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( Use Additional Information Section If Necessary )
Business Details
*Trading Name:
*Trading Address:
inc Town
County
Post Code
*Property Status:
Owned
Mortgaged
Rented
*Nature of Business:
*Company Reg No:
*Date Established:
*Tel No:
Fax No:
Mob No:
E-Mail:
Web Site:
Director 1:-
3 Year History Required
*Name:
*Address:
inc Town
County
Post Code
*Marital Status:
Married
Single
Divorced
Separated
Living With Partner
*Property Status:
Owned
Mortgaged
Rented
Living with Parents
*Time at Address:
No of Depend:
*Date of Birth:
Director 2:-
If Applicable
Name:
Address:
inc Town
County
Post Code
Marital Status:
Married
Single
Divorced
Separated
Living With Partner
Property Status:
Owned
Mortgaged
Rented
Living with Parents
Time at Address:
No of Depend:
Date of Birth:
Bank Details
*Bank Name:
*Address:
inc Town
County
Post Code
*Account Name:
*Account No:
*Sort Code:
*Time with Bank:
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
How did you find our website?
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Referral
What Car?
Yellow Pages
Fax Shot
Email
Other Search Engine
Other Source
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 )
sales@lease4less.org.uk
0800 988 0199