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loan
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Secured Loan Application Form
Secured Loan Details
Amount Required £
Repayment Term
(months)
Purpose of Loan
Secured Loan Details
Is/are the applicants Home Owners?
Is/are the applicants Tenants?
Personal details
First Applicant
Title
Full Name
Second Applicant
Title
Full Name
Property offered as security
Address
Post Code
Do the applicants reside at this property
Estimated Property
Value £
Lenders Name
Monthly Mortgage
Payment £
Amount Outstanding £
Are there any arrears?
Is your present address the same as that of property offered as security?
Time At Address
Employment Details
First Applicant
Employment Type
PAYE
Self Employed
Annual Income £
Self Cert Required?
Second Applicant
Employment Type
PAYE
Self Employed
Annual Income £
Self Cert Required?
Contact Details
First Applicant
Mobile Phone
Work Phone
Home Phone
Second Applicant
Mobile Phone
Work Phone
Home Phone
Best Method of Contact
Contact which applicant?
First Applicant
Second Applicant
Which Phone?
Mobile Phone
Work Phone
Home Phone
Best Time to Call?
Other Secured Loans
Are there other secured loans?
if so please list
Lender
Amount £
Balance £