Van Leasing.com | Apply for an account online

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Application Form


Business Name *
Business Address *
City *
County
Postcode *
Country
Business Type *
Are you VAT registered? *	Yes No
Year Established *
Work Phone Number *
Mobile Number *
Email Address *


Bank Name *
Branch Address
Town/City
Branch Postcode
Account Name *
Account Number *
Sort Code *

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We will check if your bank account type is suitable for a Direct Debit using your account number and sort code

No money will be debited from your account by direct debit until after your vehicle has been delivered.

2nd Address (Line 1)
2nd Address (Line 2)
Town/City
Postcode
How long have you been at this address?

Please give details of further addresses (if more than 2 in the last 5 years)

Is your company a partnership or limited company?
We require details for each partner or director to be added :

Add Additional Applicant

Additional Address (Line 1)
Additional Address (Line 2)
Town/City
Postcode
How long have you lived at this address?

Please give details of further addresses (if more than 2 in the last 5 years)

Is your company a partnership or limited company?
We require details for each partner or director to be added :

Add Additional Applicant

Additional Address (Line 1)
Additional Address (Line 2)
Town/City
Postcode
How long have you lived at this address?

Please give details of further addresses (if more than 2 in the last 5 years)

Is your company a partnership or limited company?
We require details for each partner or director to be added :

Add Additional Applicant

Additional Address (Line 1)
Additional Address (Line 2)
Town/City
Postcode
How long have you lived at this address?

Please give details of further addresses (if more than 2 in the last 5 years)

Have you read and understood the data protection information? *
Yes, I have read and understood the data protection information (tick box to confirm) *
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Your Business :
The details

Please enter all of the required details about your business here.

Applicant Details

Please enter the details of the main applicant here, you will have the opportunity to add additional applicant details if you are a partnership or limited company (see below).

Van Lease | Van Contract Hire | Van Leasing


Title
First Name *
Middle Name *
Last Name *
Date of Birth	/ /
Marital Status *
Home Phone Number *
Is your driving licence registered at your current home address? *	Yes No
Are you on the Electoral Roll at your current home address? *	Yes No
At your current home address, which of the following do you pay monthly for? *	Mobile Phone Contract Loan Mortgage Creditcards
In the last 60 months have you had late or missed payments on any of these accounts? *	Yes No
Are you or have you been in control of any other businesses? *	Yes No
Have you or any of your associated businesses ever been declined for credit? *	Yes No
Has your credit conduct, or that of any associated businesses led to the following (select all which apply to you) *	Debt Restructuring Agreement Defaults CCJ's Business Failure Bankruptcy None of these apply to me
Home Status *
Copy address from previous section?
Home Address *
Town/City *
County
Postcode *
Country *
How long have you lived at this address?

2nd Applicant Title
2nd Applicant First Name
2nd Applicant Middle Name
2nd Applicant Last Name
2nd Applicant Date of Birth	/ /
2nd Applicant Marital Status
2nd Applicant Home Tel.
Is your driving licence registered at you current home address	Yes No
Are you on the Electoral Roll at your current home address	Yes No
At your current home address, which of the following do you pay monthly for?	Mobile Phone Contract Loan Mortgage Creditcards
In the last 60 months have you had late or missed payments on any of these accounts	Yes No
Are you or have you ever been in control of any other businesses?	Yes No
Have you or any associated businesses ever been declined for credit	Yes No
Has your credit conduct, or that of any associated businesses led to the following (select all which apply to you)	Debt Restructuring Agreement Defaults CCJ's Business Failure Bankruptcy None of these apply to me
Home Status
Current Address (Line 1)
Current Address (Line 2)
Town/City
Postcode
How long have you been at this address?

3rd Applicant Title
3rd Applicant First Name
3rd Applicant Middle Name
3rd Applicant Last Name
3rd Applicant Date of Birth	/ /
3rd Applicant Marital Status
3rd Applicant Home Tel.
Is your driving licence registered at your current home address	Yes No
Are you on the Electoral Roll at your current home address?	Yes No
At your current home address, which of the following do you pay monthly for?	Mobile Phone Contract Loan Mortgage Creditcards
In the last 60 months have you had late or missed payments on any of these accounts?	Yes No
Are you or have you ever been in control of any other businesses?	Yes No
Have you or any associated businesses ever been declined for credit	Yes No
Has your credit conduct, or that of any associated businesses led to the following (select all which apply to you)	Debt Restructuring Agreement Defaults CCJ's Business Failure Bankruptcy None of these apply to me
Current Address (Line 1)
Current Address (Line 2)
Town/City
Postcode
How long have you lived at this address?

4th Applicant Title
4th Applicant First Name
4th Applicant Middle Name
4th Applicant Last Name
4th Applicant Date of Birth	/ /
4th Applicant Marital Status
4th Applicant Home Tel.
At your current home address, which of the following do you pay monthly for?	Mobile Phone Contract Loan Mortgage Creditcards
Is your driving licence registered at your current home address?	Yes No
Are you on the Electoral Roll at your current home address?	Yes No
In the last 60 months have you had late or missed payments on any of these accounts ?	Yes No
Are you or have you ever been in control of any other businesses?	Yes No
Have you or any associated businesses ever been declined for credit?	Yes No
Current Address (Line 1)
Current Address (Line 2)
Town/City
Postcode
How long have you lived at this address?

Application Form

Your Business :The details

Applicant Details

Your Business :
The details