Loan Application

Secured Debt Consolidation Loan (£1,000- £75,000)

Please complete the form below and then click submit.

About You
Your residential status?
Are you a UK Resident?
Do you have UK permanent resident's rights?
Who would you like the cheque made payable to?
Loan Amount £:
Main purpose of loan?
If 'Other', please specify:
Repayment period
   
Your personal details  
Date of Birth?
Your Marital Status
Years with bank?
Children under 18?
Is your property jointly owned?
   
Your employment details  
Your employment status:
Proof of Income
(if self-employed)?
Time in current job?
What is your occupation?
Annual Income £:
Is that before or after tax? Before
After
 
Do you receive additional income?
Only complete this section if you receive an additional income.
Source?
Amount £:
   
Your contact details  
Title:
First name:
Middle name:
Surname:
Your maiden name?
(if applicable)
Address 1:
Address 2:
Town:
Postcode:
County:
Best time to call?
Do you have a landline number?
Phone Number (inc. area code)
Mobile Phone number (mandatory if no land line)
Work Phone number
Email Address
Mother's maiden name?
(For security purposes; we will need this when we call you)
   
Your Partner  
If you are applying for a loan and you are married or living with a partner, you will need to fill in this section:
Is your partner a UK Resident?
Does your partner have UK permanent resident's rights?
Title
First name
Middle name
Surname
Your partners maiden name?
(if applicable)
Date of Birth?
Partner's Marital Status
Years with bank
Does your partner have their own landline number?
Phone Number
Mobile Phone number
Work Phone number (if applicable)
Employment Status
Proof of Income
(if self-employed)?
Time in current job?
   
Annual Income (before tax) £
Does your partner live at the same address as you?
   
Only complete below if your partner does not live at the same address as you.
Partner's address details  
Address 1
Address 2
Town
Postcode
County
   
Your Home  
Value of your property £
Approximate year built?
Original purchase price £
When was it purchased?
How many bedrooms?
What type of property is it?
If “Other” please specify
If you live in a flat/maisonette, how many floors does it have?
What is its construction?
   
Was your property owned by the council?
Did you purchase as a sitting tenant?
What did the council value the property at for the purchase £
What discount did you receive from the council £
   
Previous address  
Have you lived at your current address more than 3 years?
Only complete below if you've lived at your current property for less than 3 years.
What was your previous address?
Address 1
Address 2
Town
Postcode
County
   
Your Mortgage  
Who is your Mortgage with?
Have you had a previous mortgage?
If Yes, how long have you had a mortgage for?
What is the total balance outstanding on your mortgage £
Monthly payment £
What is the term remaining on your Mortgage?
Only fill the months box if it has less than 1 year left to run
What type of mortgage do you have?
Have you had arrears on your mortgage in the last 12 months?
What are the present arrears on your mortgage? £
What is the highest your arrears have been in the last 12 months? £
Have you made your last 3 repayments on time?
Do you have any other loans secured against the property?
If yes... Which company is this loan with?
What is the total amount you owe this company? £
   
   
I have read and accept all parts of this declaration: