Kreditech Australia PTY LTD, Level 15, 135 King Street, Sydney NSW, 2000 Australian Company Number 163 399 675 Australian Credit License 447090
Financial Hardship Application K24 offers a Financial Hardship Application for our customers that are facing short or long-term financial difficulties, which have affected their ability to repay their current loan on time. If your current circumstances mean you are unable to keep your commitment to K24, please complete The Financial Hardship application form — this will allow us to consider a more suitable payment solution for you. K24 can only consider your request if the information provided is enough to reasonably assess your financial situation and is supported by official documents regarding your situation. Depending on your situation, you may need to provide a separation certificate, Centrelink income statement, medical certificate, bank statements, etc. We will advise what documents are required within 3 business days of receiving your completed application. If you need help completing this form, or have any questions in relation to financial hardship, please call our Customer Service team on 1300 664 558 or email us at
[email protected] if out of business hours. We will be happy to help you.
Kreditech Australia PTY LTD, Level 15, 135 King Street, Sydney NSW, 2000 Australian Company Number 163 399 675 Australian Credit License 447090
Your Contact Information
Full Name
Loan ID
E-mail Address
Contact number
Circumstances of financial hardship Please provide supporting documentation
Please, outline details Loss of employment Family breakdown Illness Death in the family Reduction in income Increase in non-discretionary expenditure Other
Date of initial hardship
Date hardship expected to cease
* To find out which documents apply to you please see our financial hardship section on our website
Kreditech Australia PTY LTD, Level 15, 135 King Street, Sydney NSW, 2000 Australian Company Number 163 399 675 Australian Credit License 447090
Employment and income details
If you are currently employed, please provide 2 recent payslips to support your employment details full-time part-time Net salary
on contract
Partner’s salary
Centrelink payments
casual
If you are not currently employed, please provide a separation certificate
Date employment ceased
Other source of income
Amount
Expenses per month Type of expenses
Cost
Weekly, Fortnightly or Monthly
Kreditech Australia PTY LTD, Level 15, 135 King Street, Sydney NSW, 2000 Australian Company Number 163 399 675 Australian Credit License 447090
Proposed loan repayment arrangement Please, outline specific details with dates and amounts Detail
Amount
Date
Have you sought any financial assistance from a suitable qualified advisor?
By signing below, I declare that: 1. Information provided in this application is true, correct and up-to-date. 2. Understand that the information provided in this application is subject to the privacy consent 3. Where I have provided any information about one or more other persons, I have obtained this 4. Acknowledge that it may be a criminal offence to knowingly provide false or misleading information or documents in connection with this application Date
Signature