Finance

Vehicle Finance Application


Purchase Price
Additional Surcharges
Deposit
Balloon Payment
Interest Rate
Period
 
Principal Financed   
Esitmated Monthly Installment Repayments  
Final Balloon Payment  
Total Repayments  
Total Finance Cost  
Terms and Conditions

The finance calculator is a form of loan simulator and is NOT AN OFFER by Rola Motors Mitsubishi, its management, employees, representatives, agents or affiliates of any kind. It is provided to you for information and convenience purposes only and does not constitute financial advice in any form or manner. It is a guide only, which is based on certain assumptions and approximations, and we do not guarantee the accuracy of any information thereof. Rola Motors Mitsubishi, its management, employees, representatives, agents or affiliates DO NOT ACCEPT RESPONSIBILITY for any errors or omissions whatsoever in relation to the finance calculator, and DO NOT ACCEPT LIABILITY for any loss, damage, inconvenience experienced or otherwise, caused in respect of any reliance on the finance calculator or information on this website. The finance calculator will not pre-qualify you for any loan programs whatsoever.

Actual instalments on loans obtained with financial institutions will vary depending on: the current prime interest rate; the financial institution’s variables; the type, condition and age of the vehicle; your credit rating with the financial institution concerned; the respective initiation fees; and the time period between the effective date of the loan and the first instalment payable. Please note that you should seek appropriate financial advice before concluding any loan agreements.




Application for Installment Finance
Personal Details
Title *
Initials * Surname * ID No *
Full Names *
Dependants
Nationality *
Date Married
Home Address
Period
Tel (H) *
Cell * Fax
Tel (W) Email *
Postal Address *
Code
Previous Address *
Period *
Spouse Names
Spouse ID
Next of Kin
Relationship
Address
Tel
Bond Details
Bond Holder
Amount Outstanding
Property Value R
Instalment R /M Purchase Price
Date Purchased
Registered Renting R
Employer Details
Employer *
Occupation *
Industry Type *
Employers Address *
Tel * No of Years
Salary Date *
Previous Employer No of Years
Spouse Employer
No of Years
Tel
Occupation
Salary Details
  Own Spouse Other
Basic Monthly *(excl Car Allow)
Car Allowance
Total Salary Basic & Car Allow
Monthly Commision
Net Take Home Pay *
Income other than Salary
Sources of other income
Bank Details
Bank Name *
Branch * Branch Code *
Name of Account Holder * Account number *
Account Type *
Settle Existing Account * Account No. to settle
Household Income
Bond Payment / Rent Rates, Water & Electricity
Vehicle Installments Personal Loan Repayments
Credit Card Repayments Furniture Accounts
Clothing Accounts Overdraft Repayments
Policy / Insurance Payments Telephone Repayments
Transport Costs Food & Entertainment
Education Costs Maintenance
Household Expenses Other
Total Monthly Household Expenses *
Household Surplus / Disposable income *
Are You Currently Liable As: *
Specify Details *
If you have signed Surety or Co-Debtor Please Indicate the Full Amount Outstanding *
Vehicle Details
Make
Model
Variant
Year
Price
Mileage

I hereby give consent to the credit provider to make enquiries about my credit record with any credit agency and to obtain whatever Information on me they might require to process the application and obtain an insurance quote.

I hereby declare that all of the above information is true and correct.

Please read and fill in
Please read the text on the left and fill it in below

Personnel

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