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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
*
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Please enter valid mobile number
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
*
This field is required
Model
*
This field is required
Specifications
*
This field is required
Model Year
*
This field is required
New/Used
*
New
Used
Serial / VIN number
*
This field is required
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)
*
This field is required
Please enter valid amount
Cash Deposit
*
This field is required
Please enter valid amount
Part Exchange
*
This field is required
Please enter valid amount
Amount of Finance to Settle
*
This field is required
Please enter valid amount
Term of Finance (in months)
*
Select Term
36
48
60
72
84
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Total Amount of Credit
*
This field is required
Please enter valid amount
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
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First Name
*
This field is required
Initials are not allowed
Surname
*
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Previous Name (if any)
Marital Status
*
--Please Select--
Single
Married
Co-Habiting
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Dependents
*
This field is required
Please enter valid number of dependents
Date of Birth
*
This field is required
Please enter valid date of birth
Email
*
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Please enter valid email address
Retype Email Again
*
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Email and confirm email should be same
Mobile Phone
*
This field is required
Please enter valid mobile phone
Home Phone
Please enter valid home phone
House No./Name
*
This field is required
Street
Town
*
This field is required
Postcode
*
This field is required
Please enter valid post code
Residential Status
*
--Please Select--
Tenant
Home Owner
Living with Family
Other
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Time at Address (in years)
*
This field is required
Please enter valid number of years since your are living at current address
Add Previous Address (if less than 3 years at current)
Previous Address
House No./Name
*
Street
Town
*
Postcode
*
Please enter valid post code
Residential Status
*
--Please Select--
Tenant
Home Owner
Living with Family
Other
Time at Address (in years)
*
Please enter valid number of years since your are living at current address
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Current Employment
Employment Type
*
--Please Select--
Employed
Self Employed
Retired
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Permanant/Temporary
*
--Please Select--
Permanant
Temporary
This field is required
FullTime/PartTime
*
--Please Select--
Full Time
Part Time
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Term of Employment (in years)
*
Please enter valid number of years since your are working at current location
Occupation
*
Annual Income
*
Please enter valid 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)
Please enter valid number of years since your are working at current location
Occupation
Annual Income
Please enter valid annual Income
Employer
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Financial Details
Gross Annual Income (employment, pension, etc.) (£)
*
This field is required
Please enter valid amount
Your share of Mortgage or Rent (monthly) (£)
*
This field is required
Please enter valid amount
Any other material expenses (school fees, maintenance, etc.) (£)
*
This field is required
Please enter valid amount
Will this finance replace an existing finance loan?
*
Yes
No
This field is required
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
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Monthly Income (£)
*
Please provide your monthly income, for example 1400.
This field is required
Please enter valid amount
Monthly Outgoings (£)
*
Please provide your monthly expenses/outgoings, for example 1400.
This field is required
Please enter valid amount
Bank Account Name
*
This field is required
Account Number
*
This field is required
Please enter valid account number
Minimum 8 characters required
Sort Code
*
This field is required
Please enter valid sort code
Minimum 6 characters required
Please acknowledge you understand we will advise your park of your application.
Please accept the terms
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.
Please accept the terms
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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.
Please accept the terms
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