Business Application Form - Vehicle Refinance Hub | Vehicle Re-Finance Specialists

Business Application Form

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Welcome

🔒 Please answer truthfully and to the best of your knowledge — any false declarations may impact your eligibility or delay your application.

This form is for REGISTERED ENTITIES (Pty Ltd, CC, Trusts, Partnerships, etc.). If you are a Sole Proprietor, please use our Personal Application Form instead.

Pre-screening Declarations

Please confirm each of the following before continuing:

I confirm the following (please tick ALL items to proceed):

All information I provide is true and correct to the best of my knowledge

I am duly authorised to sign this application on behalf of the business

The business is solvent and not financially distressed

The business has not resolved to commence business rescue proceedings

The business's Articles / MOI comply with the Companies Act 71 of 2008

The vehicle to be refinanced is roadworthy

I have a valid SA ID and Driver's Licence, and am in possession of the originals

I am not under sequestration or debt review

I am not a minor and have never been declared mentally unfit by court

I consent to a credit check being conducted for the purpose of this application

I consent to my bank statements being obtained electronically for the purpose of this application

I consent to my details being verified with the appropriate parties

I have read and agree to the VRH Privacy Policy

Business Identity

Tell us about your registered business entity.

Business Legal Name

Trading Name

Business Type

Registration Number

Country of Registration

VAT Registered

Yes

VAT Number

Registered Taxpayer

Yes

Income Tax Number

Tax Obligations Outside South Africa

Yes

Is the entity incorporated or does it have a place of effective management outside South Africa?

Yes

Province of Main Operations

Nature of Business / Main Activity

Holding Company Name

Holding Company Registration Number

Industry & Financial Profile

Tell us about your business activity and monthly financials.

Input Sector of Industry

Industry Type

Time in Business (Years)

Time in Business (Months)

Monthly Income

Company Expenses

Source of Income

Business Addresses

Provide your business's physical and postal addresses.

Physical Address

Address Line 1

Address Line 2

City

Province

Postal code

Country

Is your postal address the same as your physical address?

Yes

Postal Address

Address Line 1

Address Line 2

City

State

Postal Code

Is your registered address different from your physical address?

Yes

Registered address

Business Property

Tell us about any property owned or occupied by the business.

Does the business own property?

Yes

Type of Ownership

Owned (Bond Free)

Owned (Bonded)

Current Property Value

Bond Balance Outstanding

Finance Institution (Bond Holder)

Do you have additional properties registered in the business name?

Yes

Property 2 Value

Additional Property — Finance Institution

Business Banking

Provide your business's primary banking details.

Account type

Banking Details

Account Number

Account Holder's Name

Overdraft Limit

Year

Turnover

Total Liabilities

Total Assets

Nett Profit

Business Contact / Representative

Who is the authorised representative completing this application, and who are the directors, members, trustees or partners of the business?

Title

First Name

Surname

Contact Number

Email Address

Number of Directors / Members / Trustees / Partners

Directors / Members / Trustees / Partners

Full Names	Surname	ID Number	%Stake

Vehicle details — already captured on your Personal Application Form

Vehicle information (make, model, year, engine, VIN, kilometres, condition) is collected on our Personal Application Form.

Please make sure you have completed the Personal Application Form first, using the same vehicle you're refinancing through this business application.

👉 Complete the Personal Application Form

Already done it? Great — continue to the next step.

Declaration by Applicant

I/We hereby warrant that:

I/we am/are duly authorised to sign this application on behalf of the business submitting the application;
The business is solvent;
The business is not financially distressed;
The directors/members/partners/trustees of the business have not resolved to commence business rescue proceedings;
No steps in anticipation of business rescue proceedings have been taken or have been threatened by any party, whether related to the business or not; and
There are no provisions in the company's Articles of Association/Memorandum of Incorporation that conflicts with the Companies Act, 71 of 2008.

I/We hereby declare that all the above information is true and correct.

Date / Time

Name

Surname

Designation