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All loans are secured on property, therefore if your clients' are married, living with a partner or the property is in joint names, we will require a joint loan application. Please call us on 0870 8636473 if you are in any doubt.
Details of Loan Application
Loan Amount(£): Loan Period:
Loan Purpose: Introducer details:



Please insert company name and contact name
Applicant Details:
  1st APPLICANT Joint APPLICANT
Title (Mr, Mrs etc.):
Forename(s)(All):
Surname:
Date of Birth:
Previous Name :
(if changed in last 3 years)
E-mail:
 
Present Address:
 
PostCode:
Home Tele. No.:
Mobile Phone.:
Time at address: Years    Months
No. children living at home:  Ages
Type of property:
House
Bungalow
Semi Detached
Terraced
Detached
Flat
  1st APPLICANT Joint APPLICANT
Previous Address:
 
Previous PostCode:
Time at address: Years    Months Years    Months
     
Employment Details:
  1st APPLICANT Joint APPLICANT
Employer's Name:
Full/Part time:
Full-time
Part-time
Full-time
Part-time
Contract type:
Fixed Contract
Temp
Fixed Contract
Temp
Address:
 
Occupation:
self employed
(Accountants name & tel.no.)
 
Time with employer: Years Months Years Months
 Telephone No.
  Salary(£pa) Salary(£pa)
   
Previous Employer
(if employed within the last 3 years)
Time with employer: Years Months Years Months
  Salary Salary
     

Gross Income 1st Applicant (£)
Gross Income 2nd Applicant (£)
Any other Income (£)

  Lender Balance (£) Repayment (£)
1st Mortgage
Endowment -
Insurance -
2nd Mortgage
Other Credit
Bank Loan
Store Cards
Car Loan
Credit Cards
Other
 
 
Details of Property:
Date of purchase (£)
Purchase Price (£)
Current estimated value (£)

By submitting this online application I/We declare that the statements and particulars in this application form are true and accurate to the best of my/our knowledge and shall form part of any subsequent agreement. I/We are aware that the information may be used for credit scoring purposes.

Data Protection Act 1998 - The information you have provided will be used to:
process the application you have made - make, or cause a search to be made, at a credit reference agency. This search will be shown in any other searches which are made in connection with the application made by yourself and other members of your household.

We may use the information to: Offer you other products which become available from time to time, pass your details to other companies with a view to them offering you products we feel may be of interest to you.

 
About Us
 
Contact Us
 
 
For a personalised quotation or further information call 0870 863 6473
The Old Bank House | 90 High Street | Tillicoultry FK13 6DY