UK Homeowner Enquiry Form

SECURED LOAN APPLICATION

If you are a Homeowner then you can apply for a Secured or Unsecured Loan for Home Improvements, Debt Consolidation or a New Car. By completing our online form you can get a competitive quote with no obligation

All questions in bold and marked with * must be answered

1. Your Personal Details
		First Applicant	Second Applicant (if applicable)
*UK Resident		Yes/No Yes No
Title		select answer Mr Mrs Miss Ms Dr Prof Rev Pte Cpl Sgt Major LCpl	select answer Mr Mrs Miss Ms Dr Prof Rev Pte Cpl Sgt Major LCpl
*First Name
Middle Name
*Surname
*Date of Birth		day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec	day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Status		select answer Single Cohabiting Married Divorced Widowed Separated	select answer Single Cohabiting Married Divorced Widowed Separated
Gross income(pa)
Employment		Please Select Answer Professional/Senior Mgement Middle Management Educational/Medical Services Office/Clerical Shopworker Craftsman/Tradesman Manual/Factory Sales Executive Public Service Self Employed House Person Retired Management IT Student Looking for Work Long Term Sick Bank Worker Insurance Broker Journalist Forces Legal Profession Driving Career Catering Financial Sector Labourer Accountancy sales Assistant Cleaner Carer Engineer/Mechanic Painter & decorator Data Entry Clerk Emergency Services Call Centre Agent Other	Please Select Answer Professional/Senior Mgement Middle Management Educational/Medical Services Office/Clerical Shopworker Craftsman/Tradesman Manual/Factory Sales Executive Public Service Self Employed House Person Retired Management IT Student Looking for Work Long Term Sick Bank Worker Insurance Broker Journalist Forces Legal Profession Driving Career Catering Financial Sector Labourer Accountancy sales Assistant Cleaner Carer Engineer/Mechanic Painter & decorator Data Entry Clerk Emergency Services Call Centre Agent Other
2. Your House & Contact Details
		Current Address	Old address ( if less than 3 years at current address )
Home Address
(contd.)
Town/City
County
Post Code
Time at current address		years months
Work Phone			*
Home Phone			* One contact is mandatory
Mobile			*
E-mail
3. Your Mortgage Details - for mortgage payers & homeowners only
Name of Lender		Please Select Abbey National Advance Home Loans All Types of Mortgages Alliance & Liecester Amber Home Loans Ltd. APS Bank of Ireland Bank of Scotland Barclays Bank Barnsley Building Society Bath BS BDS Best Advice Beverley BS BM Solutions Bond 2 Let Bradford and Bingley Bristol & West Britannia BS Britannic Money Buckinghamshire BS Burchell Edwards Cambridge BS Capital HL/ Irish Permanent Capital HL/ Irish Permanent S/C Chelsea BS Cheltenham & Cloucester Chesham BS Cheshire BS Chorley & District BS Clay Cross BS Clydesdale Bank Complete MLS Coventry BS Darlington BS Derbyshire BS Dudley BS Dunfirmaline BS Ecology BS Exclusive Connections First National Flagship Fleet Boston National Bank Furness BS Future Mortgages Gainsborough BS Genesis GMAC Halifax Hanley Economic BS Harpenden BS High Street Home Loans Hinkley & Rugby BS HMSL Holmesdale BS Home Loan Partnership ICMG igroup IMS Intelligent Finance Ipswich BS Irish Nationwide BS Irish Permanent Kensington Kent Reliance BS L & G Mortgage Club Lambeth BS Leeds & Holbeck BS Leek United BS Legal & General Bank Lloyds TSB Scotland Loughborough BS Manchester BS Mansfield BS Market Harborough BS Marsden BS Melton Mowbray BS Members Mortgages Mercantile BS Monmouthshire BS Mortgage Express Mortgage Intelligence Mortgage Marketing Centre Mortgage Master Mortgage Next Mortgage Plus Mortgages Direct Mortgages Plc MX-Online National Counties BS Nationwide BS Nat West Network Mortgages Ltd Newbury BS Newcastle BS New World (Cwlth Bank) Northern Rock Norwich & Peterborough BS Norwich Union Nottingham BS Paragon Penrith BS Pink Platform Home Loans PMPA Portman BS Preferred Pricipality BS Private Label Progressive BS Royal Bank of Scotland Saffron Waldon Scarborough BS Scot Life Scottish Amicable Scottish BS Scottich Widows Bank Shepshed BS Skipton BS Solent Mortgage Services SPML Stafford Railway BS Stafdfordshire BS Standard Life Bank Stoud & Swindon BS Sun Bank Swansea BS The Morgtgage Business The Morgtgage Operation The Mortgage Solution Ltd Tipton & Croseley BS Trustguard Homeloans UCB Ulster Bank Universal BS
Monthly Payment
Mortgage amount
Approx. property value
4. Your Loan Requirement
*Purpose of loan		Please Select Debt Consolidation Consolidation and Other Home Improvements Holiday Car Loan Boat Loan Caravan Loan Motorbike Loan Deposit for House Deposit for Other Business Purposes Cosmetic Surgery Christmas Cash Wedding Funeral Debt Management With DM Company Other
*Loan amount		£££££££
5. Data Protection Act
I have read & I accept the DPA Statement		Yes No

 

CLICK THE SEND BUTTON TO COMPLETE YOUR APPLICATION

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