Financial Form

Financial Form

First Name*

Middle Initial

Last Name*

Street Address*

City*

State*

Zip*

Preferred Email Address*

Daytime Phone Number*

Mobile*

Date of Birth*

Social Security Number (SSN)*

Employer Name*

Employer Phone*

Job Title*

Living Arrangements*

Monthly Rent/Mortgage Payment*

Length of Time at Current Address*

Length of Employment*

Annual Income*

Joint Application

Applicant Additional Income Information

Complete "Other Income" and "Source of Other Income" only if you want this income considered for repayment. Enter monthly amount. Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

Other Income Amount (Monthly)

Other Income (Source)

Please include any additional information or options that you would like

Joint Applicant Personal Information

First Name*

Middle Initial

Last Name*

Relationship to Applicant*

Street Address*

City*

State*

Zip*

Preferred Email Address*

Daytime Phone Number*

Mobile*

Date of Birth*

Social Security Number (SSN)*

Employer Name*

Employer Phone*

Job Title*

Living Arrangements*

Monthly Rent/Mortgage Payment*

Length of Time at Current Address*

Length of Employment*

Annual Income*

Joint Applicant Additional Income Information

Complete "Other Income" and "Source of Other Income" only if you want this income considered for repayment. Enter monthly amount. Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

Other Income Amount (Monthly)

Other Income (Source)

Please include any additional information or options that you would like

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Overview

Balance of 5 year or 90 000km service plan & 3 year or 100 000km warranty.We are approved Mitsubishi, Nissan, Hyundai, JAC and FAW dealers. Trade ins welcome, Trade in negotiable, Finance Available, Nationwide Delivery, License, Registration and Delivery cost excluded from price.

Price subject to inhouse financing

Dealership: 4 Wheels Lichtenburg
Carfind ID: 14360
Contact Person: Danie de Kock
Call 0186324085

Contact 4Wheels Motor Group:

2026 Mitsubishi Xpander 1.5 Auto

2026
Mitsubishi
Xpander 1.5 Auto

R365,900.00

Including VAT

Applicant Additional Income Information

Joint Applicant Personal Information

Joint Applicant Additional Income Information

2026 Mitsubishi Xpander 1.5 Auto

Description

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Lichtenburg

Mahikeng

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2026 Mitsubishi Xpander 1.5 Auto

Description

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Useful Links

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GET IN TOUCH

Lichtenburg

Mahikeng