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Cars4Expats Form

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Cars4Expats Form

Title

First Name *

Middle Name

Surname *

Date of Birth *

Address *

Address Line 2

Town *

County *

Postcode *

Property Status

How Long At Address? (Years) *

Months *

Landline Telephone Number *

Mobile Number *

Email Address *

No. of Dependants *

Marital Status *

Nationality *

Do you have a US driver's license in your current address?YesNo

Driving License Number

Employers Name *

Employers Address *

Address Line 2

Employers Town *

Employers County *

Employers Postcode *

Employers Country *

Employers Telephone *

Position Held *

Date Employment Started

Employment Status

Net Salary *

Regular Overtime *

Partner's Net Salary *

Net Car Allowance *

Additional Income *

Additional Income Type (what was the additional income for?) *

Total Income *

Mortgage/Rent *

Other Loans *

Utility Bills *

Credit Cards *

Car payments *

Other Expenditure *

Other Expenditure Type (what was the other expenditure for?) *

Total Expenditure *

Owned property value *

Credit card providers (e.g. Visa, Mastercard) *

Does this proposal replace an existing financial commitment that will be repaid as a result of this agreement? *YesNo

Have you previously been refused credit? *YesNo

How do you rate your credit? *Not SurePoorAverageGoodExcellent

Are there any anticipated changes to your personal circumstances that would result in you being unable to make repayments over the term of the finance agreement? For example: being unable to pay the full monthly instalments due to retirement, redundancy, reduction in working hours/salary, career change or change in family circumstances? *YesNo

Are there any health concerns or other issues we should know about which might affect your understanding, memory, or decision-making currently? *YesNo

Bank Name *

Account Name

Sort Code *

Account Number *

How long with the bank? (Years) *

Months *

Will you be authorising anyone else to speak to us on behalf on your account? *YesNo

If Yes, please provide their name and contact number *

Consent *

Customer Declaration - Tick here to confirm & declare the following:

I confirm that all information input into this form is true to the best of my knowledge.

Please DO NOT tick this box if you don’t agree to this declaration.

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