TransACTdirect - Easy Private to Private Vehicle Transactions

Facilitating Safe & Secure Motor Vehicle Transactions

Call Centre 0861-0861-55

Finance Application Form

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Please fill in all fields marked BOLD

Marital Status
Marriage Type
Marriage Date
Number of Dependents
Details of Spouse:
Title
Initials
First Name(s)
Surname
Gender
Birthdate (yyyy-mm-dd)
ID Number
Email Address	@
Mobile Number (Numeric Only)
Work Number
Home Number
Details of Relative (Next of Kin)
The relationship of the Relative to the Client
Title
Initials
First Name(s)
Surname
Gender
Birthdate (yyyy-mm-dd)
ID Number
Email Address	@
Mobile Number (Numeric Only)
Work Number
Home Number
Relative Address	An Address is required.

Residential Status
Home Address	An Address is required.
Date when you moved into this address
Your Previous Physical Address
Approximate Date of previous address
Is your Postal Address the same as your Physicall Address
Postal Address
Bond Holder
Bond at Which bank
House Purchase Price	R .00
House Purchase Date
House Current Value	R .00
House Bond Balance	R .00

Employer
Employee Number
Employment Status
Employment Start Date
Employment Address
Previous Employer
Estimated Start Date at Previous Employer
Previous Employment Address
Industry
Occupation
Occupation Level
Basic Salary	R .00
Source of Funds
Commission	R .00
Over Time	R .00
Car Allowance	R .00
Other Income	R .00
Other Allowance	R .00
Total Income	R .00
Vehicle Repayments	R .00
Insurance Payments	R .00
Municipal Payments	R .00
Bond or Rent Payments	R .00
Credit Card Payments	R .00
Furniture Account Payments	R .00
Clothing Account Payments	R .00
Overdraft Payments	R .00
Telephone Payments	R .00
Transport Costs	R .00
Food and Entertainment Costs	R .00
Education Costs	R .00
Child Maintenance	R .00
Household Expenses	R .00
Total Tax and Salary Deductions	R .00
Loan Repayments	R .00
Other Payments	R .00
Total Expenses	R .00
The nett take home on the payslip	R .00

Account Holder Name
Bank Name
Type of Bank Account
Account Number
Branch Code
How will payments be made
The day of the month payment will be made
Number of months the client wishes to finance the vehicle for
Is the interest rate linked to the prime interest rate or is it a set rate.
Deposit Value	R .00
Residual Value	R .00
Residual Percentage
Day the salary is paid

Seller Name
Seller Email Address	@
Seller Tel Contact
Manufacturer
Model
Select Model Variant
Mead & McGrouther Code
Selling Price	R .00
Vehicle Use
Vehicle Type
Registration Number
The current odometer reading
First registration date (can be in the future for NEW vehicles)
Full Service History
Is there Manufacturer Warranty applicable
Is there a service or maintenance plan
Gearlock
Immobiliser
Tracking Device

Have you been declared Insolvent?
Are you under Debt Review?
Do you have Debt Rearrangement?
Are you under Administration?
Have you recieved a sequestration order?
Consent to credit checking
Consent to share details within a company
Consent to share details amongst partners
Consent to receive marketing information from company
Consent to check whether the client is under credit rehabilitation
Had insurance before

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