Settle to Buy

Settle to Buy Application

Please make sure you enter the information at each stage when filling out this form. Once complete, click submit to send your form.

Section 1: Personal Details

Full Name (required) *

Email Address (required) *

Date of Birth

Phone Number

Permanent UK Citizen?

On Electoral Roll?

NI Number

Mobile

Section 2: Home & Address Details

Address

Time At Address

Home Status

Landlord's Name

Landlord's Tel

Do you have a mortgage?

Missed any rent/mortgage payments?

How many dependants

Do you have a driveway?

Do you have off street parking?

Do you pay child support to CSA or other?

Section 3: Occupation & Licensing

Main Occupation

Licensing Authority

Are You Planning To Move?

Settle Driver?

How Long For?

Badge No

Section 4: Financial Background

Have you had finance previously?

Do you have any outstanding finance?

Are You Behind In Payment?

Been Declared Bankrupt?

Are You Involved In Any Debt Management Scheme?

Ever Been Refused Finance?

Section 5: Part Exchange

Do You Want To Part Exchange Your Vehicle?

Is Mileage Guaranteed?

Section 6: Vehicle Requirements

What vehicle are you looking for?

What vehicle do you currently drive?

Do you have a deposit?

Would you require a deposit builder scheme?

Section 7: Driver Profile

Which Describes You Best?

Are You A Full Time Driver?

Section 8: Insurance & Driving History

Do You Want Insurance Provided?

I have been driving a vehicle since:

I have been a taxi driver since:

Are you a full time / part time driver:

How many points do you have on your driving licence?

Driving Licence Number:

Insurance Policy Number:

Last insurance provider:

Any accidents, faults or non-faults in the last 5 years:

Accident Details

Any criminal convictions?

Criminal Convictions Details

Any medical conditions notifiable to DVLA?

Medical Condition Details

Any motoring convictions in the last 5 years?

Motoring Conviction Details

Section 9: Final Details

Have You Ever Been Refused Insurance?

Preferred Method Of Payment?

I confirm that all information submitted is correct to the best of my knowledge? *

Declaration

I herewith declare that I have given all my past insurance, criminal, medical and driving history including any accidents, fault or non-fault, in the past 5 years. I do understand that any information or history missed for the Car 'n' Cab Care Limited annual policy which is broken down to weekly payments may result in me, as a driver under the policy, being responsible for any costs in the event of a claim against me, if I am at fault and if there have been any non-disclosed facts. All information given is true and correct to the best of my knowledge. I agree to the terms of cover provided by Car 'n' Cab Care Limited and ultimately the insurer.

I agree to the above information *

For marketing purposes do you consent to receiving emails, texts etc (I agree)

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