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Amount Required
Today
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Preferred Credit Limit
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Purpose of loan
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Opinion of my credit history (last 3 yrs) |
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Title |
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First Name |
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Surname
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Date of
Birth
(age 24-64)
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Address |
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Post Code |
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Time at this
address
(new
customers - min of 12 months)
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Housing Status |
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Home Phone |
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Mobile |
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E-Mail address
(validated) |
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I/We Bank with |
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Bank A/C No - last
4 digits |
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I
have a cheque book with this account
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Employment income (min
net £1,250pm) - main applicant |
net per month |
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Income source -
main applicant |
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Other sources of monthly income -
main applicant |
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How much from
Other sources of income £ - main applicant
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net per month |
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Partners monthly income |
net per month |
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Monthly expenditure
(approx amount main applicant spends in a month) |
Include
mortgage/rent, all houshold, transport and all regular
commitments. |
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Foreseeable change
in expenditure in next 12 months
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My pay date every
month is |
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My income is paid
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Any comments |
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Read
the warning & accept
terms and conditions below |
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Read
& accept the pre-contract disclosures below
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Read
& accept the privacy policy below
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Are you in
Financial difficulties? |
Financial difficulties? - click here |
| |
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Warning: Late repayment can cause
you serious money problems.
For help, go to
www.moneyadviceservice.org.uk
(For free, unbiased and easy-to-access money tools, information and
advice,
visit the Money Advice
Service
or phone 0300 500 5000 to speak to a Money Adviser).