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Applicant One*
Full name with title (Mr / Mrs / Miss / Dr)
*
Postcode
*
Address last 3 years
*
Pervious address & postcode
if less than 3 years at current address
Date of birth
*
Contact number
*
Email Address
*
Applicant Two (If applicable)
Full name with title (Mr / Mrs / Miss / Dr)
Postcode
Address last 3 years
Pervious address & postcode
if less than 3 years at current address
Date of birth
Contact number
Email Address
Company details (If you are applying under your company)
Company name
Company registration number
Registered company address
Required loan details
Loan amount required
*
Purpose of loan
*
Postcode for proposed security
Proposed security address
Length of term loan required (Months)
*
Description of proposed security address
Estimated value of proposed security property
Method of repayment / Exit route (If known)
Purchase price (If applicable)
Exiting charges (If known)
Assets & Liabilities
Address One
Full address with postcode
Monthly mortgage repayment
Current value
Current lender
Outstanding mortgage
Monthly rental income (If applicable)
Address Two
Full address with postcode
Monthly mortgage repayment
Current value
Current lender
Outstanding mortgage
Monthly rental income (If applicable)
Address Three
Full address with postcode
Monthly mortgage repayment
Current value
Current lender
Outstanding mortgage
Monthly rental income (If applicable)
Solicitors & Surveyors details
Solicitors name (Firm or Individual)
Postcode
Address
Contact number
Email Address
(If applicable)
Has a valuation been carried out
*
Surveyors name (Firm or individual)
Address
Postcode
Contact number
Email Address
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