Secured Loans

Please complete our enquiry form below. On receipt our experience secured loans team will review your clients options and contact you.

Personal Details

Date: (mm/dd/yyyy)
Introducer * (if submitting from Mortgage Brokerage)
Broker Fee £
Email *
Telephone *
Fax

Loan Details

Amount Required £
Repayment Selected
Term Years
Purpose Of Loan

Applicant One

Name *

Marital Status *

Date Of Birth *

No.of children under 18

Address

Years At Present Address

Home Telephone Number

Mobile Telephone Number

Previous Address if less than 3 years at present address

Employers Name

Employers Address

Telephone

Occupation

How Long Employed By Them (Yrs)

Accountants if Self-Employed

Accountants Address

Bank Name

Bank Address

Income

Gross income with overtime and bonus £
Basic £
Overtime £
Bonus £
Income Paid
Other Family Income £
Details

Applicant Two

Name

Marital Status *

Date Of Birth *

No.of children under 18

Address

Years At Present Address

Home Telephone Number

Mobile Telephone Number

Previous Address if less than 3 years at present address

Employers Name

Employers Address

Telephone

Occupation

How Long Employed By Them (Yrs)

Accountants if Self-Employed

Accountants Address

Bank Name

Bank Address

Income

Gross income with overtime and bonus £
Basic £
Overtime £
Bonus £
Income Paid
Other Family Income £
Details

Outgoings

	Amount Outstanding	Total Monthly Payments	Current Arrears (if any)	Highest Arrears in the last 12 months
First Mortgage:
Second Mortgage
Loans/HP/Credit Cards

Name Of First Mortgage

Reference

Address

Time With Lender

Years Months

Name Of Second Mortgage

Reference

Details Of Property to be offered as security

Address (if different from above)

Garage No.Rooms Bedrooms

Freehold Leasehold Years Left Date Built

Property Type

Construction Type

Ex Local Authority

Yes No

Jointly Owned

Yes No

Date of Purchase

Purchase Price £

Present Value £

Reason

Authority For Full Credit Check

Yes No

I am authorised to act as an agent for and on behalf of ALL applicants in connection with this mortgage application. I confirm that i am acting within my authority and that i have obtained the verbal consent of each and every applicant that, in relation to the applicants personal information you may: -

Process it (automatically or otherwise) for the purpose of this application; Search and/or disclose it to credit reference agencies, lenders and/or third parties provided they use it for the purpose for which you may use it for fraud prevention.

Where a search and/or disclosure is to a credit reference agency, the applicants understand that records may be kept; Check it with a fraud prevention agency and if false or inaccurate information is provided or you suspect fraud, this will be recorded.

I confirm that i have explained to the applicants that you and other organisations may use and search the records of fraud prevention agencies to help make decisions about credit related services, and/or on motor, household, credit life and other insurance proposals and claims for the applicants or members of their household, to trace debtors, recover debt, prevent fraud and to manage the applicants accounts or insurance policies and to check the applicants identity to prevent money laundering, except where satisfactory proof of identity has been provided.

The applicants understand that you may wish to obtain personal information (the accuracy of which is their responsibility) in writing, by telephone or in electronic form and agree that you may also obtain information about them from brokers or third parties together with credit reference agencies, in particular, but not limited to Experian, Cais, Cifas, Equifax Europe, Insight and other associated companies. The applicant has been advised of their rights under the Data Protection Act 1998, that you will hold personal information in your records and the applicants have the right to obtain a copy on payment of a fee. The applicants understand that any telephone calls made may be recorded and monitored for security, quality and/or training purposes.

Secured Loans

Secured Loans for professional introducers only

Personal Details

Loan Details

Applicant One

Income

Applicant Two

Income

Outgoings

Details Of Property to be offered as security

Property Type