Secured Loan Quote Request Form

Please fill in your details on the form below and we will search the market for the best possible loan available to you. Secured loans can be most appropriate when you:

• Want to avoid costly remortgaging redemption penalties when in tie-in periods.
• Need to borrow up to 125% of your property value.
• Need funds within 2 weeks.
• Are in arrears with a prime lender, and are keen to avoid a sub-prime remortgage.
• Need more generous income calculations than normally offered via a further mortgage advance.

* These fields MUST be completed


Your Loan Requirement
Purpose Of Loan 
*
 
Loan Amount
£ *
  
Max Loan Term  
Your Personal Details
 
First Applicant
Second Applicant (If Applicable)
UK Resident
*
*
Title
First Name
*
Middle Name
Surname
*
Date of Birth
*
Status
Dependents
        Aditional Dependents
Gross Income(pa)
Employment
 
If Self Employed Fill in The Section Below....
Occupation
Business Title
Business Address
(If different from below)
Postcode
Most recent
Net Profit (£)
Year's Accounts available:
Period of Self Employment
Months
Months
Self Cert. of Income
  Reasons if yes: Reasons if yes:

Credit History:














 Would you say your credit history is;

A - Excellent, No late payments in the last 6 years
B - Good, No late payments in the past 2 years
C - Fair, Some recent late payments
D - Moderate, CCJ, Defaults settled up to £1000 
E - Poor, CCJ's, Defaults un-settled up to £1000
F - Severe, CCJ's, Defaults, Bankrupt, Current IVA

Please Select:
Details for Categories C-F?
Ongoing total Monthly Financial Committments
(loans, hp, credit cards etc with more than 6 months left to run )
Monthly Commitments: Client 1:
Client 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
Years Months
Home Phone 
*
 
Work Phone 
Other Addresses, last 3 years
Mobile 
E-mail 
*
Property Details
Number of Bedrooms
 
Number of Floors
 
Property Type
 
Tenure
 
Approx Year Built
 
Number of Reception Rooms
 
Number of Bathrooms
 
Garage
 
Your Mortgage Details - For Mortgage Payers & Homeowners Only
Name of Lender 
 
Monthly Payment 
£
 
Mortgage Amount 
£
 
Remaining Term (years)
 
Approx. Property Value 
£
 
I Agree
 
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