Loan Application Form
A. Details of Borrower
Date of Birth:
select or type date e.g 14 May 82
Valuation (if owned):
Telephone No. (Daytime):
Telephone No. (Evening):
B. Present Liabilities
Existing Mortgage / HP / Personal Credit details if applicable (including any outstanding loans & monthly repayments):
Has the Account ever been in arrears?
If "Yes", please provide details:
C. Details of Security
Address of property:
Date of purchase:
Type of property:
D. Details of Loan Required
The total amount required:
Terms for repayment:
Precise purpose of loan:
E. Details of Loan Required
Any other relevant information:
I declare the particulars on this form to be true and correct and to form the basis of any contract between myself and State Credit & Investment Ltd.
I understand that the Lenders may wish to seek references from employers/landlords/mortgagees/bankers and other institutions named on this form and in so naming them I consent to State Credit & Investment Ltd approaching them.
I understand it may be necessary to undertake credit searches against me and/or my company (if applicable). I give my consent for State Credit & Investment Ltd to perform such searches as is deemed necessary to further my application.
Upon legal completion of the loan, I give my consent for data specifically relating to my account performance with State Credit & Investment Ltd to be shared with a credit referencing agency.
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.
Leave this empty:
Your legal name
Your email address
If you have questions about the contents of this document, you can email the document owner.
Document Name: Loan Application Form
Agree & Sign