Finance Application – Arizona Car Sales

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014 592 1735

93 & 96 Kerk Street, Rustenburg, 0300

zaheer@arizonacarsales.co.za

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Finance Application
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Apply for Finance

Apply for Finance

Kindly fill in the form below and one of our consultants will contact you as soon as possible. Get approved in few minutes.

PERSONAL INFORMATION

Title *

First Name *

Second Name

Surname *

Email Address *

Phone Number

ID/ Passport Number *

SA Citizenship *YesNo

Country of Origin *

Marital Status *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Document Upload *

Drag and Drop (or) Choose Files

Please upload all necessary documents. Formats: JPG, PNG, PDF (Size Limit 15mb) * Valid Drivers License copy * RSA Barcoded ID copy * Proof of physical address – water/lights account * Completed e-application * Three months proof of income, e.g. pay slips

Spouse Name *

Spouse Surname *

Spouse ID *

Spouse Date of Birth

Spouse Employer *

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

RELETIVE DETAILS

Name *

Surname *

Relationship *

Phone *

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

EMPLOYMENT DETAILS

Company Name *

Employer Name & Surname *

Phone *

Employer Email Address

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Industry Type *

Occupation *

Period *

BANKING DETAILS

Bank Name *

Account Holder's Name *

Account Number *

Account Type *

Branch Code *

INCOME DETAILS

Basic Salary *

Car Allowance *

Income Other Than Salary *

Total Monthly Income *

Net take home pay *

Spouse Income *

Other income sources *

HOUSEHOLD EXPENSES

Bond Payments/Rent (R) *

Policy / Insurance Repayments (R) *

Rates & Taxes / Water & Electricity (R) *

Telephone Payments (R) *

Vehicle Installments (R) *

Transport Cost (R)

Personal Loan Repayments (R)

Food & Entertainment (R)

Credit Card Repayments (R)

Education Cost (R)

Clothing Accounts (R)

Household Expenses (R)

Medical Aid (R)

Total Monthly Expenses

I hereby confirm that:I am not a minor, a Court has never declared me mentally unfit, I am not subject to an administration order, I do not have any current application 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 quotation as envisaged in section 92 of the national act.

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