Apply For Finance

Vehicle interested in *

Are you blacklisted? *

Yes

No

Do you have a trade in? *

Yes

No

Deposit amount (Optional)

We offer no deposit finance, so a deposit is completely optional.

Where did you hear about us *

Personal Details

Full name *

Full name as written on ID

ID Number *

Gender *

Graduate *

Yes

No

Income tax number *

Telephone number (home)

Cellphone number *

Email Address *

Address *

Address

City

State/Province

Zip/Postal

How long have you lived at the above address? *

Mention years and months if applicable

Do you have a drivers license? *

Yes

No

Does your Mother or Father have a drivers license? *

Yes

No

Employment Details

Company name *

Date started at this company *

Job Title *

Pay date *

Day of the month when you get paid.

Telephone number *

Supervisor *

Company street address *

Home Ownership

Do you own property? *

Yes

No

In whose name is the property?

Bond/Rental payment per month

Current value of house

Bonded via which bank?

Marital Status

Marital Status *

Marriage Details

Date Married

Marriage contract Marriage contract

Spouse Details

Full name

Full name as written on ID

ID Number

Cellphone number

Does your spouse have a drivers license?

Yes

No

Gross Income

Net Income

Bank name

Bank account number

Spouse Employer

Work Phone

Work Addresss

Next of Kin

Nearest relative or friend in South Africa not living with you.

Relationship *

Telephone Number

First name *

Surname *

Street Address *

Personal bank details

Bank name * Bank name

Account Type *

Branch Name/Code *

Account number *

Previous vehicle finance *

Yes

No

Existing vehicle finance *

Yes

No

Bank name Bank name

Account number

Which vehicle

Installment per month

Are you going to trade the vehicle in?

Yes

No

Income

Gross Salary *

Net Salary *

Other income per month

Source of other income

Personal Expenses per month

Enter your expenses into the first box and if married your spouses' expenses into the second box.

Bond Payment / Rent

Bond Payment / Rent (Spouse)

Rates, Water, Lights

Rates, Water, Lights (Spouse)

Vehicle Instalments

(Excluding vehicles that you are trading in)

Vehicle Instalments (Spouse)

Personal Loan Repayments

Personal Loan Repayments (Spouse)

Credit Card Repayments

Credit Card Repayments (Spouse)

Furniture Accounts

Furniture Accounts (Spouse)

Clothing Accounts

Clothing Accounts (Spouse)

Overdraft Repayments

Overdraft Repayments (Spouse)

Policy / Insurance Repayments

Policy / Insurance Repayments (Spouse)

Telephone or Cellphone Payment

Telephone or Cellphone Payment (Spouse)

Transport / Travel Costs

Transport / Travel Costs (Spouse)

Education Costs (School Fees etc.)

Education Costs (Spouse)

Child Maintenance

Child Maintenance (Spouse)

Household Expenses other than food

Household Expenses other than food (Spouse)

Other

Other (Spouse)

Uploads

3 Months Payslips

Copy of ID

Proof of Address (Account or utility bill not older than three months)

License if available

Three months ank statement (Stamped)

If married – spouse payslip and copy of ID (Include licence if available)

File Uploads

Maximum upload size: 8.39MB

Privacy Disclosure and Acknowledgement Consent

I understand and acknowledge that as part of the finance application process, the financial institution/s with whom my application has been shared, may approach my primary bank to obtain additional information on my profile, in order to assist to process my application, which includes, but is not limited to information that may be required for behavioural analysis to provide product suggestions, FICA, fraud, income and affordability verification purposes.

Secure-X Bank Statements Consent (IDX)

Applicant
- I/we provide my/our express consent to the credit provider to request bank statements in respect of the bank account/s listed on the application form and process my/our personal information (as defined in the legislation) for the sole purpose of applying for vehicle/asset finance.

Spouse (If Married and you want to do combined income)
- I/we provide my/our express consent to the credit provider to request bank statements in respect of the bank account/s listed on the application form and process my/our personal information (as defined in the legislation) for the sole purpose of applying for vehicle/asset finance.

Income Verification Consent (IVX)

Applicant
- I/we provide my/our express consent to the credit provider to request my payslips in respect of the employment details on the application form and process my/our personal information (as defined in the legislation) for the sole purpose of applying for vehicle/asset finance.

Spouse (If Married and you want to do combined income)
- I/we provide my/our express consent to the credit provider to request my payslips in respect of the employment details on the application form and process my/our personal information (as defined in the legislation) for the sole purpose of applying for vehicle/asset finance.

Proof Of Residence Consent (FICA-X)

Applicant
- I/we provide my/our express consent that the Credit Provider may do automated verification checks on my/our proof of address for the sole purpose of applying for vehicle/asset finance.

Privacy Policy By sending this enquiry, you agree to be contacted by Liebenberg Auto and have your personal information processed for the purpose of this enquiry, and in doing so agree to our Privacy Policy.