The Jade Motor Company The Garage, Scole, Diss, Norfolk, IP21 4DN Tel: 0844 5585 016 Email: Click Here Finance Application Form The Applicant Title:* Miss Mrs Ms Mr Surname:* First Name(s):* Email:* Marital Status:* Married Single Divorced Common Law Date of Birth:*  DD/MM/YYYY Address:* Postcode Telephone Number:* Mobile Number: Accommodation Occupancy Type:* Owner Private Tenant Council Tenant Housing Association Parents Other How long have you lived in your present location?* e.g.   4 Years 3 Months Previous address:* (if less than 3years at present address) Postcode How long did you live in your previous location?* e.g.   4 Years 3 Months Employment/ Income Take Home Pay:* Monthly Weekly Current Employer:* Occupation:* Employers Name: * Employer's Address:* Postcode Telephone Number:* How long have you worked for this employer? Years 0 1 2 3 4 5 6 7 8 9 10 10+ Months - 0 1 2 3 4 5 6 7 8 9 10 11 12 Previous Employers:* (if less than 3yrs at current employer) Previous Occupation:* Previous Employer's Address:* How long did you work for this employer? Years 0 1 2 3 4 5 6 7 8 9 10 10+ Finance Details Finance Regarding:* General Enquiry Aston Martin, V8, Grey, £24500 Chrysler, Voyager, Green, £7496 Citroen, C3, Grey, £5495 Fiat, Grande Punto, Red, £3995 Fiat, Punto, Black, £2595 Land Rover, Freelander, Aluminium/silver, £2995 Mercedes-Benz, SLK, Black, £9995 Rolls-Royce, Silver Spirit, Grey, £11995 Smart, City-Coupe, Black, £4495 Term of Finance:* Years 1 2 3 4 5 Payment Protection:* Bank Name:* Period With Bank:* Years 0 1 2 3 4 5 6 7 8 9 10 10+ Months - 0 1 2 3 4 5 6 7 8 9 10 11 12 Deposit: £ Cash/P'EX   Data Protection Notice 1998 In considering your application we will search your record at a credit reference agency. They will add to your record details of our search and your application and this will be seen by other organisations carrying out later searches. It is important that you give us accurate information. We will check your details with fraud prevention agencies and if you give us false or inaccurate information and we suspect fraud we will record this. We and other organisations may use and search these records to help make decisions about credit and credit related services, for you and members of your household; trace debtors, recover debt, prevent fraud, and to arrange your accounts or insurance policies; check your identity to prevent money laundering unless you furnish us with other satisfactory proof of identity. You have a right, on payment of fee, to receive a copy of the information we hold about you if you apply to us in writing. We may pass on your details to other companies to send information about the product. I Agree © The Jade Motor Company The Garage, Scole, Diss, Norfolk, IP21 4DN| Telephone: 0844 5585 016