RENT TO OWN APPLICATION FORM
RENT TO OWN APPLICATION FORM
Referred by
Do you have a valid driver's license?
*
Yes
No
Vehicle your looking for ?
*
Applicant Name
*
First Name
Middle Name
Last Name
I'D Number
*
South African I'D Number
Applicant Email
Applicants Cell number
*
Alternative Cell Number
Gross Income (Before Deduction's)
*
Nett Income (payed into your account)
*
Work number (landline)
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Deposit Amount
*
Consent
I hereby consent to the Credit Provider accessing my credit profile from the credit bereaus for the purposes of a credit assessment and in the event that my loan application is successful, for ongoing account maintenance purposes, setting limits, development of credit tools/products/model and insurance purposes and where unsuccessful to Lucid for credit rehabilitation assistance
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