* |
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| 1. Tell us about your business and customers: |
| Tell us about your business* |
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| 2. What is the name and home address of the owner(s) of your business? |
| 2.1 Owner 1 |
| Name and Home address* |
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| Is he/she * |
Buying
Renting
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| 2.2 Owner 2 |
| Name and Home address |
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| Is he/she |
Buying
Renting
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| 2.3 Owner 3 |
| Name and Home address |
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| Is he/she |
Buying
Renting
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| 3. Have the business or it's owner(s) had any payment defaults, court judgements, bankruptcy, etc? |
| Business?* |
Yes
No
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| If yes, please provide details:* |
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| Owner(s)?* |
Yes
No
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| If yes, please provide details:* |
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| 4. Are your sales made on normal credit terms (e.g. 30 Days)? |
| Normal Credit Terms* |
Yes
No
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| If no, please provide details:* |
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| 5. Are your sales mainly to repeat customers or to new customers each time? |
| My sales are mainly to...*
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New Customers
Repeat Customers
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| 6. How many of your customers currently owe you money and how much do they owe? |
| Number of Customers* |
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| Amount Owed* |
$ |
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| 7. Are any of your customers also significant suppliers to your business? |
| Are your customers also suppliers?* |
Yes
No
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| If yes, please provide details:* |
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| 8. Is there anything else you think we should know |
| Any other relevant information: |
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