Finance Application Form
Q. Have you had any problems relating to not getting finance?*
(This question must be answered in order for you to proceed with the finance application)
Yes
No
Our finance specialists are able to give finance to people who ordinarily wouldn't be able to get it, whether it's because of a bad credit rating or because you are self employed or a member of the armed forces. No matter what your situation we are usually able to help.
The Applicant
Title:*
Miss
Mrs
Ms
Mr
Surname:*
First Name(s):*
Email:*
Marital Status:*
Married
Single
Divorced
Common Law
Date of Birth:*
DD
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MM
01
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YYYY
1931
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1981
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1988
Address:*
Telephone Number:*
Mobile Number:
Accommodation
Occupancy Type:*
Owner
Private Tenant
Council Tenant
Housing Association
Parents
Other
How long have you lived in your present location?*
Years
0
1
2
3
4
5
6
7
8
9
10
10+
Months
-
0
1
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11
Previous address:*
(if less than 3years at present address)
How long did you live in your previous location?*
Years
0
1
2
3
4
5
6
7
8
9
10
10+
Months
-
0
1
2
3
4
5
6
7
8
9
10
11
12
Employment/ Income
Take Home Pay:*
Monthly
Weekly
Computerised Wage Slip:*
Current Employer:*
Occupation:*
Employer's Address:*
Telephone Number:*
How long have you worked for this employer?
Years
0
1
2
3
4
5
6
7
8
9
10
10+
Months
-
0
1
2
3
4
5
6
7
8
9
10
11
12
Previous Employers:*
(if less than 3yrs at current employer)
Previous Occupation:*
Previous Employer's Address:*
How long did you work for this employer?
Years
0
1
2
3
4
5
6
7
8
9
10
10+
Finance Details
Finance Regarding:*
Approx. Vehicle Value:*
General Enquiry
Audi, A6, Blue, £6850
BMW, 3 Series, Black, £8750
BMW, 3 Series, Black, £8750
BMW, 3 Series, Aluminium/silver, £7000
BMW, 3 Series, Aluminium/silver, £6000
BMW, 3 Series, Black, £9850
BMW, X5, Green, £13750
Citroen, Xsara, Aluminium/silver, £5000
Daewoo, Tacuma, Aluminium/silver, £4500
Fiat, Punto, Blue, £2750
Fiat, Punto, Blue, £3850
Ford, Galaxy, Black, £7500
Ford, Mondeo, Blue, £5900
Honda, Jazz, Aluminium/silver, £6000
Hyundai, Tucson, Blue, £6750
Jaguar, S-Type, Blue, £13599
Jaguar, S-Type, Beige/buff, £15000
Jaguar, X-Type, Green, £7450
Jaguar, X-Type, Blue, £8750
Jaguar, X-Type, Black, £10750
Jaguar, X-Type, Green, £7000
Mercedes-Benz, C Class, Aluminium/silver, £8772
Mercedes-Benz, CLK, Blue, £7000
Mercedes-Benz, E Class, Aluminium/silver, £13750
Mercedes-Benz, M Class, Aluminium/silver, £7000
Nissan, Patrol, Green, £8850
Nissan, Primera, Aluminium/silver, £4000
Nissan, X Trail, Red, £6250
Peugeot, 307, Green, £5000
Peugeot, 307, Green, £6000
Renault, Megane, Red, £5000
Renault, Megane, Blue, £4150
Rolls-Royce, Corniche, Gold, £22000
Rover, 75, Blue, £2998
Rover, 75, Aluminium/silver, £5000
Saab, 9-3, Grey, £5000
Saab, 9-5, Black, £7850
Skoda, Superb, Beige/buff, £7000
Vauxhall, Omega, Aluminium/silver, £3994
Vauxhall, Vectra, Blue, £6000
Vauxhall, Vectra, Aluminium/silver, £6688
Volkswagen, Golf, Black, £8500
Volkswagen, Golf, Black, £6943
Volkswagen, Passat, Blue, £7000
Volvo, S60, Red, £10000
Volvo, V50, Black, £7850
Volvo, V70, Red, £9350
Volvo, V70, Red, £10000
Term of Finance:*
Years
1
2
3
4
5
Payment Protection:*
Bank Name:*
Period With Bank:*
Years
0
1
2
3
4
5
6
7
8
9
10
10+
Months
-
0
1
2
3
4
5
6
7
8
9
10
11
12
Deposit:
£
Cash/P'EX
Data Protection Notice 1998
In considering your application we will search your record at a credit reference agency. They will add to your record details of our search and your application and this will be seen by other organisations carrying out later searches. It is important that you give us accurate information. We will check your details with fraud prevention agencies and if you give us false or inaccurate information and we suspect fraud we will record this. We and other organisations may use and search these records to help make decisions about credit and credit related services, for you and members of your household; trace debtors, recover debt, prevent fraud, and to arrange your accounts or insurance policies; check your identity to prevent money laundering unless you furnish us with other satisfactory proof of identity. You have a right, on payment of fee, to receive a copy of the information we hold about you if you apply to us in writing. We may pass on your details to other companies to send information about the product.
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