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Used Car Finance Application Form
Please fill in this simple form and we will reply to you as soon as possible.
1st Applicant Details
Christian Name:
Surname:
Previous Surname: (If changed in last year)
D.O.B:
Marital Status:
Please Choose
Married
Single
Divorced
Common-Law
Home Telephone No:
Mobile No:
Email Address:
* this is required for us to reply
Current Address:
Postcode:
How Long?:
Please Choose No. of Years
Less than 1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15+
Occupancy Type:
Please Choose
Owner
Private Tenant
Council Tenant
Housing Association
Parents
Other
Previous Address:(If less than 3 years)
How Long:
Please Choose No. of Years
Less than 1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15+
Current Employment Details
Current Employer:
Position/Occupation:
Employers Address:
Telephone No:
Time in Job:
Please Choose
1 month
2 months
3 months
4 months
5 months
6 months
7 months
8 months
9 months
10 months
11 months
12 months
13 months
14 months
15 months
16 months
17 months
18 months
18 months - 2 years
2 - 3 years
3 - 4 years
4 - 5 years
5 - 6 years
6 - 7 years
7 - 8 years
8 - 9 years
9 - 10 years
11 years
12 years
13 years
14 years
15+ years
Computerised Payslip?:
Yes
No
Take Home Pay:
Monthly
Weekly
Previous Employment Details
Previous Employer:
Position/Occupation:
Employers Address:
Telephone No:
Time in Job:
Please Choose
1 month
2 months
3 months
4 months
5 months
6 months
7 months
8 months
9 months
10 months
11 months
12 months
13 months
14 months
15 months
16 months
17 months
18 months
18 months - 2 years
2 - 3 years
3 - 4 years
4 - 5 years
5 - 6 years
6 - 7 years
7 - 8 years
8 - 9 years
9 - 10 years
11 years
12 years
13 years
14 years
15+ years
Computerised Payslip?:
Yes
No
Joint Applicant Details
Surname:
Christian Name:
Previous Surname: (if changed in last year)
D.O.B:
Current Employer:
Position/Occupation:
Employers Address:
Telephone No:
Time in Current Job:
Please Choose
1 month
2 months
3 months
4 months
5 months
6 months
7 months
8 months
9 months
10 months
11 months
12 months
13 months
14 months
15 months
16 months
17 months
18 months
18 months - 2 years
2 - 3 years
3 - 4 years
4 - 5 years
5 - 6 years
6 - 7 years
7 - 8 years
8 - 9 years
9 - 10 years
11 years
12 years
13 years
14 years
15+ years
Computerised Payslip?:
Yes
No
Take Home Pay:
Monthly
Weekly
Please Select...
Mercedes-Benz
Executive
BMW
Audi
Volkswagen
4x4
Motor Homes
Other Marques
Commercials
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