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Vehicle details

Manufacturer
Model of car or van

Personal

Name
Email
Date of birth
Marital Status
Telephone number
Mobile / 2nd contact number

Address

Current address - 5 Years history required
Years at Address
Status
Previous address (If required)
Years at Address
Status

Employment

Occupation
Employers name
Employers address
Time with employer
Previous employer (if under 3 years)
Time with employer

Income and outgoings

Monthly income after tax
Monthly amount for Mortgage / Rent
Monthly amount for loans
Monthly amount for credit cards
Monthly amount for other outgoings

Credit details

Please tick boxes that apply to your application.
County Court Judgement (CCJ)
Payment Default
Mortgage Arrears
Bankruptcy
IVA / Debt management

Bank Account

Bank Details
Name of Bank
Branch
Account name
Sort Code
Account Number
Years with Bank

Further Information

Additional info

Declaration

Your declaration
I hereby warrant that the information contained in this application is true and accurate and authorise Msg Leasing Ltd to make all enquiries to verify the Information to enable it to consider this application. I understand that the lender reserves the right to decline this application. Data Protection Act Disclosure: I am aware that a credit reference agency search will be made on me/us by the lender, that the record of the check will be kept and that the funder may monitor and record information.
Tick to accept

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