Apply for Funding Online Application for Invoice Discounting Facility Company Name(Required) Director/Shareholder/Owner Names(Required) Business Address(Required) Phone(Required)Email(Required) Description of Business(Required)Are all IRD liabilities current? Details of any IRD payment plans(Required)Total amount of Accounts Receivable owing(Required) Number of active customers(Required) Are Accounts Receivable pledged as collateral?(Required) What is the monthly value of invoices you intend to sell?(Required) Total Bank and Other Loan balances(Required) Attach copies of invoices to sell Drop files here or Select files Max. file size: 256 MB. Authority and Acknowledgement This serves as our permission under all applicable laws or legislation, including but not limited to the Privacy Act 1993, for the acquisition or release of any information on our business and shareholder(s)/director(s) regarding our application application to Interface Financial NZ and any of its associated companies for the purpose of credit investigation and AML/CFT checking. The above information is true and accurate and that we will advise you immediately of any material change to the information.Authorised signatures of all Directors / Shareholders / OwnersName(Required) Name(Required) Signature(Required)Use your mouse or stylus to sign.Date(Required) MM slash DD slash YYYY CAPTCHA Δ
