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  • Terms & Repayments? Your satisfaction is always guaranteed
  • No repayments until August 2007 in most cases
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  • Simplified short form process
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Loan Basics
Loan Amount requested: Purpose Home Value
Is your home mortgaged? Job Status Time in current position:
Basic Contact Information
Title Forename Surname Phone Number
Date Of Birth Mothers Maiden Name Your Maiden Name
JobTitle Marital Status  
Income(annual) £20,000 miniumum total household income Email Address
Additional Annual Income is: Source of Additional Income
About your location and house
Your house Number. & Street
Town/City
Postcode
Time at House
Purchase Year
Bedrooms
Property Type
Flat? How many Floors
Construction Type
Has property been owned by council?
Did you purchase as sitting tenant? Council Value at purchase: Amt discount received from the council:
Original Purchase Price of your home:
Are you married, living with someone or is there a Co-Owner of your home? We need information about them.
Title First name   Surname Date Of Birth
Job Length Income(annual)  
Previous Address:   If you have bought your house less than 3 years ago we need your previous address.
No. & Street
Town/City
Postcode
Current Mortgage Information
Mortgage Type
Mortgage Company
Years left to pay
Monthly Mortgage payment
Approx. Balance  
Any arrears last 12 months?
Present arrears are: Last 3 on time?
Best day to contact you? Best time of day to contact you?
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