Enquiry On-Line Form

                                 

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Unit #
Street #
Street Name
City
State
Postcode
Telephone Hme (incl. Area Code)
Telephone Bus (incl. Area Code)
Telephone Mobile/Cell
Amount Applying For (Do Not Use Commas)
Employment Status
Length of Employment (in months)
Time at Previous Employment (in months)
Length of Time at Address (in months)
Time at Previous Address (in months)
Have you applied for credit within the last three months Yes No
If Yes How Many Times & when?
Did you take the Credit Facility? N/A No Yes
Do you have any current loans? Yes No
If Yes, have they been kept in order?
Are you aware of any Credit Infringements on Baycorp? No Yes Don't Know
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Notes: Please provide a full explanation of the reason for the loan. Also include information on Credit Defaults that you may have or anything else you can think of that may be relevant in a proposed application. Remember we are here to assist you and we need to be able to provide you quickly and efficiently with the information that you require.. If you have answered YES to any of the buttons above, please provide an explanation or short note describing the reason for the answer. Please view our Privacy Policy. No information provided by you is released, sold, given, lent, or in any way disseminated without your express written permission and consent. It remains 100% Confidential