Important Notice
a)All material facts must be disclosed as failure to do so may nullify any insurance issued (A material fact is one likely to influence assessment of this proposal).
b)If you consider that any question requires expert knowledge which you are unable to provide, indicate this in your answer.
c)The completion of this form does not bind you to any contract with the Insurers and no insurance will be in force until the proposal has been accepted by the Insurers.
Please complete details
Client Details: / Name and address of client:
Please advise the number split of newand used vehicle sales in the relevant boxes
Last Year’s Sales / This Years Expected Sales
New
Used
Totals
Please provide the percentage split of New and Used Vehicle Sales by price band inclusive of taxes.
Last Years’ Sales / Last Years’ Sales
New Vehicle Sales / Used Vehicle Sales
$0 - $5,000 / % / %
$5001 - $10,000 / % / %
$10,001 - $15,000 / % / %
$15,001 - $20,000 / % / %
$20,001 - $25,000 / % / %
$25,001 - $30,000 / % / %
$30,001 - $35,000 / % / %
$35,001 - $40,000 / % / %
$45,001 - $50,000 / % / %
$50,001 - $75,000 / % / %
$75,001 - $100,000 / % / %
$100,000 + / % / %
Total (to equal 100%) / 100% / 100%
For Used Vehicle Sales please provide the percentage split by age:
Last Years’ Sales
Age of Vehicle / Used Vehicles
1 years’ old / %
2 years’ old / %
3 years’ old / %
4 years’ old / %
5 years’ old / %
Over 5 years’ old / %
Total (to equal 100%)
Will Cover be on a mandatory or optional basis. Please insert an X in the appropriate box.
Sales Type
Mandatory
Optional
For Vehicles purchased with finance please provide the GAP sales mix by finance term (for existing GAP programmes only)
Duration of Cover / Percentage Sales Mix
12 months / %
24 months / %
36 months / %
48 months / %
60 months / %
72 months / %
84 months / %
Total (to equal 100%) / %
Please advise the actual duration of finance contracts (contracts may terminate early)
Original Scheduled Finance Term / Actual Average Duration (after early settlement) in months.
12 months
24 months
36 months
48 months
60 months
72 months
84 months
Totals
What is the average amount of excess/deductible that a customer has in place under their primary motor insurance policy?
Amount
Vehicle Sales Mix By Manufacturer
Ford / %
Jaguar / %
Mazda / %
Volvo / %
Saab / %
Daewoo/Ssang / %
Opel/Holden/Vauxhall / %
Chevrolet / %
Buick / %
Cadillac / %
Mercedes Benz / %
Chrysler / %
Jeep / %
Dodge / %
Mitsubishi / %
VW / %
Audi / %
Seat / %
Skoda / %
Fiat / %
Alfa Romeo / %
Lancia / %
Iveco / %
BMW / %
Mini / %
Honda / %
Toyota / %
Lexus / %
Peugeot / %
Citreon / %
Renault / %
Nissan / %
Dacia / %
Proton / %
Peroda / %
Hyundai / %
Kia / %
Subaru / %
Diahatsu / %
Other / %
Total (to equal 100%)
Where an early settlement penalty is imposed for early settlement of a finance agreement, please provide details of how that settlement is calculated in the box below:
Please provide details of the different types of finance contracts used for this business (e.g. Hire Purchase)
Please confirm the average deposit paid by a customer for a motor vehicle as a % of the vehicle invoice price / % Deposit
What trade journals do you refer to benchmark vehicle residuals?
Please confirm the typical APR’s applicable for motor finance contracts
Minimum APR / %
Average APR / %
Maximum APR / %
Please return this completed form to:
Name: / Contact No’s: / E-mail
Mark Standen / +44 (0)1322 556 584
+44 (0)7427 628 886 /
Mocden Insurance Services_GapFor Private Motor Vehicles QuestionnairePage1