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Secured Loan Application - Single

 
# =Required
Your Loan Requirements
# Purpose of Loan # Amount of Loan Required
First Applicant Details
# Title # Surname # First Name
# Mother's Maiden Name # Date of Birth (DD/MM/YY)
# Home Telephone Number Mobile Telephone Number
# Email Address # Best Time to call
# Marital Status # Number of children under 18
# Current Address-House Name or Number
# Street Name
District
# Town
County
# Postcode
# Time at Current Address
If less than three years at current address, please enter your previous address below
Previous Address-House Name or Number
Street Name
District
Town
County
Postcode
# How did you hear of us?
# Name of your bank # Years with Bank
# Current Property Value £  # Date of purchase
# Purchase Price £ 
# Type of Property
# If Flat, number of floors # Number of bedrooms
# Approx year built # Construction
# Is the property ex-Council?
# If the property IS ex-Council, please answer the next three questions.
# Did you purchase as a sitting tenant?
If you DID purchase as a sitting tenant, please answer the next two questions.
Council valuation at the time of purchase £
Council Discount received £
 
# Name of your current mortgage lender
# Balance outstanding on current mortgage£ # Monthly payment £
# Other Monthly Outgoings £
Term Remaining Years   Months  
# Type of Mortgage
Have you had any mortgage arrears in the last twelve months?
If you answered YES to the last question, please answer the next two questions.
Current arrears £
Highest arrears have been in last 12 months £
 
# Have you made your last three repayments on time?
# Have ever had any County Court Judgments made against you, or failed to keep up payments on any loans or credit of any sort
# Do you have any other loans secured on this property?
If YES, please answer the next two questions.
Name of other loan company Total you owe
 
# Employment Status # Occupation
# Time in present job # Years # Years
# Annual Income before tax £
If SELF-EMPLOYED, what proof of income do you have?
 
# Who should the loan cheque be made payable to?
 
Declaration             
                       

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