Thanks to visit codestin.com
Credit goes to www.scribd.com

Scribd
Upload
123 views2 pages

Finance Application Form

The document is a vehicle finance application form that collects personal, employment, and financial details from the applicant. It includes sections for banking information, income and expenses, and consent for credit checks. The applicant must confirm their legal status regarding debt and provide a signature to validate the information provided.

Uploaded by

constance Rejoyce
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
123 views2 pages

Finance Application Form

The document is a vehicle finance application form that collects personal, employment, and financial details from the applicant. It includes sections for banking information, income and expenses, and consent for credit checks. The applicant must confirm their legal status regarding debt and provide a signature to validate the information provided.

Uploaded by

constance Rejoyce
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

1

VEHICLE FINANCE APPLICATION

Term : 48 60 72
FINANCE Wesbank ABSA MFC Standard Balloon : _____ %
Choice of bank Deposit : R ____________
Rate : Linked Fixed

Existing insurance? Outsurance Miway Indwe Other I would like Yes No


quotes please
Where would you Shortfall : Dealer Bank
prefer to place
additional cover ? Credit Life : Dealer Bank

PERSONAL ID PASSPORT
DETAILS NUMBER: NUMBER:
Title: Surname: Full names:

Marital Status: Single Married Married Divorced Widowed Date married:


A.N.C C.O.P / /
Home address: Period at address:

Yrs Mths
Postal address: Postal code: Cell nr

e-mail address:

Home Owner Owner Renting Stay with


ownership: bonded bond free relatives

Spouse : Name Surname: Contact nr:

Next of kin Name: Surname: Address: Contact nr:

Relation to client
GRADUATE Yes No
EMPLOYMENT Company: Occupation:
DETAILS:
Company Work nr: Period employed
address:
Yrs Mths

BANKING Bank Branch:


DETAILS: name:
Account holder Account Type account
name number
Cheque Savings
2

INCOME AND EXPENSES Applicant details only

GROSS INCOME

Additional income Source ?


DEDUCTIONS
NETT INCOME

EXPENSES: Bond / Rent R 7,300


Water & Lights R Included in rent
Vehicles (not to be
settled)
Personal loans R R2,300
Credit card R
Furniture accounts R
Clothing accounts R R150.00
Overdraft R
Insurance policies R R450
Telephone/ cell phone R R599
Transport cost R
Food & entertainment R
Education fees R
Child maintenance R
Household R
Any other costs R
Loans via payroll R
deduction

I confirm that:

A. I am not a minor.
B. I have never been declared mentally unfit by a court.
C. I am not subject to an Administration Order.
D. I do not have any current application pending for debt restructuring or alleviation.
E. I do not have any current debt re-arrangement in existence.
F. I have not previously applied for a debt re-arrangement.
G. I am not under sequestration.
H. I do not have applications pending for credit, nor open quotations as envisaged in section 92 of the National Credit Act.
* If any of the above is incorrect, state which and give details:

I understand that I will be liable for a monthly service fee


I hereby give consent to the Credit Provider to make enquiries about my credit record with any credit agency and to obtain
whatever information on me they might require to process the application. I also give consent to the Credit Provider to share
my payment behaviour with any credit agency.

I hereby declare that all of the above information is true and correct.

06/09/2023
Signed _____________________________________ Date ______________

You might also like