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FINANCE PROPOSAL FORM - PRIVATE INDIVIDUAL
PERSONAL DETAILS
Name of Hirer
Title
Address
Postcode
How long at this address?
 Years Months
Ownership Type:
 Owner: Tenant: LWP: Other:
Status:
 Single: Married: Separated: Other:
Previous Address:
Previous Postcode
Date of Birth
Home Tel
Email
Mobile
EMPLOYERS DETAILS
Employers Name
Occupation
Employers Address
Postcode
How long at this company
 Years Months
Employers Tel
PREVIOUS EMPLOYERS DETAILS
Previous Employers Name
(if with current employer for less than 3 years)
Previous Occupation:
Previous Employers Address:
Previous Employers Postcode:
How long at previous company:
 Years Months
Previous Employers Tel:
VEHICLE DETAILS
Vehicle make and model:
Registration No:
Registration Date:
Derivative
V.I.N
Type of car:
 From UK Import
Current Mileage:
Annual Mileage:
REG Number:
FINANCE DETAILS
Finance Product:
GAP:
Yes No
CPI (Type):
Cash Price(£):
VAT:
OTR:
Deposit Cash(£):
Deposit P/Ex(£):
Total Deposit(£):
Balance(£):
Period:
Rate:
Instalment:
Balloon:
GFV:
Mileage Per Annum:
BANK DETAILS
Bank Name:
Branch:
Account No:
Sort Code:
Time at Bank:
 Years Months
   
Finance being settled:
 Yes No
Finance Company:
Agreement Reg No:
Date (DD/MM/YYYY):
CUSTOMER DECLARATION

The information that you have provided on this form may be passed on to one or more lenders, who may conduct a search of your record held with one or more credit reference agencies. Because you make this application through a credit broker, credit checks may appear on your credit file lodged by organisations with whom you have not dealt with directly. These agencies will record details of these searches, which may be seen by other Lenders when assessing applications from you and members of your household in the future. Lenders will cross check information with other Lenders to prevent fraud and may also use this information for statistical, marketing purposes and debtor tracing. You have the right to receive a copy of the information a Lender/Agency holds about you if you apply to them in writing and pay a fee. It is important that the information you give in connection with this application is true, accurate and is a full disclosure of all relevant information. By signing below you confirm that your details on this application are correct and consent to the use of your information for the above purposes. Your details will be stored for marketing purposes. If you do not wish us to contact you, please advise us in writing at the above address. Calls may be recorded for training purposes.

I have read and agree to the above

 

* Indicates Mandatory Fields