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Used Car Finance Application Form Please fill in this simple form and we will reply to you as soon as possible. 1st Applicant Details Christian Name: Surname: Previous Surname: (If changed in last year) D.O.B: Marital Status: Please Choose Married Single Divorced Common-Law Home Telephone No: Mobile No: Email Address:   * this is required for us to reply Current Address: Postcode: How Long?: Please Choose No. of Years Less than 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15+ Occupancy Type: Please Choose Owner Private Tenant Council Tenant Housing Association Parents Other Previous Address:(If less than 3 years) How Long: Please Choose No. of Years Less than 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15+ Current Employment Details Current Employer: Position/Occupation: Employers Address: Telephone No: Time in Job: Please Choose 1 month 2 months 3 months 4 months 5 months 6 months 7 months 8 months 9 months 10 months 11 months 12 months 13 months 14 months 15 months 16 months 17 months 18 months 18 months - 2 years 2 - 3 years 3 - 4 years 4 - 5 years 5 - 6 years 6 - 7 years 7 - 8 years 8 - 9 years 9 - 10 years 11 years 12 years 13 years 14 years 15+ years Computerised Payslip?: Yes   No Take Home Pay: Monthly Weekly Previous Employment Details Previous Employer: Position/Occupation: Employers Address: Telephone No: Time in Job: Please Choose 1 month 2 months 3 months 4 months 5 months 6 months 7 months 8 months 9 months 10 months 11 months 12 months 13 months 14 months 15 months 16 months 17 months 18 months 18 months - 2 years 2 - 3 years 3 - 4 years 4 - 5 years 5 - 6 years 6 - 7 years 7 - 8 years 8 - 9 years 9 - 10 years 11 years 12 years 13 years 14 years 15+ years Computerised Payslip?: Yes No Joint Applicant Details Surname: Christian Name: Previous Surname: (if changed in last year) D.O.B: Current Employer: Position/Occupation: Employers Address: Telephone No: Time in Current Job: Please Choose 1 month 2 months 3 months 4 months 5 months 6 months 7 months 8 months 9 months 10 months 11 months 12 months 13 months 14 months 15 months 16 months 17 months 18 months 18 months - 2 years 2 - 3 years 3 - 4 years 4 - 5 years 5 - 6 years 6 - 7 years 7 - 8 years 8 - 9 years 9 - 10 years 11 years 12 years 13 years 14 years 15+ years Computerised Payslip?: Yes No Take Home Pay: Monthly Weekly

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