Grey – Page 5 – SMG Toyota Hillcrest

Vehicle

Post ID

Total Price

Vehicle Link

Vehicle CMS ID

DP & Sales Managers Emails

Type of Application

Individual Applicant

Sole Proprietor

Surety/Co-Debtor

3 Months Bank Statements*

Max. file size: 128 MB.

Proof of Address*

Max. file size: 128 MB.

Identity Document*

Max. file size: 128 MB.

Payslip*

Max. file size: 128 MB.

CK Documents*

Max. file size: 128 MB.

Financials*

Max. file size: 128 MB.

Proxy Letter*

Max. file size: 128 MB.

Directors ID*

Max. file size: 128 MB.

Personal Information

Date of Birth

Gender*

Male

Female

Title

Surname*

First Names*

No. of Dependants*

Ethnic Group*

Marital Satus*

Graduate*

Yes

No

Spouse Name*

Spouse ID*

Contract*

ANC

COP

Outside SA

Tribal Law

Nationality*

South African

Other

Date Married*

Country of Residence*

Permit Type*

Permit No.*

Permit Expiry Date*

Trading as/ Name

Tax No.

Vat No.

Contacts

Cell No.*

Home No.

Fax No.

Contract Information

Email

SMS

Normal Post

Contract Documentation (e.g Statements)*

Email

Normal Post

Email*

Statement Frequency*

Quarterly

Bimonthly

Residential

Present Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Period at Address

Years*

Months*

Previous Address*

Same as present

Other

Previous Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Period at Address

Years

Months

Postal Address*

Same as present

Other

Postal Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Type of House*

House

Flat

Townhouse

Farm

Plot

Caravan/Mobile home

Boarding house/Hostel/Hotel

Residential Status*

Owner

Renter

Living with Family

Other

Registered Owner*

Self

Spouse

Both

Other

Home Status*

Bonded

Bond free

Leased

Year purchased*

Current Value*

Purchase Price*

Balance Owing*

Rent / Bond Payment*

ERF Number*

Bondholder Name*

If a flexi/access bond, total facility granted?

Next of Kin not living with you

Name*

Relationship*

Phone No.*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Employment

Employment Status*

Present Employer*

Present Employer Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone No.*

Occupation*

Industry*

Time with Employer

Years*

Months*

Previous Employer*

Same as current

Other

Previous Employer*

Previous Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Time with Employer

Years

Months

Spouse Employer*

Spouse Employer Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Time with Employer

Years

Months

Banking

Bank (for Debit Order)

Account Type

Account Number

Branch Name

Branch Code

Account Holder Name

(if appl) Overdraft Bal:

Limit

No. of Credit Card(s)

Cr Facility Bal: Straight

Budget

Cr Facility Limit: Straight

Budget

Finance Account Number (1)

To settle

Yes

No

Finance Account Number (2)

To settle

Yes

No

Other Bank

Bank Name

Account Type

Account Number

Branch Name

Branch Code

To settle

Yes

No

Number of Long Term Loans

Long Term Loans Balance

Income

Income per month

Gross Remuneration

Monthly Commission (3 month avg)

Car Allowance included in Gross

Net Take-home Pay

Income other than Salary/Wages

Source of income

Total Monthly Income

Applicant's Disposable Income

Day Remuneration Received

Spouse Salary

Currently liable as

Surety

Guarantor

Co-debtor

Spouse Salary

Household Expenses per month:

Bond Payment / Rent

Rates, Water and Electricity

Vehicle Instalments (excluding those to be settled)

Personal Loan Repayments

Credit Card Repayments

Furniture Accounts

Clothing Accounts

Overdraft Repayments

Policy/Insurance Repayments

Telephone Payment

Transport Costs

Food and Entertainment

Education Costs

Maintenance

Household Expenses

Total Monthly Expenses

Other

Confirmation

I confirm that:

I am not a minor.
I have never been declared mentally unfit by a court.
I am not subject to an Administration Order.
I do not have any current application/s pending for debt restructuring or alleviation.
I do not have any current debt re-arrangement in existence.
I have not previously applied for a debt re-arrangement.
I am not under sequestration.
I do not have applications pending for credit, nor open quotations as envisaged in section 92 of the National Credit Act.

If any of the above is incorrect, state which and give details:

We will not disclose any personal information to any unauthorised party outside of the BMW Group Companies

In order to provide outstanding service to you, we would like your consent to share your details within the BMW Group Companies and dealerships. Do you give your consent?

Yes

No

In order for us to improve our service to you, would you like to be included in BMW Group Company surveys and telemarketing?

Yes

No

BMW Group Companies and dealerships may offer exclusive deals to our customers. Would you like to be included in these offers?

Yes

No

BMW Financial Services consistently reviews our product offerings to ensure that we are able to fulfill your financing needs. Would you like to be informed about new products?

Yes

No

Confirmation*

I understand that I will be liable for a monthly service fee. I hereby consent to the relevant Credit Provider making enquiries regarding my credit history with any credit bureau. I consent to the relevant Credit Provider reporting the conclusion of any credit agreement with me to the National Loans Register in compliance with the relevant Credit Provider's obligation under the National Credit Act. I hereby declare that the information provided by me is true and correct.

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Toyota Hilux 2.8GD-6 Double Cab Raider auto

Primary Color

Personal Information

Contacts

Residential

Period at Address

Period at Address

Next of Kin not living with you

Employment

Time with Employer

Time with Employer

Time with Employer

Banking

Other Bank

Income

Income per month

Household Expenses per month:

Confirmation

Toyota Hilux 2.8GD-6 Double Cab Raider auto

Primary Color

Finance Application

Personal Information

Contacts

Residential

Period at Address

Period at Address

Next of Kin not living with you

Employment

Time with Employer

Time with Employer

Time with Employer

Banking

Other Bank

Income

Income per month

Household Expenses per month:

Confirmation

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