State Credit & Investment

Loan Application Form


Your details will only be used for the above purpose. We will keep your email address safe in accordance with our privacy policy. Your details will only be used for the above purpose. We will keep your email address safe in accordance with our privacy policy.

Loan Required:

Repayment Term:


A. Details of Borrower


  • Personal Details

Full Name:

Date of Birth:

Current Address:

Previous Address:

Valuation (if owned):

Mortgage Details:

Telephone No. (Daytime):

Telephone No. (Evening):

Email Address:

  • Employment details:

Employer:

Salary:


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:

Estimated value:

Original mortgage:

Amount Outstanding:


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:

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State Credit & Investment https://www.statecredit.co.uk
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Document name: Loan Application Form
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28 October 2020 7:12 am GMTLoan Application Form Uploaded by Brian Howe - brian@statecredit.co.uk IP 80.169.52.45