Business Finance Application Please fill in the aplication and we will contact you shortly. Company Finance Application APPLICATION TYPE:Type of organisation - Select -Close CorporationCompanyTrustCC / Company / Trust Name Trading as Name Registration Number Transaction Type- Select -Instalment SaleLeaseLanguage Preference Number of Years in business .MEMBERS DETAILS Full Name ID Number % Share (if applicable)Full Name ID Number % Share (if applicable)Full Name ID Number % Share (if applicable)Full Name ID Number % Share (if applicable)Full Name ID Number % Share (if applicable)ADDRESS DETAILS:Time at the current address.Address Line 1Address Line 2CityCodeEmailTelephone MobileHow long have you been in your current address? Postal Address same as Physical Yes NoPostal AddressPO BoxSuburb ProvincePostal CodePreviousNextBANKING DETAILS Account Type- Select -ChequeSavingsBank Name:Branch Code: Account No.:Account Holders Name : Name of Auditors: Contact PersonContact Number Annual Turnover Net Asset Value Overdraft Limit: PreviousNextPROPERTY OWNERSHIPDoes the CC / Company / Trust own Property ? - Select -YesNoBond Amount OutstandingPurchase Price Current Value Bond Holder PreviousNextEXISTING AND / OR PREVIOUS VEHICLE FINANCE ACCOUNTSACCOUNT 1Credit Provider Name:Account Number:Installment Per Month: Is this account still open?- Select -YesNoAccount to be settled as part of this transaction?- Select -YesNoACCOUNT 2Credit Provider Name:Account Number:Installment Per Month: Is this account still open?- Select -YesNoAccount to be settled as part of this transaction?- Select -YesNoPreviousNextTRANSACTION DETAILS Vehicle Make Vehicle ModelYear Model Sales Person Dealer Name Dealer Contact Number Purpose of Goods- Select -PrivateBusinessCommerceTaxiProposed RateType of Rate- Select -LinkedFixedSelling Price (INCL VAT)ExtrasService and Delivery CostLicense & Registration CostsInitiation Fees to be financed - Select -YesLESS Deposit amount Total Amount PreviousNext I/We the undersigned hereby authorise this Credit Provider to contact my/our Bankers and/or auditors and I/we authorise my/our bankers/auditors to disclose to this Credit Provider, details and copies of my/our accounts and financial statements. I/We the undersigned hereby consent to this Credit Provider making enquiries regarding my/our credit history with any credit bureau. The Bankers/Auditors may disclose confidential information regarding my/our accounts and financial position to this Credit provider and provide them with copies of my/our financial statements. I/We do not have applications pending for credit, nor open quotations as envisaged in section 92 of the National Credit Act. I/We confirm herewith that I/We are duly authorised to consent to the above. I consent to have this website store my submitted information so they can respond to my inquiry Previous Submit Form
