Finance Commission - Lloyd Ltd Admin

Please complete the following form to submit your finance commission form.

Step 1 of 4

CUSTOMER DETAILS
Customer Name:
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Account Number:
Mobile Number:
Home Phone:
Work Phone:
Personal Email:
Work Email:

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INTERNAL
Stock Number:
Equipment Bought:
Branch:*
Unique Reference:
Sales Specialist:
Other Staff Member (if not in list):
Area:*
Date of Entry:
DD slash MM slash YYYY
Scheme Deal:*
Date Commission Received:
Date Released to Wages:
Notes:
Complete:
Regulated:

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PROPOSAL
Provider:
Other provider:
Decision:
Proposal Sent:
DD slash MM slash YYYY
Decision Received:
DD slash MM slash YYYY
Finance Start:*
DD slash MM slash YYYY
Finance End:*
DD slash MM slash YYYY
Term/Profile:
Monthly Cost:

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FINANCIALS
RRP:
Cost ex VAT:
Part-Exchange:
Settlement:
Balance:
Document Fee:
Customer Deposit:
Subsidy:
Amount Financed:
Residual Value:
Balloon Payment:
APR:
COMMISSIONS
Commission:
Manager Commission:
Additional commission amount due:
Reason for additional commission:

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Any problems?

Please contact Sue Colling on 07708 053224 or sue.colling@lloyd.ltd.uk