Adverse Loan Tenant

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Your residential status? *   Who would you like the cheque made payable to? *
Loan amount? *   Main purpose of the loan?
Do you owe money to 3
or more companies? *
 
Where will you buy
your car?*
Loan period *   Current Debt level, if any:*
Do you have adverse credit? (if yes, we can still help)* yes no   Your title
First Name *   Middle Name
Sur Name*   Date of birth? * / /
Address*   Town/City *
Postcode*   County*
Email*      
Phone number *   Mobile number *
Best time to call *   When to call
Property Postcode:*   Property name/ number:
Your Maiden Name   Mothers maiden Name*
Years with your bank?   Children under 18?
Employment status? *   Time in your present job? *  
Additional income? * yes no      
If self-employed, what proof
of income do you have *
Accounts
Tax Returns
Self-certification
 
If so what is this annually? *
Source of this income? *
What is your occupation? *   Annual income before tax? *
Your living arrangements?*   Is property jointly owned? yes no
 
 Your Partner - If you are married or cohabiting
 
If you are applying for a loan and you are married or living with a partner, we will need to ask
questions about your partner
     
Your title   Middle name
First name *   Surname *
Your maiden name *   Date of birth? * / /
Children under 18?   Your marital status?
Home phone (+ area code) *   Mobile phone number*
Email address   Best time to call
Years with your bank?   Time in your present job? *  
Annual income before tax? *   Your employment status?*
Mothers maiden name   Lives at same address? * Yes
No
   
Address
House Number *
Street *
Town/City *
Postcode *  
County
 
Loans subject to status and secured on residential property by way of second charge. Minimum age 18 years.

 
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