Secured Loan Application

Please Complete This Form As Accurately As Possoble.


STEP 1
1. Are You A Permanent UK Resident?
2. Do You Have A Regular Income?
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3. Are You A Homeowner?
(IF YOU HAVE ANSWERED YES TO ALL 3 QUESTIONS MOVE ON TO STEP 2)
STEP 2
LOAN REQUIRED

Loan Amount (£'s):

Loan Period:
Loan Purpose:
Your Home:
YOUR DETAILS
Your First Name:
Address:
Your Last Name:
Postcode:
Date Of Birth:
Time At This Address:
Phone Number:
Mobile Phone Number:
Your Email Address:
Have You Any CCJ's:
Employment Status:
Occupation:
Employers Name:
Time in Current Employment:
Years
 Months
Employers Address:
Marrital Status:
Your Partners First Name:
Your Partners Date Of Birth:
Your Last Name:
Your Partners Email Address:
MORTGAGE DETAILS
Estimated Market Value:
Amount Outstanding on Mortgage:
Mortgage Company Name:
Mortgage Account Number:
Total Arrears: (if any)
Any Other Loans Secured Against Your Property:
DATA PROTECTION

I/We agree that you or any lender to whom you submit this application, may use and disclose my data as described in the pages entitled "Data Protection" and that these pages have been read and understood.

By submitting this form you are giving us permission to carry out a credit search.

 
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