Credit Limit Increase Application Form - American Express

Credit Limit Increase Application Form. Please complete this application in full and return it in the reply-paid envelope (GPO Box 5422, Sydney NSW 20...

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Credit Limit Increase Application Form Please complete this application in full and return it in the reply-paid envelope (GPO Box 5422, Sydney NSW 2001) or fax it to us on (02) 9271 3444. Are you eligible? Make sure you can tick these boxes to indicate 'yes' before proceeding.

D D D

I have maintained a good credit history for more than 9 months on all my accounts. I have not had a credit limit increase in the past 6 months. I have had my American Express® Credit Card for at least 7 months. to a new credit limit of S

I wish to increase my current credit limit from S

Reason for Increase (Please Note: You will only be eligible for a line increase once every six-month period) _________________________

SECTION A - PERSONAL DETAILS

SECTION B - PROFESSIONAL DETAILS (Cont'd)

Your American Express Card Number (You MUSf provide Card details)

3 7

Name of Accountant (If Self-Employed)

-

Title (Please./ tick as applicable)

Accountant's Telephone No. ( MrD MrsD MissD MsD DrD

Surname

Your Annual Income Before Tax

)-

s

Must attach proof of income, ie, Recent Payslips or Tax Return

Given Names

SECTION C - ASSE TS

Driver's Licence No.

Date of Birth (You must be over 18 years to apply)

Bank account funds Market value of home

Current Residential Address (Please do not provide a PO Box No.) Unit No.

Market value of other property

Street No.

Market value of other investments

Street Name

SECTION D - EXPENSES

Suburb

Expenses Household rent/ mortgage I board (monthly)

State

s s s s

Household expenses excluding housing (monthly)

Postcode

)

Home Telephone No.

Loans and Liabilities

-

Home Loan Balance Monthly Repayments of Other Loans (eg. car loans, personal loans, investment property mortgage)

)-

Work Telephone No. Mobile Telephone No. Period of time at Current Address

Years

Months

Residential Status (Please I tick as applicable) Owned OutrightD Board/Living with parentsD MortgageD RentD

Total Balance outstanding for Other Loans (eg. car loans, personal loans, investment property mortgage)

s s s s s

SECTION E - AUTHORISATION

Please read the following before signing: SECTION B - PROFESSIONAL DETAILS

I understand that the current interest rate applicable to my Credit Card will apply to any increased balances that result from this limit increase. I also understand that my continued use of the Credit Card is governed by the Interest Rate Policy and the Credit Card Conditions as issued to rne upon application for the Credit Card and as amended from time to time. I accept that the conditions of this increase are based on my Credit Card Account being in good standing at the time of my application being received at American Express. I acknowledge that, taking into consideration my current financial position, I have a continuing capacity to repay based on the increased limit.

Current Occupation

Name of Employer (Company name if Self-Employed)

Signature of Basic Applicant

Employer's Address

Employer's Telephone No, (We may need to contact your employer to confinn your details and income) )Time with Employer

Years

Months

Date