"Assisted Car Purchase Scheme (Car Loan) Application Form" - Fylde Borough, Lancashire, United Kingdom
Car Purchase Scheme
Car Purchase Scheme
ASSISTED CAR PURCHASE SCHEME APPLICATION FORM
This form must be completed by the applicant and presented to the Director for approval.
Failure to disclose any of the information required on this form will result in the application being
Details of the Applicant
Surname: __________________________________ Mr. /Mrs /Miss /Ms.*
Private Address: ______________________________________________
Postcode: ____________________ Date of birth: ___________________
Post held: _____________________________________________
Pay Reference No: _____________ Department: ______________
Current Salary: £ ____________
Essential User / Casual User (circle one)
Details of the Car being purchased
Make: _______________________ Registration No: ____________________
Year of manufacture: ___________________ Cubic capacity: _____________
New* / Second hand* - enter date of first registration: ____________________
Model: ______________________________ Colour: ____________________
Recorded mileage: _____________________ Purchase price: £ ____________
Suppliers name and address: ________________________________________
Details of the loan required
A) Amount of loan required £ ___________________
For essential car users the amount of the loan must not exceed the value of the car to be
purchased less any part exchange allowance. Road fund tax must not be included in the
value of the car.
For casual car users the amount of the loan must not exceed 80% of the value of the car to
be purchased less any part exchange allowance. Road fund tax must not be included in the
value of the car.
B) Do you have a current car loan Yes / No *delete as appropriate
Applications for a car loan within two years of a previous loan being granted will be at the
discretion of the Section 151 Officer.
C) Period over which the loan is to be repaid _______________years.
A maximum loan of 5 years is allowed on a new car or a used car less than 3 years old. The
maximum loan period for all other used cars is 4 years. Please provide the name of the
vendor to which the cheque will be made payable – cheques are not paid direct to the
Name of payee: _________________________________________
I understand and hereby acknowledge that I have read and understand the conditions
contained on this application form. So far as I am aware the car the subject of my application
for a loan is not subject to any Hire Purchase or other similar arrangement at the time of
purchase. I also confirm that to the best of my knowledge the information contained in my
application is correct and true.
Signature of Applicant: _______________________________
Signature of Director: _____________________
IMPORTANT – YOU SHOULD READ THIS CAREFULLY - YOUR RIGHTS
The Consumer Credit Act 1974 covers this loan and lays down certain requirements for your
protection which must be satisfied when the loan is made. If they are not, we cannot enforce
the wording of the agreement against you without a court order.
The Act also gives you a number of rights. You have a right to repay this loan at any time by
giving notice in writing and paying off all amounts payable under the terms of the loan which
may be reduced by rebate. You also have the right to a “cooling off” period. If you
decide that you no longer require the loan you may return the cheque within 14 days
of signing the contract with no charges or penalties being incurred.
If you would like to know more about the protection and remedies provided by the Act, you
should contact either your local Trading Standards Dept or your nearest Citizens Advice