Loan Application Form

LOAN APPLICATION FORM

SECTION 01 | THE VEHICLE

Model of Vehicle

Registration Number

What is the reg of the vehicle?

Amount of Vehicle?

How much is the vehicle listed for?

Deposit Value

How much deposit are you able to place?

Monthly Payment

What would be the maximum limit of your monthly payments?

Do you have a vehicle to part-ex?

Yes

No

Model of Vehicle

If you answered YES please tell us the make and reg of the vehicle.

Registration Number

What is the reg of the vehicle?

Mileage

What is the mileage of the vehicle?

What Condition is the part-ex vehicle?

Excellent, Good, OK etc.

SECTION 02 | ABOUT YOU

Name

Email

Phone

Date of Birth

Address

Have you been at this address for more then 3 years?

Yes

No

If you answered NO please provide your previous address

Marital Status

Married

Civil Partnership

Single

SECTION 03 | YOUR BANK

How many years have you been with your bank?

1

2

3

4

5

5 +

Account Number

Sort Code

SECTION 04 | YOUR HOME

What is your homeowner status

I own my own home

I am currently renting

SECTION 05 | EMPLOYMENT

What is your current employment status?

Employed

Self-employed

Unemployed

Receiving benefits

Name of employer (If applicable)

Address of employer (If applicable)

Yearly income (after tax)

SECTION 06 | TERMS & CONDITIONS

The information you supply will be held by WMA Motors Ltd and will be passed on to third party finance companies on your behalf in order to review your eligibility for finance.

I have read and agree to these terms

Agree

Disagree

Signature

Clear