Form cover
Page 1 of 2

Rent-to-Own OAP

Application for Vehicle Rent To Own/ In-house Finance

https://storage.tally.so/75175f20-f067-457b-bfb7-d5760de23b7f/1000098990.jpg
Please complete the Affordability Application form for an out-of-auction purchase. Feedback usually takes 60 minutes-180 minutes for our head office to respond swiftly
I hereby confirm the Following:

I hereby confirm the Following:

I hereby confirm the Following:
A
B
C
D
E

Full Names

Identity Number/Passport

Gender

Phone Number

WhatsApp Number

Work Number (if Employed/ Self Employed)

Marital Status:

Email Address

Residential Address

Province:

Postal Code:

Are you Bonded, Bond Free or Tenant? Please choose

Period staying at current address?

Employer Name (if Employed)

Occupation (if Employed/Self Employed)

Employment Type

Industrial Type

If self employed please state your company name:

Is your company registered (Not Compulsory)

Is your company registered (Not Compulsory)

Employer Address

Province:

Postal Code:

Period at Employer:

Salary Payment date (if Employed)

Gross Income:

Net Income

Other Income (Please Specify):

Rent/ Bond payment:

Vehicle Installment (If Settling)

Personal loan (If owing)

Credit Card (If owing)

Furniture Account (If owing)

Clothing Account (If owing)

Policy / Insurance (If owing)

Monthly transport cost:

Food/Entertainment monthly costs

Household expenses per month:

Next of Kin - Spouses, Close Relative, Adopted Family Member, Guardian, Partner

Next of Kin Full Current Residential Address

Province

Postal Code

https://storage.tally.so/b5a79c6c-d2bc-41e6-b84f-80682791bd21/1000081762.jpg

Bank Name (Person Applying For Rent-to-Own/ in-house Finance

Bank Account Number

Bank Account Type

Bank Account Type
A
B
C
D
E
F

Do you have Trade-in vehicle?

Do you have Trade-in vehicle?
A
B

Is the vehicle still under finance?

Is the vehicle still under finance?
A
B

Do you have a deposit required for an out of auction purchase?

Do you have a deposit required for an out of auction purchase?
A
B
C

How much deposit do you have for an out of auction purchase?

First Installment Date: 1st Installment starts on 01 March 2026 - 30 March 2026

I hereby confirm that the above information is correct

I hereby confirm that the above information is correct
A
B

We require your consent to utilise this information for the application for vehicle finance and products that will be made available to you. I hereby consent to the information to be made available to credit providers. I hereby consent you to collect data from the credit providers/ bureaus to verify my information given by me on the application form.

We require your consent to utilise this information for the application for vehicle finance and products that will be made available to you. I hereby consent to the information to be made available to credit providers. I hereby consent you to collect data from the credit providers/ bureaus to verify my information given by me on the application form.
A
B

Deposit Required For An Out-of-auction Purchase (Concent)

Deposit Required For An Out-of-auction Purchase (Concent)
A
B
C
D

Deposit in Investment Account( If Applicable)

Please note if your deposit is in an investment you need to put notice to your account for a withdrawal immediately. We require proof of notice to your account to be submitted before we can process your application.

Please upload proof of notice to your investment account. (It can be an image or confirmation screenshot from your bank). NB* No Application will be processed without proof of notice withdrawal confirmation by the bank)

https://storage.tally.so/fd2074f0-282f-48dd-acb2-366341dc5dce/1000081783.jpg

Please Upload Your 3 Latest Payslips Or 6 Months Bank Statement. NB* No Application will be processed without bank statement/ payslip)

Please Upload Identity Document/ Passport/ Asylum. (NB* No Application will be processed without Identification)

Please Upload Drivers License(Not Compulsory)

Selfie/ Photo Holding (Identity Document/ Drivers License/ Passport). NB* No application will be processed without Selfie FICA Verification, this is for safety and security protocols (FSP, FSCA). NB* No Application will be processed without selfie verification)

Proof that you have the deposit in your bank account, it may be a screenshot/ upload your bank statement showing proof of deposit under available balance. (NB* No application will be processed without the necessary documents/ images)

Have you ever owned a car before?

Have you ever owned a car before?
A
B
C

If yes, was is fully paid off?

If yes, was is fully paid off?
A
B
C

Do you have a vehicle in your name?

Do you have a vehicle in your name?
A
B

Traffic & Compliance History

Have you ever been issued a speeding fine or ticket?

Have you ever been issued a speeding fine or ticket?
A
B

Have you ever had outstanding e-Toll bills or parking tickets?

Have you ever had outstanding e-Toll bills or parking tickets?
A
B
C

Have you ever had your driver's license suspended or revoked?

Have you ever had your driver's license suspended or revoked?
A
B

Do you currently have a valid drivers license

Do you currently have a valid drivers license
A
B
C
https://storage.tally.so/7029aa91-713e-49b8-85b4-5a9c6f7dffde/1000081791.jpg

Rent-to-Own Vehicle Application: Compulsory Admin Fee Section for 0% deposit

This applies for 0% deposit, to proceed with a Rent-to-Own vehicle application, a once-off non-refundable admin fee of R3,940 is required "if you get approved". This fee is non-negotiable and must be available in your bank account at the time "if your application gets aproved".

Do you agree to the above terms & conditions?

Do you agree to the above terms & conditions?
A
B

This fee covers:

- Administration and application processing

- Out-of-area services (number plate re-registration for your province)

- Tracker unit installation

- Dash camera (including professional installation)

- Signing you up with a local insurance and tracking partner in your city/province

No exceptions. If you have a deposit the admin fee is included, no need to settle admin

Your application will not be processed without this proof.

Do you agree to the above terms & conditions?

Do you agree to the above terms & conditions?
A
B
C

Do you agree to the compulsory admin fee of R3,940 and understand that it is required upon approval of your application?

Do you agree to the compulsory admin fee of R3,940 and understand that it is required upon approval of your application?
A
B

Pre-Application Checklist, Please confirm the following before continuing:

Pre-Application Checklist, Please confirm the following before continuing:

Upload Proof of Funds

Upload Proof of Funds for Admin Fee:Please upload a screenshot or bank statement showing your current account balance with at least R3,940 available.This will confirm your readiness and seriousness. (NB* No application will be processed without the necessary documents/ images)

Above document/ Proof of Funds Attached above of R3 940 in your bank account under Available Balance is equivalent to R3 940.

Above document/ Proof of Funds Attached above of R3 940 in your bank account under Available Balance is equivalent to R3 940.
A
B
https://storage.tally.so/0d18c6df-be12-4a99-a453-e30dd35a42a0/1000082602.jpg
Important Final Notes

We value your trust and are committed to safe, transparent vehicle rental. This admin fee ensures you are securely

signed to a trusted tracker & insurance partner in your own city, and your vehicle is fully compliant for out-of-province usage.

Our vehicles are in demand and limited. Committed clients will always be given first priority.
https://storage.tally.so/04552187-7730-462f-9ee8-fa487c0af29c/1000081813.jpg

Do you agree to PMD Company Policy

Do you agree to PMD Company Policy
A
B

Appointment Date

If approved which method works for you best?

If approved which method works for you best?
A
B
C
https://storage.tally.so/b7ab8356-d622-42c8-aeea-660a8c547912/1000098898.jpg

Vehicle Image Upload – Important Notice

📸 Please upload a clear screenshot or image of the vehicle you want to Rent-to-Own.
This image must be from PMD Motor Auctions’ official catalogue, or verified social media platforms.

⚠️ Important:

Only vehicles listed under PMD Motor Auctions are eligible for processing.

Applications containing images from other dealers, pages, or external auctions will be automatically disqualified.

Ensure the image clearly shows the vehicle, price, and PMD branding or watermark.


✅ This helps us verify authenticity and match your application to the correct vehicle faster.

💡 Tip: You can find the latest available stock on our official platforms or request assistance from our support team before uploading.

Kindly Sign below

Signature
https://storage.tally.so/5681e3c2-6515-4c98-88eb-13182ba28eca/1000081765.jpg