UNSECURED LOANS

Please complete the form as accurately as possible, giving as much detail as you can.
THE LOAN
Type of Loan Required:
Loan amount required:
Loan Term (months):
Purpose of loan:

PERSONAL DETAILS
Status:
Title:
First name(s):
Surname:
Date of birth:
Partner's Title:
Partner's first name(s):
Surname:
Date of birth:
Your address:
Post Code:
Time at this address (Years):
Telephone (including STD):
Mobile Phone :
Your Email:
Previous address if you have lived for less than three years at your current address

Post Code:

YOUR WORK
(Note: if you are self-employed please state occupation and how long trading.)
Employer's name:
Employers address:
Postcode:
Time employed by them (Years):
Job Description:
Occupation Type:
Partner's employer's name:
Partner's employer's address:
Postcode:
Partner's Job Description:
Partner's Occupation Type:
Time employed by them (Years):

ABOUT YOUR HOME
Total monthly mortgage payment:
Approximate amount outstanding:
Total arrears (if any):
Highest arrears in the last 12 months (if any)

Original amount borrowed on mortgage (including all further advances)

The name of the company you have your mortgage with

The name of the Bank or Building Society you use
Name:
Account open (Years):
Current Account No:
Sort Code:
Year your home bought:
What is it worth now?
The amount you paid for your home

Is it owned/rented:

YOUR INCOME
Your gross income with overtime and any bonuses (if self-employed your net income).
Gross:
Per:
Your partner's gross income with overtime etc.
Gross:
Per:
If self-employed can you supply accounts?
	Yes No
That these pages have been read and understood.
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