Finance Application Form

  • Finance Application Form
  • Employment Details
  • Banking Details

Contact Details


First Name

Last Name


Time at Address

Residential Status

Previous Address's if less than 3 years (3 years history required)

Marital Status

Date of Birth

Email Address

Contact Number

Preferred method of contact

Vehicle Details

Vehicle Registration

Deposit Amount (Nil deposit available)

Loan Term (Months)

Employment Details


Employment Staus

Employer Company Name

Employer Address

Time with Employer

Previous employment details if less than 3 years (3 years history required)

Anual Salary

Typical Net Monthly income (Take home)

Monthly Financial Statement

Rent/Mortgage Amount £

Loans/Credit Cards


Other Subscriptions

Banking Details

Account Number

Sort Code

Time With Bank

In Partnership With

Autolex Motors Limited is authorised and regulated by the Financial Conduct Authority (FCA) our Firm Reference Number is 796395. Autolex Motors Limited is a credit broker not a lender. We use a panel of lenders.

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All major credit/debit cards accepted

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