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VEHICLE FINANCE PROPOSAL FORM – PERSONAL

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  2. VEHICLE FINANCE PROPOSAL FORM – PERSONAL

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1Personal Details
2Address Details
3Employment + Income Details
4Use of Your Info + Signature

PERSONAL DETAILS

Title
First Name
Surname
Date of Birth
DD slash MM slash YYYY
Marital Status
No. of Dependents
Mobile
Home Telephone
Email

ADDRESS DETAILS

Current Address
Post Code
Residential Status
Have you lived in your property for less than 3 years?
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DD slash MM slash YYYY
Previous Address 1 (if less than 3 years)
Post Code
Date Moved In
Date moved in
Date Moved Out
Date moved out

Previous Address 2 (if less than 3 years)
Post Code
Date Moved In
Date moved in
Date Moved Out
Date moved out

Previous Address 3 (if less than 3 years)
Post Code
Date Moved In
Date moved in
Date Moved Out
Date moved out

EMPLOYMENT DETAILS

Current Occupation
Employer’s Name
Employment Type
Work Telephone
Work Email
Business Address
Post Code

INCOME DETAILS

Monthly Income (after tax): Please provide your monthly net income after any taxes or deductions (take home pay)
Please include any other sources of income, such as benefits or other financial support, alongside your main income. This helps us get a complete understanding of your financial situation. Thank you.
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Current Employer Start Date
DD slash MM slash YYYY
Have you been employed at your current job for less than 3 years?*
See Previous Address
Employers name
Previous Employer’s Address 1 (if less than 3 years)
Post Code
Date Left
Date started
Date Left
Date left
Employers name
Previous Employer’s Address 2 (if less than 3 years)
Post Code
Date Left
Date started
Date Left
Date left

Employers name
Previous Employer’s Address 3 (if less than 3 years)
Post Code
Date Left
Date started
Date Left
Date left

VEHICLE REQUIRED

Make/Model or Type of Vehicle Required
Application Notes

USE OF YOUR INFORMATION

In considering your enquiry we may search your record at a credit reference agency. They may add to your record details of our search and your enquiry and this will be seen by other organisations carrying out later searches. It is important that you give us accurate information. We may check your details with fraud prevention agencies and if you give us false or inaccurate information and we suspect fraud we will record this. We and other organisations may use and search these records to help make decisions about credit and credit related services, for you and members of your household; trace debtors, recover debt, prevent fraud, and to arrange your accounts or insurance policies; check your identity to prevent money laundering unless your furnish us with other satisfactory proof of identity. You have a right, on payment of fee, to receive a copy of the information we hold about you if you wish to apply to us in writing. We may pass on your details to other companies to send information about the product.
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SIGNATURES

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Date

Lease Car Credit Limited t/a LCC Capital, Heath End, Petworth, GU28 0JG Lease Car Credit Limited is registered in England & Wales No: 9656258, VAT No: 247 2633 04

Lease Car Credit Limited is authorised & regulated by the Financial Conduct Authority No: 724459

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