Proposal | Lease4Less

Personal Details

Title*

Firstname* {{ errors.firstname }}

Middlename {{ errors.middlename }}

Lastname* {{ errors.lastname }}

Landline Number* {{ errors.telephoneNumber }}

Mobile Number* {{ errors.mobileNumber }}

Email* {{ errors.email }}

Date Of Birth*

Nationality*

Marital Status*

Dependents*

Credit / Store Cards Held*

Driving Licence

Current Address

Postcode* {{ errors.currentAddress.postcode }}

House Number

Street* {{ errors.currentAddress.street }}

Town/City* {{ errors.currentAddress.town }}

County* {{ errors.currentAddress.county }}

Property Status*

From Date*

Previous Address {{ index + 1 }}

Postcode* {{ addressError(index, 'postcode') }}

House Number

Street* {{ addressError(index, 'street') }}

Town/City* {{ addressError(index, 'city') }}

County* {{ addressError(index, 'county') }}

Property Status*

From Date*

Income / Expenditure

Income

Monthly Net Salary* {{ errors.netSalary }}

Gross Annual Salary* {{ errors.grossSalary }}

Partner Monthly Net Salary

Other Net Income (Self Only)

Details (please confirm where Other Income is acquired from)

Monthly Expenditure - Include only what you are responsible for

Mortgage/Rent* {{ errors.mortgage }}

Utility Bills* {{ errors.bills }}

Loans

Other Expenses

Partner Expenses

Credit Cards* {{ errors.creditCards }}

Insurance* {{ errors.insurance }}

Child Care / Education* {{ errors.childCare }}

Pension Contributions* {{ errors.pension }}

Food & Drink* {{ errors.foodAndDrink }}

Telephone, TV & Broadband* {{ errors.broadband }}

Travel* {{ errors.travel }}

Council Tax {{ errors.councilTax }}

Car Finance* {{ errors.carFinance }}

Additional Notes

Will this agreement replace the existing car finance payment or car rental payment listed above?

Affordability

Your Income Is

£{{ Number(totalIncome()).toLocaleString(undefined, { minimumFractionDigits: 2, maximumFractionDigits: 2 }) }}

Your Outgoings Are

£{{ Number(totalOutgoings()).toLocaleString(undefined, { minimumFractionDigits: 2, maximumFractionDigits: 2 }) }}

Your Net Disposable Income Is

£{{ Number(totalIncome() - totalOutgoings()).toLocaleString(undefined, { minimumFractionDigits: 2, maximumFractionDigits: 2 }) }}

Is this vehicle affordable taking in to account service, maintenance, tyres and fully comprehensive insurance?*

As you have stated that this vehicle is not affordable taking in to account your income, expenditure and the monthly cost for the vehicle, we are sorry but we are not able to progress your application

Employment

Employer Name* {{ errors.currentEmployment.name }}

Position* {{ errors.currentEmployment.position }}

Type*

Telephone Number* {{ errors.currentEmployment.telephoneNumber }}

Address 1* {{ errors.currentEmployment.address_1 }}

Town/City* {{ errors.currentEmployment.town }}

Postcode* {{ errors.currentEmployment.postcode }}

From Date*

Previous Employment {{ index + 1 }}

Employer Name* {{ employmentError(index, 'name') }}

Position* {{ employmentError(index, 'position') }}

Type*

Telephone Number* {{ employmentError(index, 'telephoneNumber') }}

Address 1* {{ employmentError(index, 'address_1') }}

Town/City* {{ employmentError(index, 'town') }}

Postcode* {{ employmentError(index, 'postcode') }}

From Date*

Bank Details

Bank Address

Sortcode* {{ errors.sortcode }}

Bank Name* {{ errors.name }}

Account Name* {{ errors.accountName }}

Account Number* {{ errors.accountNumber }}

Postcode {{ errors.postcode }}

Street {{ errors.street }}

Town {{ errors.town }}

Date Account Opened*

Change of Circumstances

Are you aware if any of your circumstances which are likely to change during the term of the contract?
For example (but not limited to): Retirement, Redundancy, Maternity, Long Term Health Issues, Reduced Working Hours, Residence Move*

If you have answered ‘Yes’ to the above question, please provide details of what the expected change will be, the approximate date of when you believe that this may occur and what impact, if any, it may have on your ability to maintain the payments {{ errors.changeOfCircumstancesDetails }}

Treating Customers Fairly

I confirm that my needs and requirements have been fully discussed, that the finance products which are available to me have been fully explained and that I have been given the opportunity to ask any questions that I have had.*

As you have responded No to this question, we are unable to progress your application at this time. A finance agreement is a legally binding long-term financial commitment and it is essential that you fully understand what this involves. Please contact us so that we can discuss this further with you.

Marketing

I confirm that you may send me information about additional products and services that may be of interest to me by the methods indicated. Please note that you are able to opt out of receiving marketing material from us at any time. For further details please see our Privacy Policy Drop

Email

Phone

Post

SMS

Social Media

Lease4Less Finance Application Form and Credit Check

As part of your application to lease a vehicle you are required to pass a credit check.

This application form is a standard form used by our financial partners to determine your suitability for a finance agreement. The decision on whether you are approved for credit or not will be made by the Lender and not by us.

We would like to tell you how the information you provide will be used in connection with your application. Information means the information you have given us, which we pass on to our finance partners, or which they receive from their own enquiries and searches at the credit reference and fraud prevention agencies. This applies to all applicants, including directors and partners if the application is made by a limited company, partnership or an incorporated association.

Our finance partner will check your details with credit reference and fraud prevention agencies, and these agencies will record the check. They will provide the agencies with your current and previous names, address and dates of birth of all parties, so if you are providing information about others, on a joint application, you must be sure that you have their agreement. The agencies will provide them with public information about you and any third party financially linked to you. Information such as county court judgements (CCJ's) and bankruptcies, electoral register and fraud prevention information on you and your financial associates, current and previous names, addresses and dates of birth. If false or inaccurate information is provided and fraud is identified, details will be passed to fraud prevention agencies. Law enforcement agencies may access and use this information.

You should not commit to a finance agreement unless you are confident that you can afford the payments for the whole of the term of the agreement.

After completing the appropriate application form, please ensure that you read and agree to the Customer Declaration and Data Protection Act notice before submitting the application. It is important that you complete all questions to enable us to process your application quickly. If you have any questions or need assistance in completing this form then call us on 0161 507 8100.

Promas Enterprises Limited T/A Lease4Less are a credit broker and not a lender, we are authorised and regulated by the Financial Conduct Authority. Registered No : 659329 Registered in England & Wales with company number : 05358394 | Registered with the Information Commissioners Office Data Protection No : Z9101038 | VAT No : 861 9881 76. Registered Office : Repeat House, Bright Road, Eccles, Manchester, Lancashire, M30 0WG

I have read and understood the Terms And Conditions

Date: 21/12/2024

Personal Details

Current Address

Previous Address {{ index + 1 }}

Income / Expenditure

Income

Monthly Expenditure - Include only what you are responsible for

Additional Notes

Affordability

Employment

Previous Employment {{ index + 1 }}

Bank Details

Bank Address

Change of Circumstances

Treating Customers Fairly

Marketing

Lease4Less Finance Application Form and Credit Check

Location

Mail