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* = Mandatory Fields
Please Complete the form below as accurately as possible :
Your partner's gross income with overtime etc.
The Loan :
Type of Loan Required :
Home Owner
Loan Amount Required :
Loan Term (Months) :
36
48
60
72
84
90
96
108
120
132
144
156
168
180
192
204
216
228
240
252
264
276
288
300
360
Purpose Of Loan :
Business Expansion
Buy to let
Car Purchase
Caravan
Debt Consolidation
Home Improvements
Wedding
Medical Treatment
Honeymoon
Other
Personal Details :
Status :
Married
Living Partner
Single
Divorced
Widowed
Separated
Title :
Mr
Ms
Miss
Mrs
Dr
Other
First Name :
*
Surname :
*
Date Of Birth :
*
Partner's Title
Mr
Ms
Miss
Mrs
Dr
Other
First Name :
Surname :
Date Of Birth :
Address :
*
Post Code :
*
Time at this Address {Years} :
*
Telephone :
*
Mobile Phone
*
Best time to call ?
*
Email Address
*
Previous Address if you have lived for less than three years at your current address :
Payment Protection :
I/We would like my/our loan covered by Life Insurance, Accident, Sickness and also Redundancy Cover. (If self-employed an equivalent alternative package is available.)
Please indicate level of cover required :
Double Cover
Single Cover
No Cover
*
Where I/We have opted not to have a Protected Payment Plan, I/We understand that it is my/our responsibility to keep up the payments if I/We am/are unable to work.
Your Work :
(Note: if you are self-employed please state occupation and how long trading.)
Employement Status
Employed
Self Employed
*
Employer's name :
Time employed by them (Years) :
Occupation :
Partner's employer's name :
Time employed by them (Years) :
Occupation :
About Your Home :
Total monthly mortgage payment :
*
Approximate amount outstanding :
*
Total arrears (if any) :
*
Do you have any CCJs
Yes
No
How many CCJs
Highest arrears in the last 12 months (if any) :
Original amount borrowed on mortgage (including all further advances)
The name of the company you have your mortgage with
*
Address of office dealt with :
Is your home a:
Flat
Maisonette
House
Bungalow
Is it :
Terraced
Semi-Detached
Detached
*
Number of bedrooms :
Number of reception rooms :
Year bought:
*
What is it worth now?
*
The amount you paid for your home :
*
Is it owned by :
Self
With your partner
*
Your Income :
Your gross income with overtime and any bonuses (if self-employed your net income).
Gross :
*
Per :
Week
Month
Year
*
Your partner's gross income with overtime etc.
Gross :
Per :
Week
Month
Year
If self-employed can you supply accounts?
Yes
No
I/We agree that you or any lender to whom you submit this application, may use and disclose my data as described in the pages entitled
Data Protection
and that these pages have been read and understood.
*
Yes
No
* = Mandatory Fields
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Copyrights © 2004 Global Finance Services Ltd - All rights reserved
Rates range from 8.3% APR to 19.9% APR -
typical
12.4% APR variable
Loans subject to status type and value of property.
A fee between 0% and 10% of the loan may be charged on some plans depending on credit history and ability to prove income.
THINK CAREFULLY BEFORE SECURING OTHER DEBTS AGAINST YOUR HOME. YOUR HOME MAY BE REPOSSESSED IF YOU DO NOT KEEP UP REPAYMENTS ON A MORTGAGE OR ANY OTHER DEBT SECURED ON IT.