Enquire Now About a Personal Loan, Secured Loan or Debt Consolidation Loan

Loan Details

Amount Required

Term Preferred

Purpose of loan

Do you want to take payment protection Insurance?

Is this a joint loan?

please select yes no

Main Applicant

Title

*

First Name

*

Surname

*

Date of Birth (dd/mm/yyyy)

*

Marital Status

please select single married co habitating separated divorced widowed *

Maiden Name (if applicable)

Telephone Number

*

Mobile Number

Email Address

Address

*

Postcode

*

Time at Address

yrs * mths *

If less then 4 years please supply old address, including postcode and dates lived there

Is your current address, the address on which you would like to secure a loan?

yes no *

Property you wish to borrow against, including postcode

Employment Status

please select employed self employed unemployed house person retired *

How long have you been employed by your current employer

Name of Employer

Address of Employer

How long have you kept books for?

Occupation

Have you got/had any County Court Judgements?
(please note this doesn't necessarily prevent you getting a loan - just helps in finding the right lender

no yes

Amount

When taken out?

Has it been satisfied?

yes no

Have you got/had any loan defaults registered against you?
(please note this doesn't necessarily prevent you getting a loan - just helps in finding the right lender

no yes

Amount

When notified of?

Has it been cleared?

yes no

Second Applicant

Title

*

First Name

*

Surname

*

Date of Birth

*

Marital Status

* please select single married co habitating separated divorced widowed

Maiden Name (if applicable)

Telephone Number

*

Mobile Number

Email Address

Address

*

Postcode

*

Time at Address

yrs *
mths *

If less then 4 years please supply old address, including postcode and dates lived there

Employment Status

please select employed self employed unemployed house person retired *

How long have you been employed by your current employer

Name of Employer

Address of Employer

How long have you kept books for?

Occupation

Have you got/had any County Court Judgements?
(please note this doesn't necessarily prevent you getting a loan - just helps in finding the right lender

no yes

Amount

When taken out?

Has it been satisfied?

yes no

Have you got/had any loan defaults registered against you?
(please note this doesn't necessarily prevent you getting a loan - just helps in finding the right lender

Amount

When notified of?

Has it been cleared?

yes no

Affordability

Main applicants Monthly Gross Income (Before stoppages) or Net Trading profit (if self employed)

pcm *

Any other Monthly Income

pcm *

Second applicants Gross Income (Before stoppages) or Net Trading profit (if self employed)

pcm *

Any other Income

pcm *

Mortgage/Secured Loan commitments
(£ per month)

pcm *

Credit cards/ personal loans
(£ per month)

pcm *

About your Property

Type of property

please select house bungalow flat maisonette *

How Many

Bedrooms

Reception rooms

Bathrooms

Construction Type

Walls please select brick stone wood concrete

Roof please select slate tiles thatch

Tenure

freehold lease *

If Lease how many years left

Is it Ex Council or Shared Ownership?

no yes *

When was it purchased?

Discount given

Approximate Year Built

*

Date Purchased

*

Price paid for it?

*

How much is it worth now?

*

Is there a current mortgage/secured loan on the property?

please select yes - mortgage only yes - mortgage and secured loan no *

mortgage amount

secured loan amount

Lenders name

I have read your Privacy Statement and I authorise you to use this information to acknowledge receipt of my information and to forward my/our details onto your selected brokers and for them to communicate with me regarding my enquiry.