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Home
Why Lucid Leasing
Contract Hire
Live Offers
What will it cost?
Quick Apply
Contact
Page
1
of 7
Name
First
Last
Date Of Birth
*
Current Address
*
Address line 1
Town / City
*
County
Post Code
*
How Long have you lived at your address?
Mobile Number
*
Email Address
*
Do You Have A Full UK Drivers Licence
*
Please select
Yes
No
International only
- Note we are only able to accept proposals from applications who have a FULL UK Drivers Licence.
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Vehicle Wanted
Account Manager
Please select
Website / Advert
Carla S
Michael A
Mark L
Broker #2221
Broker #2223
Broker #2225
Broker #2227
Broker #2229
Broker #2231
Broker #2233
Broker #2235
Broker #2237
Broker #2239
Broker #2241
How Would You Self Define Your Credit Status?
*
Please select
Excellent
Very Good
Average
Poor
Very Poor
Do You Have Any CCJ's?
*
Yes
No
Not sure
Do You Have Any Defaults / Missed Payments?
*
Yes
No
Not sure
Do You Own Any Property (Is It In Your Name?)
*
Yes
No
Current Living Status
*
Living With Parents
Living With Partner
Living With Partner - They Own The Property
Living On Your Own
Property Value (If Owned By You)
No Of Dependents
*
Please select
0
1
2
3
4
5
6
7+
How Long Have You Lived At Your Current Address
*
Address History (If Less Than 3 Years)
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Employers Name
*
Job Title
*
Employers Address
Address Line 1
Address Line 2
City
*
State / Province / Region
*
Postal Code
*
Country
*
Employers Telephone Number
*
Employer URL
Time In Employment
*
Take Home Monthly Pay
*
Value Of Car Allowance (PCM) - If Any
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Previous Employers Name (If Less Than 3 Years)
Previous Job Title
Previous Employers Address
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Bank Name
*
Branch Location
*
Time With Bank
*
Account Name
*
Sort Code
*
Account Number
*
Does this agreement replace an existing finance agreement?
*
Yes
No
Does this agreement replace an existing finance agreement?
*
Yes
No
N/A
Are there any expected changes in your personal circumstances that would result in you being unable to make the repayments over the term of this agreement: *
*
Yes
No
Will this vehicle be used as a family vehicle. If so, would you like us to take their income into consideration?
*
No - Personal Vehicle
Yes - Family Vehicle
Company Vehicle - N/A
Please Provide Details If Applicable
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Skip, Unless You Are Making A Company Application
Company Address
Company Registration Number
How Long Have You Been Trading
VAT Number
How Many Vehicles Do You Have In Fleet
Status Of Those Vehicles
Please select
None - N/A
Owned - Finance
Owned - Outright
Rented
Leased
Mixed
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Next
DECLARATION: I declare that the information supplied on the credit proposal is true and correct. I authorise the funder to make a credit reference search, which will be recorded by the agency. I am aware that credit scoring may be used in the decision making process. I agree that the funder can, at any time, disclose details about the application, agreement and the conduct of the account to a licensed credit agency, or HP information Plc, or introducing Dealer/Broker for the purposes of: fraud/crime prevention, tracing customers and any other legitimate purpose. I also acknowledge that the funder may refuse to enter into this agreement without stating a reason. I understand and agree that any personal details contained within this credit application may be passed to any third party as part of the process and that the details provided will not be used for any direct marketing purposes.
*
Agree
I confirm I am able to demonstrate affordability if required with Bank Statements
*
Agree
I confirm, should I be making a COMPANY application, I authorise searches to be made on my personal name
*
Agree
Where Did You Hear About Lucid Leasing?
*
Please select
Existing Customer
Facebook
Google / Bing / Yahoo
Instagram
LinkeIn
Networking Event
Other
Road Poster
Twitter
Word of Mouth
Anything You Would Like Us To Consider?
Signature
*
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