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Vehicle Details
Please complete this form as accurately and completely as possible. Incorrect information may result in your application being refused.
Make*
Model*
Price*
Company Details
Trading Name*
Company Type*
Number of Principals
VAT Reg. Number
Company Reg. Number
Core Activity
Date Established*

Day
Month
Year
Trading Address*
Street Address Address Line 2 City ZIP / Postal Code Country
Property Status*
Contact Details
Primary Contact*
Job Title*
Mobile Number*
Direct Line
Switchboard
Fax Number
Email*
Website
Principal Directors / Partner Details:
Director / Partner 1
Full Name*
Date of Birth*

Day
Month
Year
Marital Status*
Current Address*
Street Address Address Line 2 City ZIP / Postal Code Country
Current Residential Status*
Date Moved In*
Previous Address (if less than 5 years at current address)*
Street Address Address Line 2 City ZIP / Postal Code Country
Date Moved In*
Add another Director / Partner?
- Yes
Director / Partner 2
Full Name*
Date of Birth*

Day
Month
Year
Marital Status*
Current Address*
Street Address Address Line 2 City ZIP / Postal Code Country
Current Residential Status*
Date Moved In*
Previous Address (if less than 5 years at current address)*
Street Address Address Line 2 City ZIP / Postal Code Country
Date Moved In*
Bank Details
Bank Name*
Year Account Opened
Account Holder Name*
Account Number*
Sort Code*
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Income
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Monthly Salary (before tax)
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Overtime (annual)
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Car Allowance
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Other Income
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Total Income
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Outgoings
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Mortgage/Rent
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Car/Other Loans
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Utility Bills
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Credit Cards
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Credit Card Providers (Please list)
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Total Outgoings
Declaration
Terms of Service*
- I understand
GlazingVans4U is NOT acting as a credit broker. The decision whether this application is approved or not is made by the Finance Company. As a credit intermediary, GlazingVans4U may be paid a commission for the introduction of business on signature of the agreement. When submitting this proposal to us, you agree that the Finance Company will check your company, directors and partner details with credit reference agencies who will keep a record of that check. This information may be used for credit assessment and fraud prevention by other lenders in assessing future submissions from the named applicants. You agree that GlazingVans4U may contact you from time to time for marketing and GDPR purposes. Your personal information will never be sold to a 3rd party. Declaration: When submit this form, you declare that you understand and agree to this Information Notice and that you are authorised to provide the information required.