Post-Settlement Loan Application

Eligibility Check

Is your compensation claim part of a class action?

No

Yes

Your Details

First Name

Middle Name

Last Name

Email Address

Phone Number

Date of Birth

Street Address

Suburb

State

Postcode

Permanent Australian Resident?

Are you currently bankrupt?

Next of Kin

An emergency contact in case we need to reach someone on your behalf.

Next of Kin Name

Relationship

Next of Kin Phone

Employment

Are you currently working?

Settlement Details

Tell us how your case was resolved and the settlement details.

How was your case resolved?

Settlement Agreement

The parties have reached a settlement agreement and you are waiting on settlement funds to be paid.

Court Decision

You have won your claim and are waiting for the judgment amount to be paid.

Type of Legal Claim

Date of Settlement / Judgment

Approximate date is fine — your lawyer can confirm.
Format: dd/mm/yyyy

Settlement / Judgment Amount

$

Settlement Confirmed in Writing?

How much do you expect to receive?

$

The amount you expect to end up with after legal fees and other deductions.

Identification

Do you have an Australian driver's licence?

Yes

No

Licence Number

Licence State

Expiry Date

ID Type

ID Number

Your Lawyer

Law Firm Name

Lawyer Name

Lawyer Email

Lawyer Phone

Matter Reference Number

If you have it — helps us match your application with your lawyer's records.

Date You Engaged the Law Firm

Approximate date is fine.

Have you had any previous law firms acting for you?

Do you owe money to any law firm other than the one acting for you now?

Loan Request

Amount Requested

$

$5,001 – $25,000

Loan Term

Purpose

Do you have a loan against your compensation claim with any other lender?

Is this loan wholly or predominantly for a business or investment purpose?

Fee Disclosure (NCCP Act 2009)

Interest Rate (p.a.):

10.00%

Establishment Fee:

9.95%

Establishment Fee Amount:

$0.00

Total Credit Amount:

$0.00

Interest is calculated daily and compounded monthly on the Total Credit Amount. Repayment will be made from your settlement funds. You are liable for repayment of all amounts owing.

Bank Account for Disbursement

This is where your loan funds will be deposited.

Account Name

Bank Name

BSB

Account Number

Declarations & Consent

I certify that all information provided in this application is true and accurate to the best of my knowledge.

I consent to Lawfunder conducting credit checks and verifying information with my lawyer.

I acknowledge that repayment of this loan will be made from my settlement/judgment funds and that I am liable for repayment of all amounts owing under the loan agreement.