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Private Individual
Business (Sole Trader)
Limited Company
Business (Partnership)
Private Individual
( Use Additional Information Section If Necessary )
Personal Details
Title:
Mr
Mrs
Miss
Ms
*All Forenames:
*Surname:
*Date of Birth:
*Marital Status:
Married
Single
Divorced
Separated
Living With Partner
No of Dep:
*Tel No:
*E-Mail:
Current Address:-
5 Year History Required
*Address:
inc Town
County
Post Code
*Occupied Since:
*Property Type:
House
Flat
Bungalow
Other
*Status:
Owned
Mortgaged
Rented
Living with Parents
Previous Address:-
If Applicable
Address:
inc Town
County
Post Code
Occupied Since:
Property Type:
House
Flat
Bungalow
Other
Status:
Owned
Mortgaged
Rented
Living with Parents
Occupation-
5 Year History Required
*Position:
*Employers Name:
*Employers Address:
inc Town
County
Post Code
*Nature of Business:
*Tel No:
*Time with Employer:
Bank Details
*Bank Name:
*Address:
inc Town
County
Post Code
*Account Name:
*Account No:
*Sort Code:
*Time with Bank:
Salary
£0-5K
£10-15K
£20-25K
£5-10K
£15-20K
£25 +
Credit Cards
Visa
Switch
Amex
M/Card
Store card
Other
Preferred Vehicle Details
*Manufacturer:
*Model:
Extras:
Preferred Finance Details
*Period:
*Estimated Annual
Mileage:
*Initial Payment:
*Monthly Payment:
Additional Information to Support Your Application
eg: Further Address History, Further Occupation History, etc
DATA PROTECTION NOTICE
So that we may assess your application for finance, you agree that we may search the files of any licenced credit reference agency who will keep a record of that search.
If the funder enters into this agreement with you, they will declare information about you and the conduct of your account at any time to any licenced credit reference agency. This information may be used by other lenders in assessing applications for finance from you and members of your household and occasionally for fraud prevention and trading orders.
They may also disclose information about you and your conduct of this agreement at any time to any motor trader, insurance company, vehicle recovery tracing agent, lawyer, law enforcement agency, mailing agency, and our parent, associated and subsidiary companies and their respective agencies and contractors.
I confirm that the information above is true and accurate.
( * Mandatory Field )
E-mail:
sales@lease4less.org.uk
Freephone: 0800 988 0199