Personal Property Securities (Approved Form) Instrument 2021
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Personal Property Securities (Approved Form) Instrument 2021 Personal Property Securities Act 2009 I, PETER EDWARDS, Deputy Registrar of Personal Property Securities, make this Instrument under section 302 of the Personal Property Securities Act 2009 (PPS Act). Forms approved by this instrument are approved under subsection 302 (3) of the PPS Act. Any requirements for the giving of a form established by this instrument are established under paragraph 302 (2) (d) of the PPS Act. Dated 12 JULY 2021 PETER EDWARDS Deputy Registrar of Personal Property Securities
Contents
Page
Contents
1 Name of Instrument 2
2 Commencement 2
3 Definition 2
4 Approval of attached forms 2
5 Other approved forms — application to register financing statement
or financing change statement 3
6 Other approved forms — verification statement 3
7 Other approved forms — notice of verification statement 4
8 Other approved forms — access to register to search for data 5
9 Other approved forms — search results 5
10 Other approved forms — data given to Registrar from transitional
register 5
11 Other approved forms — preparatory registration relating to
transitional security interests 5
Schedule 1 Attached Forms 6
1 Name of Instrument
This Instrument is the Personal Property Securities (Approved Form)
Instrument 2021.
2 Commencement
This Instrument commences on 12 JULY 2021. The Personal Property
Securities (Approved Form) Instrument 2013 is repealed by the
commencement of this instrument.
3 Definition
In this Instrument:
Act means the Personal Property Securities Act 2009.
4 Approval of attached forms
For subsection 302 (3) of the Act, each form attached to this Instrument is
an approved form for the purposes of the provision or provisions of the Act
to which the form is expressed to apply.
Note 1 For subsection 302 (4) of the Act, some approved forms may require a person
using the form to comply with either or both of:
(a) registered data conditions within the meaning of section 176B of the Act; and
(b) third party data conditions within the meaning of section 176C of the Act.
Note 2 For transitional reasons two forms may be attached in relation to the same
provision or provisions of the Act.
2 Personal Property Securities (Approved Form) Instrument 2021Section 6
5 Other approved forms — application to register financing
statement or financing change statement
(1) For subsection 302 (3) of the Act, an interactive form provided at the
internet address:
https://transact.ppsr.gov.au/
for the purpose of making an application to register a financing statement,
or a financing change statement, is an approved form of an application to
which paragraph 150 (3) (a) of the Act applies.
(2) For subsection 302 (3) of the Act, an interactive form that is planned to be
provided at the internet address:
https://transact.ppsr.gov.au/
on 28 July 2021 implemented by PPSR Release R8.c for the purpose of
making an application to register a financing statement is also an approved
form of an application to which paragraph 150 (3) (a) of the Act applies.
Note A description of the Release will be available at http://www.ppsr.gov.au
(3) For subsection 302 (3) of the Act, an electronic communication in a format
required by the Registrar for communication through the relevant computer
to computer interface administered by the Registrar is an approved form of
an application to register a financing statement, or a financing change
statement, to which paragraph 150 (3) (a) of the Act applies.
Example
An application made through a business to government channel designed in accordance
with specifications issued by the Registrar.
Note 1 The specifications of the format will be available at http://www.ppsr.gov.au.
Note 2 For subsection 302 (4) of the Act, some approved forms may require a person
using the form to comply with either or both of:
(a) registered data conditions within the meaning of section 176B of the Act; and
(b) third party data conditions within the meaning of section 176C of the Act.
6 Other approved forms — verification statement
For subsection 302 (3) of the Act, the form of a statement generated by the
Register for the purpose of verifying the registration of a financing
statement, or a financing change statement with respect to a security interest
is an approved form of a verification statement to which section 155 of the
Act applies.
Personal Property Securities (Approved Form) Instrument 2021 3Section 7
7 Other approved forms — notice of verification statement
Copy of verification statement
(1) For subsection 302 (3) of the Act, a copy of a verification statement, dealt
with in accordance with subsections (2) and (3), is an approved form of
notice of a verification statement to which subsection 157 (1) of the Act
applies.
(2) If the notice of a verification statement:
(a) relates to an individual; and
(b) is to be given to a grantor other than that individual;
the copy of the verification statement mentioned in subsection (1) must
have all references to that individual’s birth details fully obliterated in a way
that does not allow the references to be seen if the obliteration can be
removed.
(3) If the notice of a verification statement relates to a motor vehicle, it is not
necessary to display in the copy of the verification statement mentioned in
subsection (1) references to information contained in the National Exchange
of Vehicle and Driver Information System (also known as ‘NEVDIS’).
Replication of content of verification statement
(4) For subsection 302 (3) of the Act, the form of a document that:
(a) is created by a secured party; and
(b) replicates the information contained in the verification statement, other
than information that has not been replicated in accordance with
subsections (5) and (6); and
(c) states that it is a ‘Notice of Verification Statement’ provided for the
purposes of section 157 of the Act;
is an approved form of notice of a verification statement to which
subsection 157 (1) of the Act applies.
(5) If the notice of a verification statement:
(a) relates to an individual; and
(b) is to be given to a grantor other than that individual;
references in the verification statement to that individual’s birth details must
not be replicated in the document mentioned in subsection (4).
(6) If the notice of a verification statement relates to a motor vehicle, it is not
necessary to replicate references in the verification statement to information
contained in the National Exchange of Vehicle and Driver Information
System (also known as ‘NEVDIS’) in the document mentioned in
subsection (4).
4 Personal Property Securities (Approved Form) Instrument 2021Section 11
8 Other approved forms — access to register to search for data
(1) For subsection 302 (3) of the Act, an interactive form provided at the
internet address:
https://transact.ppsr.gov.au/
for the purpose of making an application for access to the register to
search for data is an approved form of an application to which
paragraph 170 (3) (b) of the Act applies.
(2) For subsection 302 (3) of the Act, an electronic communication in a format
required by the Registrar for communication through the relevant computer
to computer interface administered by the Registrar is an approved form of
an application for access to the register to search for data to which
paragraph 170 (3) (b) of the Act applies.
Example
An application made through a business to government channel designed in accordance
with specifications issued by the Registrar.
Note 1 The specifications of the format will be available at http://www.ppsr.gov.au.
Note 2 For subsection 302 (4) of the Act, some approved forms may require a person
using the form to comply with either or both of:
(a) registered data conditions within the meaning of section 176B of the Act; and
(b) third party data conditions within the meaning of section 176C of the Act.
9 Other approved forms — search results
For subsection 302 (3) of the Act, a search certificate generated by the
Register as a search result for the purposes of section 174 of the Act is an
approved form of a search result to which that section applies.
10 Other approved forms — data given to Registrar from
transitional register
For subsection 302 (3) of the Act, the approved form of giving data to the
Registrar for the purposes of paragraph 330 (b) of the Act is by an
electronic communication of the data to the Registrar in the format specified
by the Registrar for the purposes of that section.
Note The format is set out in the Data Migration and Pre-load Technical User Guide and
the specific technical user guide for the relevant transitional register.
11 Other approved forms — preparatory registration relating to
transitional security interests
For subsection 302 (3) of the Act, the approved form of applying to the
Registrar under subsection 336 (1) of the Act is by an electronic
communication to the Registrar in the format required by the Registrar for
the purposes of that subsection.
Note The format is set out in the Data Migration and Pre-load Technical User Guide.
Personal Property Securities (Approved Form) Instrument 2021 5Schedule 1 Attached Forms For section 4 of the Instrument the following forms are attached: 1. AFSA Credit Application (section 190) (CA4(P)0813). 2. AFSA Credit Application (section 190) (CA4(P)0721). 3. Notice of Intention to Remove Accession (section 95) (version N17(P)0813). 4. Notice of Intention to Remove Accession (section 95) (version N17(P)0721). 5. Notice of Intention to Dispose of Collateral (section 130) (version N15(P)0813). 6. Notice of Intention to Dispose of Collateral (section 130) (version N15(P)0721). 7. Notice of Proposal to Retain Collateral (section 135) (version N16(P)0813). 8. Notice of Proposal to Retain Collateral (section 135) (version N16(P)0721). 9. Amendment Statement (section 180) (version D1(P)0813). 10. Amendment Statement (section 180) (version D1(P)0721). 6 Personal Property Securities (Approved Form) Instrument 2021
AFSA CREDIT APPLICATION
Privacy
The information on this form is collected and used for the primary purpose of transacting with AFSA.
AFSA’s privacy policy explains how personal information is managed. The policy can be viewed on AFSA’s website
(www.afsa.gov.au/privacy) or you may request a copy.
Institution/Company/Business Information
If you are applying for credit as a user of AFSA’s insolvency/bankruptcy services, you will need to be
registered as an online user. You can register online at www.afsa.gov.au
If you are applying for credit as a user of the Personal Property Securities Register (PPSR), you will need
to be registered as an online user. You can create an account online at www.ppsr.gov.au.
For PPSR users, please enter your PPSR Account Number:
Customer Details
Trading name of organisation
Entity type
Government agency Authorised deposit- Publicly listed company Proprietary limited
taking institution company
Partnership Sole trader Trustee (company/ Other entity
individual)
Nature of business Registered company name
ACN ABN
Date established (DD/MM/YYYY) Annual turnover Number of employees
Phone number Fax number
Email
Registered/Trading Address
Address Postcode
Is your postal address the same as your Registered/Trading Address? No Yes
CA(P)042018 www.afsa.gov.au - 1300 364 785 page 1 of 6Details of Services
Please indicate which services you will be using. Please note that PPSR and insolvency are treated as separate
credit facilities and applications for each will be assessed separately.
PART A - Insolvency PART B - PPSR
Do you require a credit facility for insolvency/bankruptcy? Do you require a credit facility for PPSR?
No Yes No Yes
Please indicate which services you will require: Please indicate which services you will require:
Insolvency: PPSR:
Bankruptcy notices and extensions Searches
Debt agreement proposal fee Registrations
S188 filing fee
Official Receiver notices
Other
Of the services you require, please indicate your Of the services you require, please indicate your
anticipated monthly usage (transaction volume) anticipated monthly usage (transaction volume)
Bankruptcy Notices Searches
Bankruptcy Notice ex-
tensions Registrations
Debt agreement pro-
posal fee
Section 188 filing fee
Official Receiver notices
Other
Proposed monthly credit Proposed monthly credit
limit: ($) limit: ($)
Business Contact Information (provide details of financial/administrative contact person/s)
Department or Business Area
Title Given name/s Surname
Position of contact person
Phone number Fax number
Email
CA(P)042018 page 2 of 6
www.afsa.gov.au - 1300 364 785Invoicing Information
Send invoices by Email Post
Invoice email
Postal address for invoices Postcode
Referees
Trade/supply referees (not required for Authorised Deposit-taking Institutions or Government Agencies)
Business/company name of referee
Title Given name/s Surname
Address Postcode
Phone number Email
Directors, sole traders and partners
Please complete details of directors, sole traders, partners on form or attach separate page disclosing requested
details.
Note: residential address is required for personal credit history check
Title Given name/s Surname
Position
Address Postcode
Title Given name/s Surname
Position
Address Postcode
CA(P)042018 page 3 of 6
www.afsa.gov.au - 1300 364 785Acknowledgement
I / we
Title Given name/s Surname
Address Postcode
Organisation (if applicable)
Position/capacity (if applicable)
Title Given name/s Surname
Address Postcode
Organisation (if applicable)
Position/capacity (if applicable)
Hereby Declare That:
1. The information provided is true and correct and the Customer acknowledges that in determining
to supply services, AFSA will rely on the representations made in this application.
2. I have read the Terms and Conditions of Credit set out below.
3. I am not aware that the Customer has any unsatisfied defaults registered, unregistered defaults,
pending judgements or orders which may impact this application or the Customer’s ability to
repay any credit offered.
4. I am authorised on behalf of the Customer to enter this agreement and accept the Terms and
Conditions of Credit.
The applicant agrees to be unconditionally bound by the Terms and Conditions of Credit and
acknowledges that all services are provided subject to the Terms and Conditions of Credit.
Execution
Signed by the applicant/s:
Date (DD/MM/YYYY)
Send completed form to:
Postal address: Australian Financial Security Authority, GPO Box 821, Canberra, ACT, 2601
Email address: accounts.receivable@afsa.gov.au
(Signed and scanned copies of completed form accepted by email)
CA(P)042018 page 4 of 6
www.afsa.gov.au - 1300 364 785TERMS AND CONDITIONS OF CREDIT
1. In applying for credit with the Australian Financial Security Authority, I/we (the Customer) acknowledge that any credit
(the credit facility) granted following this application will be subject to the terms and conditions stated in this appli-
cation or as subsequently varied by the Australian Financial Security Authority at its discretion and notified to the
Customer. The Customer further acknowledges and agrees that, if the Customer is granted credit facilities in respect
of both insolvency services and PPSR services, when applying the terms and conditions each is to be treated as a
separate credit facility.
2. Payment terms are “Net 30 Days”, payment being due within 30 days from the date of invoice unless alternative terms
are agreed upon by the Australian Financial Security Authority in writing.
3. Any credit limit approved by the Australian Financial Security Authority and advised to the Customer must not be
exceeded. The Australian Financial Security Authority periodically reviews its credit limits. The Customer agrees that
the Australian Financial Security Authority may review and revise the Customer’s credit limit at any time. The Austra-
lian Financial Security Authority may increase or reduce the Customer’s credit limit at the Customer’s request. The
Australian Financial Security Authority may also reduce the Customer’s credit limit without request, but the Australian
Financial Security Authority will not reduce the Customer’s credit limit below the outstanding balance on the account
at the time of the reduction without prior communication with the Customer.
4. The Australian Financial Security Authority reserves the right to pursue collection of outstanding amounts. Related
costs including but not limited to external collection agent fees, legal and court costs may be added to the outstand-
ing amount owed under the credit facility.
5. The Australian Financial Security Authority may at any time set-off amounts owed by the Australian Financial Security
Authority to the Customer from the amounts owed by the Customer to the Australian Financial Security Authority. The
Australian Financial Security Authority will apply payments against the outstanding amounts in the order in which
they were incurred.
6. The Customer indemnifies and holds harmless the Australian Financial Security Authority and its officers, employees
and agents from and against all actions, claims, proceedings or demands which may be brought or made against it or
them or any of them in respect of any loss, injury, or damage arising out of any breach of these terms and conditions
by the Customer or any negligent act or omission by the Customer and from and against all damages, costs and
expenses incurred in defending or settling any action, claim, proceeding or demand arising from such breach, act or
omission.
7. The Customer accepts and acknowledges that the Australian Financial Security Authority may disclose information
disclosed in the course of this credit application to a credit reporting agency.
8. The Customer agrees to the Australian Financial Security Authority obtaining personal information from any credit
reporting agency or a credit provider for the purpose of assessing any application submitted by or on behalf of the
Customer for commercial credit (including information as to creditworthiness); and agrees to that agency or provider
providing that information to the Australian Financial Security Authority for that purpose.
9. The Customer agrees to the Australian Financial Security Authority obtaining from, and provision by, any such credit
reporting agency or credit provider further credit reports, which may assist the Australian Financial Security Authority
in recovering any sums outstanding under the terms of the credit facility to which this application may lead.
10. The Australian Financial Security Authority is not liable for any costs incurred in the completing of this form. The Cus-
tomer is responsible for any stamp duty or other government charges levied on or in connection with this application
or any associated credit facility or guarantee.
11. The Customer agrees that it is the responsibility of the Customer to advise the Australian Financial Security Authority
of any change of address or contact information in writing within a timely manner and no later than 30 days from the
date that the change is effective.
12. In the event of a dispute regarding an outstanding amount:
(a) the Customer agrees that the dispute will be dealt with as follows:
(i) the Customer will give the Australian Financial Security Authority a written notice setting out the amount
and full particulars of the dispute, including the reasons the Customer disputes the amount, and the con-
tact details of a nominated representative with authority to settle the dispute on behalf of the Customer;
(ii) the Customer’s representative and the Australian Financial Security Authority will try to settle the dispute
by direct negotiation between them;
(iii) the parties will attempt to achieve a speedy resolution; and
(iv) if the parties have been unable to settle the dispute within 28 days either party may commence legal
proceedings
(b) the Customer will remain liable for the amount and full payment of all invoices are required by the due date
(unless the Australian Financial Security Authority otherwise consents in writing); and
(c) this clause does not apply to:
(i) legal proceedings by either party seeking urgent interlocutory relief; or
(ii) any action by the Australian Financial Security Authority under clauses 16 to 22.
CA(P)042018 page 5 of 6
www.afsa.gov.au - 1300 364 78513. The Australian Financial Security Authority may request the Customer to provide general purpose financial reports
and other financial information for the assessment of this credit application.
Director’s Guarantee
14. If the Customer is a body corporate, the Australian Financial Security Authority may at any time before or during the
operation of the credit facility require one or more of the Customer’s directors and/or officers to guarantee repay-
ment of the credit facility. If a director/officer who has provided such a guarantee vacates their office, the Customer
must notify the Australian Financial Security Authority in writing within 14 days.
Confidentiality of the Applicant’s information
15. Except as required by law, the Australian Financial Security Authority will only use or disclose the Customer’s per-
sonal information as necessary for the assessment and administration of the credit facility - for example, to accounts
receivables staff or to external auditors.
Termination, Suspension and Default
16. In the event that full payment is not received by the due date the credit facility may be suspended or cancelled
without notice. Reinstatement of credit terms after any suspension will be at the discretion of the Australian Financial
Security Authority.
17. The Customer acknowledges that the Australian Financial Security Authority may suspend or terminate the credit
facility immediately (with or without written notice), if the Customer:
(a) obtains credit by fraud, dishonesty or omission; or
(b) allows the amount of a monthly statement to remain unpaid for more than 30 days from its due date; or
(c) breaches any of these terms and conditions; or
(d) being an individual, commits an act of bankruptcy; or
(e) being a body corporate, becomes externally administered; or if:
(f) the Australian Financial Security Authority believes that the continued use of the credit facility may cause loss or
damage to the Customer or the Australian Financial Security Authority; or
(g) in the opinion of the Australian Financial Security Authority any change in circumstances, including, without lim-
itation, changes in the Customer’s constitution, ownership, membership, control status or ability to provide secu-
rity for payment of amounts which have or are likely to be charged to the credit facility, makes the continuance of
the application undesirable or unsatisfactory; or
(h) where one or more persons guarantee the Customer’s obligations under the credit facility - that person or those
persons withdraws his, her or their guarantee.
18. Subject to any relevant legislative requirement, in the event the Customer breaches any of these terms and condi-
tions, the Australian Financial Security Authority reserves the right to notify credit reporting agencies of that breach.
The Customer acknowledges that any damages suffered by the Customer as a result of the listing is solely the Cus-
tomer’s responsibility and holds the Australian Financial Security Authority and its officers, employees and agents
safe from claim in respect of any damages.
19. If the credit facility is suspended or cancelled then the Australian Financial Security Authority may require immediate
payment of all outstanding amounts. Suspension or cancellation does not affect any of the Customer’s obligations in
respect of the credit facility.
20. The Customer must pay to the Australian Financial Security Authority all amounts reasonably incurred or expended
by the Australian Financial Security Authority in exercising its rights as a result of a breach of these terms and condi-
tions by the Customer or as a result of any circumstance referred to in clause 17.
Variations
21. The Australian Financial Security Authority may vary these terms and conditions with respect to future transactions
between the Australian Financial Security Authority and the Customer:
(a) by agreement between the Australian Financial Security Authority and the Customer; or
(b) by the Australian Financial Security Authority giving to the Customer not less than 21 days’ prior written notice
specifying the variation and the date on which the variation becomes effective.
22. Notice of the variation under this clause need not be sent separately and may be sent with the Customer’s
statement of account or as part of any other correspondence.
CA(P)042018 page 6 of 6
www.afsa.gov.au - 1300 364 785The Australian Government regulator
and service provider for matters
relating to personal insolvency
and personal property securities.
afsa.gov.au
FOR MORE
INFORMATION
AFSA please visit:
afsa.gov.au
CREDIT APPLICATION or call
1300 364 785
Privacy
The information on this form is collected and used for the primary purpose of transacting with AFSA. AFSA’s privacy policy
explains how personal information is managed. The policy can be viewed on AFSA’s website (afsa.gov.au/privacy) or you may
request a copy.
Institution/Company/Business Information
If you are applying for credit as a user of AFSA’s insolvency/bankruptcy services, you will need to be registered
as an online user. You can register online at afsa.gov.au
If you are applying for credit as a user of the Personal Property Securities Register (PPSR), you will need to be registered
as an online user. You can create an account online at ppsr.gov.au.
For PPSR users, please enter your PPSR Account Number:
Customer Details
Trading name of organisation ABN
Entity type: Date established
Government agency
Authorised deposit-taking institution
Annual turnover
P
ublicly listed company
P
roprietary limited company
P
artnership
Number of employees
S
ole trader
Trustee (company/individual)
O
ther entity Phone number
Nature of business
Fax number
Registered company name
Email
ACN
CA(P)0721
page 1 of 7AFSA Credit Application
Registered/Trading Address
Address
Postcode
Is your postal address the same as your
Registered/Trading Address?
No Yes
Details of Services
Please indicate which services you will be using. Please note
that PPSR and insolvency are treated as separate credit
facilities and applications for each will be assessed separately.
Part A — Insolvency Part B — PPSR
Do you require a credit facility for insolvency/bankruptcy? Do you require a credit facility for insolvency/bankruptcy?
No Yes No Yes
Please indicate which services you will require: Please indicate which services you will require:
Insolvency: PPSR:
Bankruptcy notices and extensions Searches
D
ebt agreement proposal fee Registrations
S
188 filing fee Of the services you require, please indicate your
O
fficial Receiver notices anticipated monthly usage (transaction volume)
Other Searches
Of the services you require, please indicate your
anticipated monthly usage (transaction volume)
Bankruptcy Notices Registrations
Bankruptcy Notice extensions Proposed monthly credit limit: ($)
Debt agreement proposal fee
Section 188 filing fee
Official Receiver notices
Other
Proposed monthly credit limit: ($)
CA(P)0721
page 2 of 7AFSA Credit Application
Business Contact Information (provide details Referees
of financial/administrative contact person/s) Trade/supply referees (not required for Authorised
Department or Business Area Deposit-taking Institutions or Government Agencies)
Business/company name of referee
Title
Title
Given name/s
Given name/s
Surname
Surname
Position of contact person
Address
Phone number
Fax number
Postcode
Email
Phone number
Invoicing Information
Send invoices by
Email Post Email
Invoice email
Postal address for invoices
Postcode
CA(P)0721
page 3 of 7AFSA Credit Application
Directors, sole traders and partners
Please complete details of directors, sole traders, partners on form or attach separate page disclosing requested details.
Note: residential address is required for personal credit history check
Title Title
Given name/s Given name/s
Surname Surname
Position Position
Address Address
Postcode Postcode
Title Title
Given name/s Given name/s
Surname Surname
Position Position
Address Address
Postcode Postcode
CA(P)0721
page 4 of 7AFSA Credit Application
Acknowledgement
I / we
Title Title
Given name/s Given name/s
Surname Surname
Address Address
Postcode Postcode
Organisation (if applicable) Organisation (if applicable)
Position/capacity (if applicable) Position/capacity (if applicable)
Hereby declare that: Execution
1. The information provided is true and correct and Signed by the applicant/s:
the Customer acknowledges that in determining to
Signature
supply services, AFSA will rely on the representations
made in this application.
2. I have read the Terms and Conditions of Credit set out
below.
3. I am not aware that the Customer has any unsatisfied
defaults registered, unregistered defaults, pending
judgements or orders which may impact this application
or the Customer’s ability to repay any credit offered.
4. I am authorised on behalf of the Customer to enter this
agreement and accept the Terms and Conditions of Credit.
The applicant agrees to be unconditionally bound by Date
the Terms and Conditions of Credit and acknowledges
that all services are provided subject to the Terms and
Conditions of Credit.
Send completed form to:
Postal address:
Australian Financial Security Authority,
GPO Box 821, Canberra, ACT, 2601
Email: accounts.receivable@afsa.gov.au
CA(P)0721
(Signed and scanned copies of completed form accepted
by email)
page 5 of 7AFSA Credit Application
Terms and conditions of credit 8. The Customer agrees to the Australian Financial Security
Authority obtaining personal information from any credit
1. In applying for credit with the Australian Financial
reporting agency or a credit provider for the purpose of
Security Authority, I/we (the Customer) acknowledge
assessing any application submitted by or on behalf of the
that any credit (the credit facility) granted following this
Customer for commercial credit (including information as
application will be subject to the terms and conditions
to creditworthiness); and agrees to that agency or provider
stated in this application or as subsequently varied by
providing that information to the Australian Financial
the Australian Financial Security Authority at its discretion
Security Authority for that purpose.
and notified to the Customer. The Customer further
acknowledges and agrees that, if the Customer is granted 9. The Customer agrees to the Australian Financial Security
credit facilities in respect of both insolvency services and Authority obtaining from, and provision by, any such credit
PPSR services, when applying the terms and conditions reporting agency or credit provider further credit reports,
each is to be treated as a separate credit facility. which may assist the Australian Financial Security Authority
in recovering any sums outstanding under the terms of
2. Payment terms are “Net 30 Days”, payment being due
the credit facility to which this application may lead.
within 30 days from the date of invoice unless alternative
terms are agreed upon by the Australian Financial Security 10. The Australian Financial Security Authority is not
Authority in writing. liable for any costs incurred in the completing of this form.
The Customer is responsible for any stamp duty or other
3. Any credit limit approved by the Australian Financial
government charges levied on or in connection with this
Security Authority and advised to the Customer must not
application or any associated credit facility or guarantee.
be exceeded. The Australian Financial Security Authority
periodically reviews its credit limits. The Customer 11. The Customer agrees that it is the responsibility of
agrees that the Australian Financial Security Authority the Customer to advise the Australian Financial Security
may review and revise the Customer’s credit limit at Authority of any change of address or contact information
any time. The Australian Financial Security Authority in writing within a timely manner and no later than 30 days
may increase or reduce the Customer’s credit limit at from the date that the change is effective.
the Customer’s request. The Australian Financial Security
Authority may also reduce the Customer’s credit limit 12. In the event of a dispute regarding an outstanding amount:
without request, but the Australian Financial Security (a) the Customer agrees that the dispute will be dealt
Authority will not reduce the Customer’s credit limit below with as follows:
the outstanding balance on the account at the time of the (i) the Customer will give the Australian Financial Security
reduction without prior communication with the Customer. Authority a written notice setting out the amount and
4. The Australian Financial Security Authority reserves full particulars of the dispute, including the reasons the
the right to pursue collection of outstanding amounts. Customer disputes the amount, and the contact details
Related costs including but not limited to external of a nominated representative with authority to settle the
collection agent fees, legal and court costs may be added dispute on behalf of the Customer;
to the outstanding amount owed under the credit facility. (ii) the Customer’s representative and the Australian
Financial Security Authority will try to settle the dispute
5. The Australian Financial Security Authority may at any by direct negotiation between them;
time set-off amounts owed by the Australian Financial
Security Authority to the Customer from the amounts (iii) the parties will attempt to achieve a speedy resolution;
owed by the Customer to the Australian Financial and
Security Authority. The Australian Financial Security (iv) if the parties have been unable to settle the
Authority will apply payments against the outstanding dispute within 28 days either party may commence
amounts in the order in which they were incurred. legal proceedings
6. The Customer indemnifies and holds harmless the (b) the Customer will remain liable for the amount and
Australian Financial Security Authority and its officers, full payment of all invoices are required by the due
employees and agents from and against all actions, date (unless the Australian Financial Security Authority
claims, proceedings or demands which may be brought otherwise consents in writing); and
or made against it or them or any of them in respect of any (c) this clause does not apply to:
loss, injury, or damage arising out of any breach of these
terms and conditions by the Customer or any negligent (i) legal proceedings by either party seeking urgent
act or omission by the Customer and from and against all interlocutory relief; or
damages, costs and expenses incurred in defending or (ii) any action by the Australian Financial Security Authority
settling any action, claim, proceeding or demand arising under clauses 16 to 22.
from such breach, act or omission. 13. The Australian Financial Security Authority may request
7. The Customer accepts and acknowledges that the the Customer to provide general purpose financial reports
Australian Financial Security Authority may disclose and other financial information for the assessment of this
information disclosed in the course of this credit application credit application.
to a credit reporting agency.
CA(P)0721
page 6 of 7AFSA Credit Application
Director’s Guarantee 18. Subject to any relevant legislative requirement,
14. If the Customer is a body corporate, the Australian in the event the Customer breaches any of these terms
Financial Security Authority may at any time before or and conditions, the Australian Financial Security Authority
during the operation of the credit facility require one reserves the right to notify credit reporting agencies of
or more of the Customer’s directors and/or officers to that breach.
guarantee repayment of the credit facility. If a director/ The Customer acknowledges that any damages suffered
officer who has provided such a guarantee vacates by the Customer as a result of the listing is solely the
their office, the Customer must notify the Australian Customer’s responsibility and holds the Australian Financial
Financial Security Authority in writing within 14 days. Security Authority and its officers, employees and agents
safe from claim in respect of any damages.
Confidentiality of the Applicant’s information
19. If the credit facility is suspended or cancelled then
15. Except as required by law, the Australian Financial the Australian Financial Security Authority may require
Security Authority will only use or disclose the Customer’s immediate payment of all outstanding amounts.
personal information as necessary for the assessment Suspension or cancellation does not affect any of the
and administration of the credit facility — for example, Customer’s obligations in respect of the credit facility.
to accounts receivables staff or to external auditors.
20. The Customer must pay to the Australian Financial
Security Authority all amounts reasonably incurred or
Termination, Suspension and Default
expended by the Australian Financial Security Authority
16. In the event that full payment is not received by in exercising its rights as a result of a breach of these
the due date the credit facility may be suspended or terms and conditions by the Customer or as a result
cancelled without notice. Reinstatement of credit terms of any circumstance referred to in clause 17.
after any suspension will be at the discretion of the
Australian Financial Security Authority.
Variations
17. The Customer acknowledges that the Australian 21. The Australian Financial Security Authority may
Financial Security Authority may suspend or terminate the vary these terms and conditions with respect to future
credit facility immediately (with or without written notice), transactions between the Australian Financial Security
if the Customer: Authority and the Customer:
(a) obtains credit by fraud, dishonesty or omission; or (a) by agreement between the Australian Financial
(b) allows the amount of a monthly statement to remain Security Authority and the Customer; or
unpaid for more than 30 days from its due date; or (b) by the Australian Financial Security Authority giving
(c) breaches any of these terms and conditions; or to the Customer not less than 21 days’ prior written notice
(d) being an individual, commits an act of bankruptcy; or specifying the variation and the date on which the variation
becomes effective.
(e) being a body corporate, becomes externally
administered; or if: 22. Notice of the variation under this clause need
(f) the Australian Financial Security Authority believes not be sent separately and may be sent with the
that the continued use of the credit facility may cause loss Customer’s statement of account or as part of any
or damage to the Customer or the Australian Financial other correspondence.
Security Authority; or
(g) in the opinion of the Australian Financial Security
Authority any change in circumstances, including,
without limitation, changes in the Customer’s constitution,
ownership, membership, control status or ability to provide
security for payment of amounts which have or are likely
to be charged to the credit facility, makes the continuance
of the application undesirable or unsatisfactory; or
(h) where one or more persons guarantee the Customer’s
obligations under the credit facility — that person or those
persons withdraws his, her or their guarantee.
CA(P)0721
page 7 of 7Notice of Intention to Remove Accession Prepare a blank form
Personal Property Securities Act 2009 (Cth) (PPSA) section 95
Secured Party Details
1 If the security interest has been registered, the address must be the same as the address for service in the registration.
Individual (including sole traders) Organisation
Given names:
Family name:
Organisation name:
Phone:
Email:
Mailing Address:
City: State: Postcode:
Country:
a) Does the applicant have a business identifier/registration number: No (Go to part b if answer is No ) Yes
ARSN ARBN ACN Number:
b) Organisational identifier type:
If the applicant is a partnership, body politic, or a trust with an ABN, please include the number
Partnership Body Politic Trust ABN:
c) Other:
If neither a) or b) is applicable, fill in organisation name according to the requirement set out in Personal Property Securities
Regulations 2010
Organisation name
N17(P)0813 Page 1 of 4Details of Accession
The details of the Accession and the Whole should match the description provided in the security agreement that created the relevant
security interests in that property.
The Secured Party intends to remove the Accession:
Please provide full name of Grantor:
Please provide the description of the Accession:
The described Accession will be removed from the other goods to which it is installed in or affixed to (the Whole):
Grantor Name Serial Number:
Details of Other Goods:
which is subject to a security interest that -
(a) was created arises or provided for in the security agreement dated on:
(b) if perfected, was perfected on date; and
(c) if perfected by registration, the registration number, which relates to
the security interest in the Accession is:
Giving of notice identifier (GONI)
2 Note: Insert N/A if not applicable.
The Secured Party's GONI specified in the registration is:
N17(P)0813 Page 2 of 43 Information (Complete those applicable)
As at the date of this notice, the
(a) amount of arrears due under the security agreement is:
(b) amount of the Secured Party's expenses of seizing the collateral:
(c) total amount due (amount of arrears (a) + Secure Party expenses (b); $ 0.00
(d) details of any other default, including unperformed obligations, under the security agreement are:
Value of Accession
4 As at the date of this notice, the value of the Accession if the Accession
were removed from the Whole is:
Removal of Accession dd/mm/yyyy
5 The Secured Party intends to remove the Accession from the Whole after unless either of
the following amounts are paid to the Secured Party on or before:
(a) the amount secured (as stated in part 3):
(b) the value of the Accession (as stated in part 4):
Note: Unless the recipient of this notice has given written notice specifying a shorter period the date must be
at least 10 business days after this notice is given.
N17(P)0813 Page 3 of 4Important information for recipient of notice
Under section 96 of the PPSA, a person, other than the grantor, with an interest in the Whole of the goods may retain
the Accession if the obligation in part 3 is performed or the value of the Accession (as at the time of payment) if it were
removed from the other goods is paid to the secured party.
Under section 97 of the PPSA, a person entitled to receive this notice can apply to a court to seek an order to postpone
the removal of the accession or determine the amount payable to the secured party where the holder of a subordinate
interest seeks to retain the accession.
Before the Secured Party retains or disposes of the collateral, a person may be able to reinstate the security agreement
pursuant to section 143 of the PPSA.
You may wish to obtain professional advice about this notice.
Print name:
Organisation (if applicable):
Position/Capacity (if applicable):
Signature:
Date:
Additional Notes:
If sending this notice to another Secured Party the GONI in respect of that party's registration
should be included with this notice.
National Service Centre, GPO Box 1944, Adelaide SA 5001
TELEPHONE 1300 007 777
EMAIL forms@ppsr.gov.au
For further information on the PPSR concepts and definitions please go to the PPSR website at www.ppsr.gov.au or contact the National Service Centre.
N17(P)0813 Page 4 of 4FOR MORE
INFORMATION
NOTICE OF INTENTION please visit:
ppsr.gov.au
TO REMOVE ACCESSION or call
1300 007 777
Personal Property Securities Act 2009 (Cth) (PPSA) section 95
Section 1: Secured Party Details
If the security interest has been registered, the address must a) Does the applicant have a business identifier/
be the same as the address for service in the registration: registration number?
Individual (including sole trader) Organisation No (Go to Part B if answer is no) Y
es
Given name/s A
RSN A
RBN ACN
Number:
Family name
b) Organisational identifier type:
If the applicant is a partnership, body politic, or a trust
Organisation name with an ABN, please include the number
Partnership Body Politic Trust
ABN:
Phone
Email c) Other:
If neither a) or b) is applicable, fill in organisation name
according to the requirement set out in Personal Properties
Securities Regulations 2010
Mailing address Organisation name
City
State
Postcode
N17(P)0721
Country
page 1 of 3Notice of Intention to Remove Accession
Details of Accession The described Accession will be removed from the other
goods to which it is installed in or affixed to (the Whole):
The details of the Accession and the Whole should match
the description provided in the security agreement that Grantor Name
created the relevant security interests in that property.
The Secured Party intends to remove the Accession:
Please provide full name of Grantor: Serial Number
Please provide the description of the Accession: Details of Other Goods:
which is subject to a security interest that:
a) was created arises or provided for in the security
agreement dated on:
b) if perfected, was perfected on date; and
c) if perfected by registration, the registration number,
which relates to the security interest in the Accession is:
Section 2: Giving of notice identifier (GONI)
Note: Insert N/A if not applicable.
The Secured Party’s GONI specified in the registration is:
N17(P)0721
page 2 of 3Notice of Intention to Remove Accession
Section 3: Information Important information for recipient of notice
(Complete those applicable) Under section 96 of the PPSA, a person, other than
the grantor, with an interest in the Whole of the goods may
As at the date of this notice, the
retain the Accession if the obligation in part 3 is performed
a) amount of arrears due under the security agreement is: or the value of the Accession (as at the time of payment)
if it were removed from the other goods is paid to the
secured party.
Under section 97 of the PPSA, a person entitled to
b) amount of the Secured Party’s expenses of seizing receive this notice can apply to a court to seek an order
the collateral: to postpone the removal of the accession or determine
the amount payable to the secured party where the holder
of a subordinate interest seeks to retain the accession.
Before the Secured Party retains or disposes of
c) total amount due (amount of arrears (a) + Secured Party the collateral, a person may be able to reinstate the
expenses (b); security agreement pursuant to section 143 of the PPSA.
You may wish to obtain professional advice about
this notice.
d) details of any other default, including unperformed
obligations, under the security agreement are: Name
Organisation (if applicable)
Position/Capacity (if applicable)
Signature
Date
Section 4: Value of Accession
As at the date of this notice, the value of the Accession Additional Notes:
if the Accession were removed from the Whole is: If sending this notice to another Secured Party the GONI
in respect of that party’s registration should be included
with this notice.
Section 5: Removal of Accession
The Secured Party intends to remove the Accession
from the Whole after
AFSA contact information:
Phone: 1300 007 777
unless either of the following amounts are paid to the Email: enquiries@ppsr.gov.au
Secured Party on or before: For further information on the PPSR concepts
a) the amount secured (as stated in part 3): and definitions please go to the PPSR website at
ppsr.gov.au or contact the AFSA Service Centre.
b) the value of the Accession (as stated in part 4):
Note: Unless the recipient of this notice has given written
notice specifying a shorter period the date must be at least
N17(P)0721
10 business days after this notice is given.
page 3 of 3Notice of Intention to Dispose of Collateral Prepare a blank form
Personal Property Securities Act 2009 (Cth) section 130
Secured Party Details
1 If the security interest has been registered, the address must be the same as the address for service in the registration.
Individual (including sole traders) Organisation
Given names:
Family name:
Organisation name:
Phone:
Email:
Mailing Address:
City: State: Postcode:
Country:
a) Does the applicant have a business identifier/registration number: No (Go to part b if answer is No ) Yes
ARSN ARBN ACN Number:
b) Organisational identifier type:
If the applicant is a partnership, body politic, or a trust with an ABN, please include the number
Partnership Body Politic Trust ABN:
c) Other:
If neither a) or b) is applicable, fill in organisation name according to the requirement set out in Personal Property Securities
Regulations 2010
Organisation name
The Secured Party has seized the collateral: (provide details)
The details of the collateral should match the description provided in the security agreement that created the security interest in the
property.
Grantor Name:
(if relevant)
Serial Number:
(if relevant)
N15(P)0813 Page 1 of 4Description of Collateral:
Collateral is subject to a security interest that (Complete those applicable)
(a) was created, arises or provided for in the security agreement dated:
(b) if perfected, was perfected on date; and
(c) if perfected by registration, the Registration number is:
Giving of notice identifier (GONI)
2 Note: Insert N/A if not applicable.
The Secured Party's GONI specified in the registration is:
N15(P)0813 Page 2 of 4Information (Complete those applicable)
3 As at the date of this notice, the
(a) amount of arrears due under the security agreement is:
(b) amount of the Secured Party's expenses of seizing the collateral is:
(c) total amount due (amount of arrears (a) + Secured Party expenses (b)) is: $ 0.00
(d) details of any other default, including unperformed obligations, under the security agreement are:
Disposal Details
4 The Secured Party intends to dispose of the collateral unless the obligation,
or amount secured by it as stated in part 3 is performed or paid on or before:
Note: Unless the recipient of this notice has given written notice specifying a shorter period, the date must be at
least 10 business days after this notice is given.
Disposal by purchase
The Secured Party proposes to dispose of the collateral by purchasing it in accordance Yes No
with section 129 of the PPSA.
N15(P)0813 Page 3 of 4Important Information for recipient of notice
You may object to the Secured Party's proposal to dispose of the collateral by purchase under section 137 of the PPSA
by giving the Secured Party a notice of objection before the end of the day stated in part 3. The notice of objection
must be sent to the Secured Party's address stated in part 1. The giving of notice identifier, if provided, is to be
included in any notice to the Secured Party.
A person, other than the grantor, who gives a Secured Party a notice of objection, may, in accordance with section 138
of the PPSA, be requested by the Secured Party to provide proof of that person's interest. The person who made the
objection must provide proof of the interest within 10 business days after the request is made.
If the Secured Party named in part 1 receives a notice of objection by the end of the day in part 3, it must dispose the
collateral in accordance with section 128 of the PPSA.
The period stated in part 3 may be extended by order of a court under section 293 of the PPSA.
Before the Secured Party retains or disposes of the collateral, a person may be able to reinstate the security agreement
pursuant to section 143 of the PPSA.
Unless agreed otherwise, before the Secured Party disposes of the collateral, a person with a security interest in the
collateral or the grantor, may be able to redeem the collateral pursuant to section 142 of the PPSA.
Note: The grantor's right to redeem the collateral has priority over any other person's right to redeem the collateral.
You may wish to obtain professional advice about this notice.
Print name:
Organisation (if applicable):
Position/Capacity (if applicable):
Signature:
Date:
Additional Notes: (i) The notice requirements under section 130 of the PPSA are taken to be complied with if the
requirements of section 102 of the National Credit Code have been complied with in the
appropriate circumstances.
(ii) If sending this notice to another Secured Party the GONI in respect of that party's registration
should be included with this notice.
National Service Centre, GPO Box 1944, Adelaide SA 5001
TELEPHONE 1300 007 777
EMAIL forms@ppsr.gov.au
For further information on the PPSR concepts and definitions please go to the PPSR website at www.pprs.gov.au or contact the National Service Centre.
N15(P)0813 Page 4 of 4FOR MORE
INFORMATION
NOTICE OF INTENTION please visit:
ppsr.gov.au
TO DISPOSE OF COLLATERAL or call
1300 007 777
Personal Property Securities Act 2009 (Cth) (PPSA) section 130
Section 1: Secured Party Details
If the security interest has been registered, the address must a) Does the applicant have a business identifier/
be the same as the address for service in the registration: registration number?
Individual (including sole trader) Organisation No (Go to Part B if answer is no) Y
es
Given name/s A
RSN A
RBN ACN
Number:
Family name
b) Organisational identifier type:
If the applicant is a partnership, body politic, or a trust
Organisation name with an ABN, please include the number
Partnership Body Politic Trust
ABN:
Phone
Email c) Other:
If neither a) or b) is applicable, fill in organisation name
according to the requirement set out in Personal Properties
Securities Regulations 2010
Mailing address Organisation name
The Secured Party has seized the collateral:
(provide details)
City
The details of the collateral should match the description
provided in the security agreement that created the
security interest in the property.
State Grantor Name: (if relevant)
Postcode Serial Number: (if relevant)
N15(P)0721
Country
page 1 of 3Notice of Intention to Dispose of Collateral
Description of Collateral: Collateral is subject to a security interest that
(Complete those applicable)
a) was created arises or provided for in the security
agreement dated on:
b) if perfected, was perfected on date; and
c) if perfected by registration, the registration number,
which relates to the security interest in the Accession is:
Section 2: Giving of notice identifier (GONI)
Note: Insert N/A if not applicable.
The Secured Party’s GONI specified in the registration is:
N15(P)0721
page 2 of 3Notice of Intention to Dispose of Collateral
Section 3: Information A person, other than the grantor, who gives a Secured Party
(Complete those applicable) a notice of objection, may, in accordance with section 138
of the PPSA, be requested by the Secured Party to provide
As at the date of this notice, the proof of that person’s interest. The person who made
the objection must provide proof of the interest within
a) amount of arrears due under the security agreement is:
10 business days after the request is made.
If the Secured Party named in part 1 receives a notice of
objection by the end of the day in part 3, it must dispose
b) amount of the Secured Party’s expenses of seizing the collateral in accordance with section 128 of the PPSA.
the collateral:
The period stated in part 3 may be extended by order
of a court under section 293 of the PPSA.
Before the Secured Party retains or disposes of the
c) total amount due (amount of arrears (a) + Secured Party collateral, a person may be able to reinstate the security
expenses (b); agreement pursuant to section 143 of the PPSA.
Unless agreed otherwise, before the Secured Party
disposes of the collateral, a person with a security interest
in the collateral or the grantor, may be able to redeem
d) details of any other default, including unperformed the collateral pursuant to section 142 of the PPSA.
obligations, under the security agreement are:
Note: The grantor’s right to redeem the collateral has priority
over any other person’s right to redeem the collateral.
You may wish to obtain professional advice about this notice.
Name
Organisation (if applicable)
Position/Capacity (if applicable)
Signature
Section 4: Disposal Details
The Secured Party intends to dispose of the collateral
unless the obligation, or amount secured by it as stated
in part 3 is performed or paid on or before:
Date
Note: Unless the recipient of this notice has given written
notice specifying a shorter period, the date must be at Additional Notes:
least 10 business days after this notice is given. The notice requirements under section 130 of the PPSA are
taken to be complied with if the requirements of section
Disposal by purchase
102 of the National Credit Code have been complied with
The Secured Party proposes to dispose of the collateral by in the appropriate circumstances. (ii)If sending this notice to
purchasing it in accordance with section 129 of the PPSA. another Secured Party the GONI in respect of that party’s
registrationshould be included with this notice.
Y
es No
Important information for recipient of notice
You may object to the Secured Party’s proposal to dispose AFSA contact information:
of the collateral by purchase under section 137 of the PPSA
Phone: 1300 007 777
by giving the Secured Party a notice of objection before
Email: enquiries@ppsr.gov.au
the end of the day stated in part 3. The notice of objection
must be sent to the Secured Party’s address stated in part 1. For further information on the PPSR concepts
The giving of notice identifier, if provided, is to be included and definitions please go to the PPSR website at
N15(P)0721
in any notice to the Secured Party. ppsr.gov.au or contact the AFSA Service Centre.
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