Submit an application

Use this form to submit all your secured loans, bridging loans and commercial finance

For an unsecured loan application, please click here

Loan details
Loan Type Secured   Commercial   Bridging  
Loan Amount *
Loan Term *
Purpose of loan *
Do you require Payment Protection Yes   No  
Can we contact the client directly Yes   No  

Contact details
APPLICANT 1 APPLICANT 2
First name(s) *
Surname *
Date of birth
Current address
Previous address
Home phone number
Mobile phone number

Income details
APPLICANT 1 APPLICANT 2
Employed / self-employed
Occupation
Gross income per month
Time in job
Employer / company name
Telephone number

Property details
Property type (i.e. detached / semi-detached / flat) Value of property
Purchase price Purchase date
Number of receptions   bedrooms   bathrooms  
Did you purchase the property from the council? Yes   No  
if so, how much discount did you receive?

Mortgage details
Mortgage lender name
Mortgage lender address
Amount outstanding
Monthly repayment
Arrears in the last 12 months

Other information
I have read the data protection statement to the applicants
who have confirmed that they understand it fully
and confirm that they have authorised a credit search.
What fee would you like to be added to the advance?
If you have already charged a fee, please specify the amount
Broker name *
Broker Email *
Broker Phone *

Please note that any credit score carried out does not constitute a guarantee of an offer. This will be subject to receipt of a full application and full underwriting including any necessary references.

By submitting this Decision in Principle Request Form you confirm that all the statements within this declaration are correct.
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