APPLICATION FORM
Homeowners / mortgage payers only

This form allows us to process your application faster. It should only take you approximately 10 minutes to complete and if you give us
as much information as possible we could SAVE you £££'s. After completing the form our underwriters will find the lowest rate based on
your circumstances. They will contact you to discuss repayments. When you are happy to proceed they will send out the application
forms for you to check, sign and post back to us. We will not act further until we receive your signed copy You can phone us free on
0800 097 7077 to discuss your application or e-mail

Tables-No Insurance     Tables-Single Insurance     Tables-Joint Insurance

Note: All fields marked * are mandatory How did you find us: Search Engine Newspaper TV Channel Mailshot Other (Please specify which one:)   Amount Required £ * Repayment Selected £ Over years Purpose of Loan INSURANCE PROTECTION* None  Joint   Single APPLICANTS DETAILS are you* : Married Single Divorced Widowed Separated Full name/s (1st)* Date of Birth Full Name (2nd) Date of Birth Maiden Name (if applicable) No. of Children Address* Post Code* Email Address* How long here [years] Phone No. (Home) * Work Previous Address Mobile No. [We only require your previous address if you have lived at your present address for less than 3 years.] BANK DETAILS Name of Bank Years with bank Do you have a cheque/guarantee card* Yes No EMPLOYMENT DETAILS (if self employed see below) [We do not contact your employer.] 1st named applicant Gross monthly income £ * 2nd named applicant Gross monthly income £ Occupation* Occupation Employer* Employer Address* Address Time here* years months Time here years months Details of other income and gross monthly amount SELF EMPLOYED APPLICANT [If you have an accountant please provide name and address.] Occupation Business Title Business Address How long self employed years months Gross Monthly Income £ OUTGOINGS (Main mortgage including any further advances) Approx Balance Monthly Repayments Current Arrears Highest Arrears in last 12 months When did these Arrears occur Name of Mortgage Lender Do you have any other loans or overdrafts secured on your property? Yes No [If yes give details below] Name of Lender Approx Balance Monthly Repayments Current Arrears Highest Arrears in last 12 months     PROPERTY DETAILS Joint Owned Yes No : House Flat Bungalow Terraced Semi Detached Bedrooms Reception Bathrooms Garage Is it Freehold or Leasehold If leasehold how many years left Purchase date How much paid £ Date property re-mortgaged if different from purchase date Current Value £ Did you purchase as a sitting tenant Yes No Council discount if any £ What is the property made of? Brick Stone Concrete Other Please specify Year built Disclosure and use of your information: I/We confirm the information given in this application is accurate and that you, or any lender to whom you submit this application, may use and disclose my data as described in the Data Protection Declaration underneath. I/We Agree [please tick]* SECURITY QUESTION- If you need to contact us ................................... 1. Please enter your Mothers Maiden Name*    1. Please choose a password - No less than 6 characters*    Data Protection Notice In considering your application we will search your record at a credit reference agency/ies. They will add to your record details of our search and your application. This will be seen by other organisations carrying out later searches. We will use a credit scoring or other automated decision making system when assessing your application. It is important that you give us accurate information. We will check your details with a fraud prevention agency/ies and, if you give us false or inaccurate information and we suspect fraud, we will record this. We and other organisations may use and search these records to: * help make decisions about credit and credit related services, for you and members of your household; * help make decisions on motor, household, credit, life and other insurance proposals and insurance claims, for you and members of your household; * trace debtors, recover debt, prevent fraud, and to manage your accounts or insurance policies; * check your identity to prevent money laundering, unless you furnish us with other satisfactory proof of identity. The credit reference agency/ies and the fraud prevention agency/ies will also use the records for statistical analysis about credit, insurance and fraud. Please telephone us on (01709) 828506 if you want to have details of those credit reference and fraud prevention agencies from whom we obtain and with whom we record information about you. You have a legal right to these details. You have a right, on payment of a fee, to receive a copy of the information we hold about you if you apply to us in writing. HOW TO APPLY Decide on the amount you wish to borrow and the term you would like to pay it back using the Repayment Tables as a Guide. We provide loans with or without insurance, please click on the link below relevant to your application for further information Tables-No Insurance  Tables-Single Insurance  Tables-Joint Insurance Complete the application form and indicate whether single or double insurance cover is required. Submit the form to us by clicking on the SUBMIT button on the application form. Upon receipt of your application our team of experienced financial underwriters will start to process your loan immediately. They will find the cheapest loan on the market based on your circumstances and contact you to discuss repayments. When you are happy to proceed the application forms will be sent out for you to check, sign and post back to us.We will not act further until we receive your signed copy We will update you throughout the processing procedure and advise if any other documents are required, we will also inform you of the expected completion date. You should note that secured loans take longer to process than un-secured loans but offer much lower interest rates. Please feel free to contact us during this time should you have any queries regarding the loan. Remember even after you have submitted your application you can still alter the loan amount requested or payment term.