Please fill out the form below to apply for a loan from DFS.
Once you submit, we'll be in contact to discuss the details and insurance on the loan.
Total Average Net Income:
$ [ field89 + field90 + field91 ]
Total Average Net Expenses:
$ [ field98 + field99 + field100 ]
Suplus to Pay Loan:
$ [ field89 + field90 + field91 - field98 - field99 - field100 ]
Total Assets Value:
$ [ field105 + field106 + field107 + field108 + field110 ]
Total Liabilities Value:
$ [ field114 + field115 + field116 + field117 + field118 ]
$ [ field123 + field124 + field125 ]
$ [ field128 + field129 + field130 ]
$ [ field123 + field124 + field125 - field128 - field129 - field130 ]
$ [ field135 + field136 + field137 + field138 + field139 ]
$ [ field142 + field143 + field144 + field145 + field146 ]
I/we certify that the particulars above and overleaf/below are true and correct and that I/we am/are over the age of 18 years and are not an undischarged bankrupt.Pursuant to the Privacy Act 1993 I/we authorise any finance company to contact any credit reporting agencies, credit providers my/our employer/s, accountant/s or any other source, to obtain, check and exchange (both now and in the future), such personal, financial and commercial information for the purposes of considering this application, the protection and administration of any loan arising out of this application, and to assist in the enforcement of any agreement between me/us and any finance company.