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COMPLETING THIS FORM DOES NOT OBLIGATE YOU TO TAKE
OUT ANY FINANCE WITH THE COMPANY WE SEND YOUR
APPLICATION TO. Required fields marked with
*
Are you a Homeowner?
*
Please select from following
Yes I am a Homeowner
No. i am not a Homeowner
Loan Amount Required
*
(from £5,000 to £100,000)
Purpose of Additional Finance
*
Home Improvements
Clear Existing Credit
(other e.g. car, holiday, wedding, etc.)
Status
*
-----------------
Married
Co-habiting
Single
Divorced
Widowed
Separated
First Name(s) -1st Applicant
*
Surname -1st Applicant
*
D/O/B - 1st Applicant
*
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Email
*
Confirm Email
*
Joint owners or spouses should both apply:
First Name(s) - 2nd Applicant
Surname - 2nd Applicant
D/O/B - 2nd Applicant
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Enter your contact details
Address line 1
*
(Used as security)
Address line 2
Town/City
*
County
Postcode
*
Time at address
*
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Full previous address
*
Previous Postcode
*
HomeTelephone No.
*
Mobile / Work Telephone No.
Call Me
*
------------------------------
ASAP
Anytime
Weekday Morning
Weekday Afternoon
Weekday Evening
Weekend
Income details
1st Applicant Employment &
Income Details
*
----------------------
Employed
Self Employed
Retired
On Benefits
Occupation / Job Title
Income Before Deductions
*
------------------
Every Week
Every Month
Every Year
2nd Applicant Employment
& Income Details
----------------------
Employed
Self Employed
Retired
On Benefits
Occupation / Job Title
Income Before Deductions
------------------
Every Week
Every Month
Every Year
Estimated Property Value
*
Current Mortgage Provider
*
Estimated Mortgage Balance
*
Monthly Mortgage Payment
*
Property Construction
*
------------------
Brick
Stone
Concrete
Other
Original Purchase Price
(estimate if unsure)
*
DECLARATION AND NOTICE UNDER THE
DATA PROTECTION ACT
DISCLOSURE AND USE OF YOUR INFORMATION We may as part of the provision of our services to you transfer your personal data between moneysites.com and any of our finance partners or lenders necessary to process your application. Those finance partners or lenders may also transfer your personal data to credit reference agencies in order to carry out the credit checks that are necessary in conjunction with your application. Any transfer of your personal data by them will be done in accordance with their Data Protection Policies.
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