Apply - Business Proposal

Please complete the form below or you can download the PDF version here

Customer Business Details

Business Type * :

Sole Trader

Partnership

Ltd Company

Business Name

Company Reg No

Company VAT No

Date Established

Address

Postcode

Property Trpe

Leasehold

Freehold

Telephone

Contact Name

Nature of Business

Previous Sole Trader

Yes

Years

Personal Details Of Director/Partner/Proprietor 1

Director Indemnity Available *

Yes

Title *

Initial *

First Name *

Last Name *

Marital Status *

Residential Status *

Telephone *

Mobile

Address *

Postcode *

Time at current address *

Previous Address *

Previous Postcode *

Time at previous address *

Personal Details Of Director/Partner/Proprietor 2

Director Indemnity Available

Yes

Title

Initial

First Name

Last Name

Marital Status

Residential Status

Telephone

Mobile

Address

Postcode

Time at current address

Previous Address

Previous Postcode

Time at previous address

Bank Details

Bank Name *

Branch Town *

Time With Bank *

Sort Code *

Account Number *

Vehicle / Asset Details

Registration Number *

Make *

Model *

Mileage *

Condition *

Specification *

Number Of Doors *

FuelType *

Chassis Number

First Registered *

Extras

Financial Details

Finance Type:

Hire Purchase

Finance Lease

Contract Hire

VAT Rate %

Cash Price (Ex VAT)

VAT Amount

RFL

Total On The Road Price

Part Exchange

Deposit Cash

Settlement

Total Deposit (Inc VAT)

Balance To Finance

Miles Per Annum

For office use

Period

Rate %

Monthly Payment

RV (if any)

Dealer Details

Dealer Name

Sales Person

Telephone

Other Information

Special Notes

We will make a search with a Credit Reference Agency, which will keep a record of that search and will share the information with other organisations that make searches. We will also add to your record with the credit reference agency details of your agreement with us, the payments you make under it and any default or faliure to keep to its terms.

We will check your details with fraud prevention agencies and if you give us false or inaccurate information we will record this.

We will check your identity to prevent money laundering.