Loan Details
Loan Required
Term Requested
YEARS
Purpose
PURCHASE
REMORTGAGE
Repayment Method
CAPITAL & INTEREST
INTEREST ONLY
Personal Details
Applicant 1
Surname
Forename(s)
Email Address
Date Of Birth
Phone Number
Current Address
(inc Post Code)
How long have you been at your current address?
If you have lived at more than one address in
the last three years please list them
(inc Post Codes)
Are You
AN OWNER
RENTING
LIVING WITH RELATIVES
If you are an owner, give amount of
existing mortgage(£)
Monthy mortgage or rent payment(£)
Is this mortgage to be redeemed?
YES
NO
If no, please provide further details
Have you had mortgage arrears?
YES
NO
If yes, how many months have you missed out of
the last 12?
Have you had any secured or
unsecured loans?
YES
NO
If yes, please give details
Have you had any CCJs, defaults,
an IVA, bankruptcy or reposession?
YES
NO
If yes, please give details
Applicant 2
Surname
Forename(s)
Email Address
Date Of Birth
Phone Number
Current Address
(inc Post Code)
How long have you been at your current address?
If you have lived at more than one address in
the last three years please list them
(inc Post Codes)
Are You
AN OWNER
RENTING
LIVING WITH RELATIVES
If you are an owner, give amount of
existing mortgage(£)
Monthy mortgage or rent payment(£)
Is this mortgage to be redeemed?
YES
NO
If no, please provide further details
Have you had mortgage arrears?
YES
NO
If yes, how many months have you missed out of
the last 12?
Have you had any secured or
unsecured loans?
YES
NO
If yes, please give details
Have you had any CCJs, defaults,
an IVA, bankruptcy or reposession?
YES
NO
If yes, please give details
Income Details
Applicant 1
Status
EMPLOYED
SELF EMPLOYED
Occupation
If self employed, are accounts available?
YES
NO
Date employment / self employment commenced
Gross annual income(£)
Other income(£)
Applicant 2
Status
EMPLOYED
SELF EMPLOYED
Occupation
If self employed, are accounts available?
YES
NO
Date employment / self employment commenced
Gross annual income(£)
Other income(£)
Property Details
Estimated Value(£)
Purchase Price / Approximate Value(£)
Will the property be:
MAIN RESIDENCE
TENANTED
SEMI-COMMERCIAL
OTHER
If other, please give details
Property Type
HOUSE
FLAT
MAISONETTE
If flat, how many floors?
If flat, how many flats in the block?
Is the property ex council?
If a purchase, are you sitting tennants?
YES
NO
Tenure
FREEHOLD
LEASEHOLD
Is it above commercial premises?
YES
NO
Data Protection Notice
I have read the data protection notice and agree for a credit check to be undertaken.
[ YOU MUST TICK THIS BOX BEFORE SUBMITTING ]
I do not want to be contacted by other carefully selected parties