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Debt Management


application for a secured loan




Applicant 1:

Title:
First Name:
Last Name:
Status:
Date of Birth:
Address:
Postal Town:
Postal Code:
Time at Address (Years):
Email:
Telephone:
Mobile:
Previous Address (if less than 3 years):

Applicant 2 (If Applicable):

Title:
First Name:
Last Name:
Status:
Date of Birth:


Loan Details:

Loan Amount:
Terms (Years):
Purpose of Loan:
Property:
Self Certified:
Type:
Comments:

Employment Details:

Employers Name:
Employers Address:
Postal Code:
Occupation:
Time Employed (Years):
Gross Pay Per Annum:
Self Employed:


Applicant 2 Employment
Details (If Applicable):

Employers Name:
Occupation:
Gross Pay Per Annum:
Self Employed:
Property Details:
Ex Local Authority:

Required for Secured Loans:

Property Value:
Mortgage Balance:
Lender:
Monthly Repayments:
Mortgage Years Left:
Purchase Date:
Purchase Price:
2nd Charge Value:

Required for ALL Applications:

CCJ's:
Defaults:
Arrears:
Been Declined a Loan in the Last 3 months?
Can we run a credit check on your behalf:
Where did you hear about us:


I/We agree that you or any lender to whom you submit this application, may use and disclose my data as described in the pages entitled Data Protection and that these pages have been read and understood.*








 



Copyright © 2007 Yes 2 U Finance. All Rights Reserved.Licensed by the Office of Fair Trading.
Licensed Credit Brokers & Debt Counselors Consumer Credit Licence Number 606427.

YOUR HOME MAY BE REPOSSESSED IF YOU DO NOT KEEP UP REPAYMENTS ON A MORTGAGE
OR ANY OTHER LOAN SECURED ON IT. THINK CAREFULLY BEFORE SECURING OTHER DEBTS
AGAINST YOUR HOME. *REPAYING DEBT OVER A LONGER PERIOD MAY INCREASE THE TOTAL
AMOUNT TO BE PAID.

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