Partnerships Proposal Form

Business Details

Trading Name:

Nature of Business:

VAT Registration Number:

Date Established:

Address:

Post Code:

Telephone Number:

Email:

Fax Number:

Bank Details

Bank Name:

Branch Name:

Name of Account:

Sort Code:

Account Number:

Bank Address:

Bank Post Code:

Partner Personal Details.

	Partner 1	Partner 2
Title	Title, Partner 1:	Title, Partner 2:
Full Name	Full Name, Partner 1:	Full Name, Partner 2:
Address	Address, Partner 1:	Address, Partner 2:
Post Code	Post Code, Partner 1:	Post Code, Partner 2:
Time at Address (years & months)	Time at Address (years & months), Partner 1:	Time at Address (years & months), Partner 2:
Property Status	Property Status, Partner 1:	Property Status, Partner 2:
Marital Status	Marital Status, Partner 1:	Marital Status, Partner 2:
Date of Birth	Date of Birth, Partner 1:	Date of Birth, Partner 2:

Finance Details

Vehicle Price incl. VAT:

Period:

Annual Mileage:

Initial Payment:

No. of Subsequent:

Initial Payment:

Residual Value:

Vehicle Details

Manufacturer:

Model:

Derivative:

Extras:

Age Category:

Registration:

Mileage:

DATA PROTECTION NOTICE:

1. So that we may assess your application for finance, you agree that we may search the files of any licensed credit reference agency who will keep a record of that search. 2. If the funder enters into this agreement with you, they will disclose information about you and the conduct of your account at any time to any licensed credit reference agency. This information may be used by other lenders in assessing applications for finance from you and members of your household and occasionally for fraud prevention and tracing orders. 3. They may also disclose information about you and your conduct of this agreement at any time to any motor trader, insurance company, vehicle recovery tracing agent, lawyer, law enforcement agency, mailing agency and our parent, associated and subsidiary companies and their respective agents and contractors. 4. I confirm that the information above is true and accurate:

Name of Person Completing the Form:

Date:

Name of Person Completing the Form:

Date: