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Please Complete Hire Purchase Application Form
Select Park
Goods Details
Goods Information
Applicant Details
Employment Details
Financial Details
Loan Details
Park Information
Enter Mobile No
*
Send OTP
An OTP will be sent to your mobile which will be required to proceed in the next step.
Description of Goods being Purchased
Goods Information
Make
*
Model
*
Specifications
*
Model Year
*
New/Used
*
New
Used
Serial / VIN number
*
Select if you are exchanging your current goods
Description of Goods in Part Exchange
Make
Model
Specifications
Model Year
New/Used
New
Used
Serial / VIN number
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Total Cash Price (inc VAT)
*
Cash Deposit
*
Part Exchange
*
Amount of Finance to Settle
*
Term of Finance (in months)
*
Select Term
36
48
60
72
84
Total Amount of Credit
*
Please check the amount in
‘Total Amount of Credit’
is the figure you are applying for finance for
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Borrower Details
Title
*
Select Title
Mr
Mrs
Miss
Dr
Ms
Prof
Lady
Sir
Rev
Lord
Mx
Mx (gender neutral)
Prince
Princess
Master
Dame
Captain
Colonel
Count
Countess
Canon
First Name
*
Surname
*
Previous Name (if any)
Marital Status
*
--Please Select--
Single
Married
Co-Habiting
Dependents
*
Date of Birth
*
Email
*
Retype Email Again
*
Mobile Phone
*
Home Phone
House No./Name
*
Street
Town
*
Postcode
*
Residential Status
*
--Please Select--
Tenant
Home Owner
Living with Family
Other
Time at Address (in years)
*
Add Previous Address (if less than 3 years at current)
Previous Address
House No./Name
*
Street
Town
*
Postcode
*
Residential Status
*
--Please Select--
Tenant
Home Owner
Living with Family
Other
Time at Address (in years)
*
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Current Employment
Employment Type
*
--Please Select--
Employed
Self Employed
Retired
Permanant/Temporary
*
--Please Select--
Permanant
Temporary
FullTime/PartTime
*
--Please Select--
Full Time
Part Time
Term of Employment (in years)
*
Occupation
*
Annual Income
*
Employer
*
Add Previous Employent (if less than 3 years at current)
Previous Employment
Employment Type
--Please Select--
Employed
Self Employed
Permanant/Temporary
--Please Select--
Permanant
Temporary
FullTime/PartTime
--Please Select--
Full Time
Part Time
Term of Employment (in years)
Occupation
Annual Income
Employer
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Financial Details
Gross Annual Income (employment, pension, etc.) (£)
*
Your share of Mortgage or Rent (monthly) (£)
*
Any other material expenses (school fees, maintenance, etc.) (£)
*
Will this finance replace an existing finance loan?
*
Yes
No
Are there any expected changes in your circumstances that would impact your finances/income within the term of the agreement?
*
(Career change, retirement, redundancy, reduction in working hours or change in family)
Yes
No
Monthly Income (£)
*
Please provide your monthly income, for example 1400.
Monthly Outgoings (£)
*
Please provide your monthly expenses/outgoings, for example 1400.
Bank Account Name
*
Account Number
*
Sort Code
*
Please acknowledge you understand we will advise your park of your application.
I understand that by submitting this application, Orchard Funding Ltd, will carry out a credit assessment as part of the application process. We may use a credit reference agency to do this and details of any search we make will appear on your records with them.
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Loan Details
0
No. of instalments at
£0
APR
Flat Rate
Amount of Finance (£)
Total Interest (£)
Instalment No
Payment Date
Monthly Instalment Amount
I understand that by submitting this application, Orchard Funding Ltd, will carry out a credit assessment as part of the application process. We may use a credit reference agency to do this and details of any search we make will appear on your records with them.
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