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FINANCE

Step 1: Personal Details
Title*
Forename*
Surname*
Previous Surname*
House no. / Name*
Postcode*
Street*
Town/City*
County
Time at address*	years months
Date of birth *	/ /
Contact Details
Home Telephone* (inc std)
Mobile Telephone
Work Telephone
E-mail address*
Previous address details (IF LESS THAN 5 YEARS AT CURRENT ADDRESS)
House no. / Name
Postcode
Street
Town/City
County
Time at address	years months
Marital & Residential
Marital Status:	Married
	Single
	Divorced
	Separated
	Living with partner
	Widow
	Other

Residential status:	Owner
	Mortgaged
	Council
	Tenant Unfurnished
	Tenant Furnished
	Private Tenant
	Co-Habiting
	Living with parents
	Other
Step 2: Employment Details
Occupation
Employment status	Full Time
	Part Time
	Self employed
Employers name
Time with Employer	Years Months
Annual Salary
Employer's Address Details
Building Name/Number
Postcode*
Street*
Town/City*
County
Previous Employment Details (if less than 3 years)
Occupation
Employment status	Full Time
	Part Time
	Self employed
Employers name
Time with Employer	Years Months
Annual Salary
Previous Employer's Address Details
Building Name/Number
Postcode*
Street*
Town/City*
County
Step 3: Joint Application Details (Required if under 21)
Title*
Forename*
Surname*
Previous Surname*
House no. / Name*
Postcode*
Street*
Town/City*
County
Time at address*	years months
Date of birth *	/ /
Contact Details
Home Telephone* (inc std)
Mobile Telephone
Work Telephone
E-mail address*
Previous address details (IF LESS THAN 5 YEARS AT CURRENT ADDRESS)
House no. / Name
Postcode
Street
Town/City
County
Time at address	years months
Marital & Residential
Residential status:	Owner
	Tenant
	Other
Employment Details
Occupation
Employment status	Full Time
	Part Time
	Self employed
Employers name
Time with Employer	Years Months
Annual Salary
Employer's Address Details
Building Name/Number
Postcode*
Street*
Town/City*
County
Step 4: Goods
Vehicle Make*
Vehicle Model*
Registration Number
Date of 1st. Registration	/ /
Mileage
Engine cc
Import
Extras
Purchase Price
Less Part exchange
Deposit*
Period*	12
	24
	36
	48
	60
*Please ensure all field's marked with an are completed before proceeding...**
USE OF YOUR INFORMATION The information provided in this form will be disclose to lenders for the purpose of considering this credit application. Lenders may use this information to carry out searches with credit reference agencies. A record of those searches will be kept and may be used by other lenders in assessing applications from you and members of your household for credit in the future. Lenders will cross check this information with other lenders to prevent fraud and may use the information for statistical or marketing purposes. By checking the box below, you confirm that the information given by you in connection with this application is true, accurate and represents a full disclosure of all relevant information.