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Secured Home Owner Loan Application Form
Applicant Details
Full Name(s)
Date of Birth
Address
How long have you been at this address?
If you have lived in your current address for less than 3 years please now state your old address includng postcode.
How long have you been at this address?
Telephone
(DAY)
Telephone
(NIGHT)
Mobile
Email Address
Loan Details
Property Value
Outstanding Mortgage
Existing Lender
Loan Required
- Select -
£5000
£7000
£10,000
£15,000
£20,000
£25,000
£30,000
£35,000
£40,000
£45,000
£50,000
£55,000
£60,000
£65,000
£70,000
£75,000
£80,000
£85,000
£90,000
£95,000
£100,000
£105,000
£110,000
£115,000
£120,000
£125,000
£130,000
£135,000
£140,000
£145,000
£150,000
£155,000
£160,000
£165,000
£170,000
£175,000
£180,000
£185,000
£190,000
£195,000
£200,000
£205,000
£210,000
£215,000
£220,000
£225,000
£230,000
£235,000
£240,000
£245,000
£250,000
Employment Details
Employed/ Self Employed
- Select -
Employed
Self Employed
Occupation
Basic Annual Income
Property Details
Where is the Property?
- Select -
England
Wales
Scotland
Northern Ireland
Type of Property
- Select -
House
Flat
Maisonette
Other
Normal Construction
- Select -
Yes
No
If no, then what?
Ex-Council
- Select -
Yes
No
If no, then Where?
Comments/ Requirements
The information that you provide will be disclosed for the purpose of considering this credit application.Lenders may use this information to carry out Credit Searches with a Credit Reference Agency. A record of these searches will be kept by the Credit Reference Agency and may be used by other lenders in assessing applications from you or other membres of your house for credit in the future. Lenders will cross-check this information with other lenders to prevent fraud.
Authorised and Regulated by the Financial Services Authority.
