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Residential status (MUST be Homeowner)
Loan Amount
Repayment Period
Purpose of Loan
Years with your bank
Date of birth
Number of children under 18
Marital Status
Employment Status
Time in present job
Occupation
Annual income before tax
Do you have any additional income? Yes No 
Title
Forename
Middlename
Surname
Mothers Maiden Name
Address line 1
Address line 2
Town/City
County
Postcode
Home Tel
Mobile Phone No
E-mail address
When to contact
Best time of day to call
Is the property jointly owned? Yes No 
Number of years you have lived in your home
Number of years you have owned in your home
Property Value
Number of bedrooms
Year built
Purchase date
Purchase price
Property type
Type of walls
Was the property previously owned by the council? Yes No 
Have you ever previously had a mortgage?
Mortgage Type
Mortgage Company
Mortgage Amount
Mortgage Balance
Monthly Mortgage Payment
Time remaining on mortgage
Have you had arrears on your mortgage in the last 12 months? Yes No 
Have you made your last 3 payments on time?
Other loans secured on property Yes No 
Applicant 1 has permanent rights to reside in the UK?
Applicant 2 has permanent rights to reside in the UK?
Do you agree to all terms and conditions

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OUR TYPICAL, VARIABLE RATE IS 12.5% APR. RATES RANGE FROM 8.9% to 19.9% APR THINK CAREFULLY BEFORE SECURING OTHER DEBTS AGAINST YOUR HOME. YOUR HOME MAY BE REPOSSESED IF YOU DO NOT KEEP UP REPAYMENTS ON A MORTGAGE OR ANY OTHER DEBT SECURED ON IT. A FEE OF BETWEEN 0% AND 10% MAY BE CHARGED ON SOME PLANS, DEPENDING ON CREDIT HISTORY AND ABILITY TO PROVR INCOME

 
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