Novated Lease Transfer Application

SECTION 1 - APPLICANT INFORMATION

Name *

Vehicle registration *

Current address *

Date of birth *

Mobile *

Work Phone

Home Email *

Work email *

SECTION 2 - EMPLOYMENT INFORMATION

New Employer *

New Employer's Contact Name *

New Employer Contact Number *

New Employer Contact Email *

Position *

Start Date *

Annual Income *

Pay Cycle *

SECTION 3 - KILOMETRES

Estimated km's/year *

Current Odometer Reading *

SECTION 4 - VEHICLE MAINTENANCE DETAILS

When is your registration due next? *

When is your service next due; List the date and/or km's it is due *

Would you like Alliance Leasing Insurance? *

YesNo

* GT Insurance Application Form can be found here -

When are your tyres due for replacement; list the date and/or km's they are due *

If no, please advise monthly cost of your comprehensive insurance

SECTION 5 - VEHICLE DESCRIPTION

*Please be as specific as possible in describing your vehicle details

Vehicle Make *

Model *

Badge/Series *

Vehicle Built Year *

Transmission *

Fuel Type *

Engine Size *

Engine # *

Vehicle Colour *

VIN Number *

SECTION 6 - FINANCE DETAILS

Financier *

Account Name *

Contract/Account # *

Original Term in Months *

Start Date *

Residual Date *

Rental Due Date *

Amount Financed *

Residual Value (inc GST) *

Monthly Rental (incl GST) *

Document Checklist

Please note that the following will be required to be attached for your application to be assessed.

Current early termination figure/payout figure *

Payout Figure Amount *

Copy of Finance Agreement
*Please contact us if you do not have a copy of your agrrement

Upload copy of Finance Agreement

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Current Comprehensive Insurance Policy

Upload copy of Current Insurance Policy

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GT Insurance Application Form (if applicable)
*Found under our Insurance Forms

Upload copy of GT Insurance Application Form

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Declaration

I understand that all running costs and finance payments are my responsibility until Alliance Leasing has finalised transfer of my novated lease. I confirm that I have completed and submitted all required documents and have read and understood the information provided. *

SIGNATURE *

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DATE *