2012 Fiat 500 1.4 Lounge

R115,000.00

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PERSONAL DETAILS:

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BOND DETAILS:

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EMPLOYER DETAILS:

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BANK DETAILS:

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TRADE REFERENCE:

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ETHNIC GROUP:

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PERSONAL APPLICATION:

Salary Details: (Own) R

Salary Details: (Spouse) R

Basic Monthly (Excl. Car Allowance): (Own) R

Basic Monthly (Excl. Car Allowance): (Spouse) R

Car Allowance: (Own) R

Car Allowance: (Spouse) R

Total Salary (Basic + Car) (Own) R

Total Salary (Basic + Car) (Spouse) R

Monthly Commission (Own) R

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Income other than Salary/Wages ** (Own) R

Income other than Salary/Wages ** (Spouse) R

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Sources of other Income ** (Spouse) R

Total Monthly Household Income
(Net Salary & Other) R

HOUSEHOLD EXPENSES PER MONTH:

Bond Repayment / Rent R

Rates, Water & Electricity R

Vehicle (Excluding those to be settled) R

Personal Loan Repayments R

Credit Card Repayments R

Furniture Account Repayments R

Clothing Account Repayments R

Overdraft Account Repayments R

Policy / Insurance repayments R

Telephone Account Repayments R

Transport cost Payments R

Food & Entertainment Budget R

Education Cost Payments R

Maintenance & Repair Payments R

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Are you currently Liable as:

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If you have signed Surety or Co-Debtor, Please indicate the full amount Outstanding R

I Confirm that:

A. I am not a minor.
B. I have never been declared mentally unfit by a court.
C. I am not subject to an administration order.
D. I do not have any current application pending for debt restructuring or alleviation.
E. I do not have any current debt re-arrangement in existence.
F. I have not previously applied for a debt re-arrangement.
G. I am not under sequestration.
H. I do not have applications pending for credit, nor open quotations as envisaged in section 92 of the National Credit Act.

I. If any of the above is incorrect, give details:

DECLARATION BY CLIENT:

* I hereby grant the Credit Provider the right to communicate with me through any electronic/written media or verbally in order to make available to me, their product offering.

YESNO

* I hereby grant the Credit Provider the right to increase my Credit Limit once every year to accommodate any Value Added Products needed and requested by me.

YESNO

* 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. I also give consent to the Credit Provider to share my payment behavior with any credit agency.

YESNO

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Features & Options
General Information
Vehicle Location

ABS
Airbags
Airconditioner
Alarm
Aux input
Bluetooth
Electric Windows
Fog lights
Full Service History
Multi Function Steering
Panoramic sunroof
Radio with cd
Tinted windows
Trip Computer

2012 Fiat 500 1.4 Lounge, 78 000km with full service history at Fiat, white with grey cloth interior, panoramic sunroof, fog lights, tinted windows, multi-function steering, aircon, radio with cd, electric windows, power steering, central locking, light on fuel, excellent condition.
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2012 Fiat 500 1.4 Lounge

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