Application For A Secured Loan

This form must be completed in full, incorrect or inaccurate data will delay our response.

All business transacted is subject to our ‘terms of business’

Answer all questions marked *

Broker Details

*Name

Please state Mr/Mrs/Miss/Ms

*Company

*Address

*Email

*Phone

*How would you like us to proceed with this enquiry?

select

*Please indicate which of the following options you would like to be quoted for:

select


Customer Application

Answer all questions marked *

*Marital Status of Applicant

select

*Resident status of Applicant

select

*Amount of loan required

*Repayment term required

select

*Purpose of loan

1st Applicant Details

Answer all questions marked *

*Full Name

Please state Mr/Mrs/Miss/Ms

Maiden Name (if applicable)

*Date of Birth (in the following format dd/mm/yyyy)

*Postcode


*Full Address

Previous postcode - if you have been at your current address for less than 3 years.


Previous Address in full:

*Do you have a Home Telephone number (landline):

select

Home Telephone

Work Telephone

Mobile Telephone

*Email address (IF NONE STATE "NONE")

*Employment Status

select

If other or benefits please specify

*Time with current employer/self employed

Years / Months

*Average Gross Annual Earnings (Average Before Tax)

*How long have you held your present bank account?

Have you had any court orders/defaults/debts registered? IVA or Bankruptcy?

select

If yes, state number of court orders/defaults/debts in last 6 years

select

2nd Applicant Details

Click Here - If applicant is married or property is jointly owned with another person
If not, please go to next section

THE FOLLOWING INFORMATION MUST BE COMPLETED:

Full Name

Please state Mr/Mrs/Miss/Ms

Maiden Name (if applicable)

Date of Birth (in the following format dd/mm/yyyy)

Employment Status

select

If other or benefits, please specify

Time with current employer

Years / Months

Average Gross Annual Earnings (Average Before Tax)

Have you had any court orders, defaults or debts registered? IVA or Bankruptcy?

select

If yes, state number of court orders/defaults/debts in last 6 years

select

Property Details

Answer all questions marked *

Address of property to be used as security (if different from home address)

*Type of property

select

If other please specify

*Approximate value of the property now

*Date you purchased the property

*Price you paid for the property

*Is the property ex-council?

select

If yes, how much discount was given?

*Who lives in the property?

select

*Is the property tenanted?

select

If yes, state monthly rent received.

Mortgage Details

Answer all questions marked *

*Name of mortgage company

*Approx sum owing on mortgage

*Monthly Mortgage payment

*Has there been any mortgage arrears in the last 12 months?

select

If Yes, please state the Approximate amount of Arrears owing now?

£

Tick which months were missed in the last 12 months:  
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Existing Secured Loan

Click Here - If you have an existing secured loan
If not, please continue

*Name of Loan Company

*Amount outstanding

*Has there been any loan arrears in the last 12 months?

select

If Yes, please state the Approximate amount of Arrears owing now?

£

Tick which months were missed in the last 12 months:  
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Information and Notes

Insurance protection is NOT included with your loan, if you require cover we recommend you seek the services of a professional insurance provider.

Please write in the box below any notes you think may be relevant to your application.

padlockDisclosure & Use Of Applicant Information

Please click here for Data Protection Notice to be read to applicants

The information you give us will be passed to our processing and lending companies and a credit search will be carried out by them in order to establish if a loan may be granted and to prevent fraud, money laundering and tracing debtors. The searches will be placed on record and may be referenced by other companies to whom you may apply. If your application is made jointly with another person you have to be able to confirm you have that persons authority to allow us to carry out a search on that person also. The search may also link with previous addresses of yourself or a joint applicant.

Suspected frauds may be recorded at an agency and the record may be shared and used to make decisions on other products such as insurance, credit and other forms of finance for yourself and other members of the household.

In some cases a credit scoring system is used in assessing applications. From time to time we or our lenders may mail you with details of other products available.

Where an application is joint with another person the applicant must have that person’s authority for us to carry out a credit search. If they do not have authority, written consent must be obtained from that person.

Tick box to confirm Data Protection Notice has been read and accepted by the applicants.

Tick box if applicants do not wish to receive correspondence/information offering other products that may be of interest to them.

Click the 'Send Application' button once, it may take a few seconds to process your details

base