Your details

First Name

Last Name

Telephone number

E-mail address

Vehicle registration plate

Details of your leasing contract

When does the lease contract ends? i

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• Your lease will end within two months
• You want to end your lease early

How much distance will you have driven with the car? i

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• The car will have less than 120 000 km on the clock.
• The car will have more than 120 000 km on the clock.

Who will take over the car?

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• You will purchase the car in your own name.
• You will purchase the car in the name of a company.

Who will take over the car?

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• You will purchase the car in the name of a company. It is not possible to purchase it in your own name.

Name of the company through which you are purchasing the car

Company number

Estimated mileage when purchased.

Requested date of purchase

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