MAKING SENSE OF YOUR
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Secured Loan Application Form

Please complete the following information.

Amount Required  
Purpose of your loan  
Over   years (max 30 years)
Your home. Are you a ...
Homeowner Tenant Other
How would you like Loanscafe.co.uk to proceed?
I would like a fully underwritten DIP and a quote.
I would like Loanscafe.co.uk to contact me to discuss further
     
Full Name(1st applicant)  
Full Name(2nd applicant)  
Date of Birth(1st applicant)  
dd/mm/yyyy 

Date of Birth(2nd applicant)

  
dd/mm/yyyy 
Marital Status  
Postcode  
House Number and Street  
Area  
Town/City  
How long have you lived there?  
Years Months
If less than 3 years please list previous address here  
Your home telephone number  
Your mobile number  
Your work telephone number  
What is your email address  
What is the best time to contact you?  
a.m. p.m. evenings Any
Which Number would you prefer to be contacted on?  
home work mobile Any
1st Applicant Employment Details
Employment Status (Applicant 1)  
Occupation  
What is your gross monthly income?
Employer Name  
Employers Address  
Time with present Employer   years Months
Details of other income  
2nd Applicant Employment Details
Employment Status  
Occupation  
What is your gross monthly income?
Employer Name  
Employers Address  
Time with present Employer   years Months
Details of other income  
Outgoings
First Mortgage
Approx outstanding (£)  
Total monthly payment (£)  
Total arrears (£)  
Lender  
2nd Mortgage
Approx outstanding (£)  
Total monthly payment (£)  
Total arrears (£)  
Lender  
About The Property
Type of property  
Number of bedrooms  
Number of reception rooms  
Number of bathrooms
Year built  
Date of purchase   dd/mm/yyyy 
Purchase price (£)  
Current value (£)  
Ex-council?   Yes No
Formerly council?   Yes No
Discount given (£)
 





Any Additional information


  
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