Only complete this form if you have been instructed to and have completed the holding form with the arts business.

Loan application form

Please complete the application form as fully as possible. In addition to the mandatory fields, any extra information you are able to provide will assist with processing your application.

PART 1: All applicants to complete

Current residential street address

This must be a street address for contractual purposes.

Contact details

These contact details will be used to communicate with you about your COLLECT loan application.

Driver's licence

Please provide the details of an Australian driver’s licence, should you have one, as this will assist greatly with your credit check.


If self-employed or retired please complete both fields accordingly.

Next of kin

Please nominate a next of kin who is not living with you.

PART 2:  Artwork details and loan request

Artwork 1

add another artwork

Deposit and loan request

PART 3: Details of current income and commitments

Including wages, rental income and any other investments or income
Including rates, mortgage, utilities, living and leisure expenses, loans, investment expenses and any other expenses

PART 4:  Proof of identity

In order to process your application we need proof of identify and proof of address.

A driver's licence is both photo identification and proof of address. If your photo identification doesn't confirm your address, then you will also need to provide a copy of a utilities bill or rates notice.

Contact: Call Arts Tasmania on 03 6165 6666 during business hours should you have any difficulty completing or submitting this application form or for any other enquiries about the COLLECT Art Purchase Scheme.

PART 5: Declaration

I declare all the information provided is true and correct and that I am financially able to make monthly repayments within the 12 month period set, until the loan is paid in full.

By clicking the submit button below your application form will be automatically sent to Arts Tasmania for credit check and approval processes.

After you click the submit button you will see a confirmation screen indicating that your application has been submitted. If you wish to keep a record of your application you should print this copy before you close the screen.

Please complete the security check below

You will receive an email at the address provided in the application confirming receipt of your application. If you do not receive this within 24 hours, please contact and let us know as there may be a problem with the application.