Finance Application
After filling the details click on the SUBMIT button.
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indicates required fields
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Full Name:
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Address:
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Nature of Business:
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Date Business Established:
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Drivers Licence No:
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Licence Expiry date:
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Directors Full Names, Addresses, Date of Birth:
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Business Phone Number(s):
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Private Phone Number(s):
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Email address:
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Description of Goods & Equipments:
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New or Used:
New
Secondhand
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Cost price:
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Supplier(s):
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Lease term:
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Monthly rentals:
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Residual:
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Banker:
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Account Name/No:
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Phone(s):
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Credit references (Trade):
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Lease/HP Credit references:
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Your Home:
Owning
Buying
Renting
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Term of residence & Value of home:
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Name of agent (if renting):
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Mortgage with:
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Balance owing:
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Accountant:
After filling the details click on the SUBMIT button.
Website updated June 28, 2010
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