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Applicant 1 Surname ?
Applicant 1 First Name(s) ?
Applicant 1 Previous Name(s) ?
Applicant 1 Date Of Birth ?
Applicant 1 Marital Status ?
Single or Joint Application ?
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Single
.Joint
(Applicant 2) Surname ?
(Applicant 2) First Name(s) ?
Total Number of Dependants for Both Applicants ?
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0
1
2
3
4
5
5+
Applicant 1 Current House Number & Post Code
Applicant 1 How Long At Current Address ?
0-1yr
1-2yr
2-3yr
3yr+
Applicant 1 Residential Status ?
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own
rent
living-with-parents
.relatives-friends
(Applicant 2) Current House Number & Post Code (if different from applicant 1)
(Applicant 2) How Long At Current Address ?
Applicant 1 Occupation
How Long With Current Employer/Self Employed ?
0-3months
3-6months
6-12months
12-18months
18-24months
24-36months
36months+
Are Wage Slips/Accounts Available ?
12 Months Employment History Available ?
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yes
no
(Applicant 2) Occupation
How Long With Current Employer/Self Employed ?
12 Months Employment History Available ?
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yes
no
Are Wage Slips/Accounts Available ?
Both Applicants Total Combined Basic Income p.a £
Any Other Income Working Tax Credit / Child Tax Credit /Maintenance /Benefits etc
.
yes
no
If Yes Please Specify Type & Amount
Both Applicants Total Combined Overtime / Bonus £ p.a
Both Applicants Total Combined Amount Owed On Loans £
Both Applicants Total Combined Monthly Repayments on Loans £
Both Applicants Total Combined Amount Owed On Credit Cards £
Any Previous Credit Problems ?
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yes
no
If Yes Specify
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default
rent-arrears
ccj
late-payment
various
Bankruptcy
If Yes (or various)To Above Please Give Approx Details Of Amounts & Dates
Anticipated Property Valuation/Purchase Price £
Amount of Current Mortgage (if any) £
Amount of Mortgage Required £
Contact Daytime Telephone Number
Contact Evening Telephone Number
Contact Email Address
Preferred Contact Type
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Daytime Telephone
Mobile Telephone
Evening Telephone
Email
Any Further Comments/Information ?
Do We Have Your Permission To Run A Credit Check ?
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yes
no
Please click the submit button
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n.b. credit checks and searches in joint names will create an association and financial link between applicants, please confirm acceptance with other person before giving permission.
click here to view the Key Facts About Our Services.
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