N.B Moore Cars
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N.B Moore Cars - Finance Form

ABOUT YOU SECTION

*First name:

*Surname:

*Contact phone number:

*Email address:

*Address:

*Date Of Birth:

*Time at current address:

*Years:

*Months:

Home status:
Owner
Tenant
With Parents

Marital Status:
Married
Single

*If less than 3 years at current address please complete the following section Previous address:

Previous postcode (If less than 3 years at current address):

*Time at previous address (If less than 3 years at current address)

*Years:

*Months:

EMPLOYMENT SECTION

Occupation:

Employed
Self employed

Time with employer (if applicable):
Years:

Months:

Employers name and address:

Employers postcode:

Employers phone number:

Paid:
Weekly
Fortnight
Monthly

Net income per Month/Fortnight/Week* period depending on previous question:

Which bank do you use?:

How long have you been with them

Years:

Months:

What credit cards do you currently hold (EG. Visa & Mastercard)

If less than 3 years with you current employer please complete the following section

Previous occupation:

Previous employers name and address:

Time with previous employer

Years:

Months:

Make

Model

Petrol
Diesel
LPG

Transmission
Manual
Automatic

Type (EG 4x4, Convertible, Estate)

Maximum mileage considered

Colour likes:

Colour dislikes:

What is your estimated monthly budget

How would you like to be contacted:
Email
Phone
Post

When would you like to be contacted:

Time:

Date:

Please note:
Whenever possible we will endeavour to contact you at this time and date.