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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  
Annual Income £    
Self Cert Required?  
Second Applicant
Employment Type  
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?    
Which Phone?    
Best Time to Call?    
Other Secured Loans
Are there other secured loans? if so please list
LenderAmount £Balance £