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Finance Application Juristic Person

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Tshepiso Motau
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48 views3 pages

Finance Application Juristic Person

Uploaded by

Tshepiso Motau
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Daimler Truck Financial Services South Africa (Pty) Ltd

JURISTIC APPLICATION FOR FINANCE

AGENT INFORMATION
Agent Name
Business Manager Tel. No. (+27) Email
Sales Executive Tel. No. (+27) Email

VEHICLE DETAILS
Vehicle Description New Used
Year Model Opening km’s *Proposed km’s p.a.
*km’s p.a. not applicable on all financial products

FINANCE DETAILS
Finance Product Option Finance Product Option Rate Type Option Finance Term (Months)
Instalment Sale *Contract Purchase Variable Balloon Yes No
Finance Lease *Operating Lease Fixed Interest Rate

*These financial products not are available for passenger cars

ENTITY AND CONTACT DETAILS


Private Company Public Company Close Corporation Partnership Trust
No. of Shareholders No. of Directors No. of Partners No. of Trustees
Registered Business Name
Trading Name Registration No.
Holding Company Name
Vat No. Income Tax No. No. of years in Business
Financial year end DD/MM Nature of Business
Contact person Details
Name and Surname
Tel. No. (+27) Cell phone No.
Email
Authorised signatory (the person who will sign the contract on behalf of the Legal entity)
Name/s and Surname
Cell phone no. Income Tax No.
Email

ADDRESS INFORMATION
Physical Address Postal Address
Years and current Address Same as Physical Address Yes No

Area Code Postal Code


BANKING DETAILS
Bank Name Branch Name
Branch Code Cheque Account Savings Account
Account Holder’s Name Account No.

PROPERTY
Does the Business own property? Yes No Is the property bonded? Yes No
Property Value Monthly instalment Outstanding balance

VEHICLE FINANCE HISTORY


Monthly
Finance House Status of vehicle finance
Instalment
Paid up Current To be settled Agility Return
Paid up Current To be settled Agility Return

MEMBERS/DIRECTORS/PARTNERS/TRUSTEES
Full Name & Surname I.D. No./Passport No. Personal Income Tax Ref. No. % Shareholding

FINANCIAL INFORMATION
INCOME STATEMENT
Total Revenue Investment Income
Cost of Sales Investment Expenses
Gross Profit Ordinary Income
Operating Income Extra Ordinary Income
Operating Expenses Income before Taxes
Operating Profit Taxes
Proposed Income Net Income
BALANCE SHEET
Fixed Assets Current Liabilities
Intangible Assets Long Term Liabilities
Total Assets Subordinated Debt
Net Asset Value Total Liabilities

COMPANY REPRESENTATIVE
Name/s Surname
Relationship to customer Tel. No.

Physical Address
Area Code
SOURCE OF FUNDS
Business Income Sale of investment income
Rental Income Sale of motor vehicle income
Investment income Sale of property income
Inheritance
Other (specify)
I hereby declare that all the above information is true and correct and supplied to the best of my knowledge Yes No

DECLARATION AND PERMISSION


On behalf of the Legal Entity, I confirm that I – (Please tick the appropriate box)
A. I am duly authorised on behalf of the Legal entity to sign this application. Yes No
B. The Legal entity is not subject to an Administration Order Yes No
C. The Legal entity does not have any current application pending for debt restructuring or alleviation. Yes No
D. The Legal entity does not have any current debt rearrangement in existence. Yes No
E. The Legal entity has not ever previously applied for a debt rearrangement. Yes No
F. The Legal entity does not have any applications (other than this vehicle) pending for credit or do not
Yes No
have any open quotations as envisaged in Section 92 of the National Credit Act.
G. The Legal Entity further agree and consent that the said information provided herein, may be used for
credit assessment, including searching the files of a credit agency, which will keep a record of the
search whether or not credit is granted. In addition, transactional information relating to the conduct of
this agreement (if granted) will be disclosed periodically to credit reference agencies, including the
National Loan Register for purpose of making future credit decisions, fraud prevention or tracing Yes No
debtors. Details of this agreement may also be disclosed to the TransUnion Auto for the protection of
our interest and prevention of fraud. I/We hereby consent to the disclosure of all personal information
as contemplated in the Electronic Communications and Transactions Act 25 of 2002.

_____________________________________________________ ______________________________
Applicant Signature Date

(who warrants that’ s/he is duly Authorised on behalf of the Legal Entity)

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