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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:

select or type date e.g 14 May, 82

Current Address:

Previous Address:

Telephone No. (Daytime):

Email Address:

Employment details:

Employer:

Salary:

B. Details of Property proposed as mortgage security

Address:

Date of purchase:

select or type date e.g 14 May, 82

Type of property:

Estimated value:

Mortgage outstanding:

C. Details of Loan Required

Amount:

Terms for repayment:

Purpose of loan:

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.

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Your legal name

Your email address

Please Confirm full name and signature.

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Timestamp

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28 October 2020 7:12 am BST

Loan Application Form Uploaded by Brian Howe - brian@statecredit.co.uk IP 83.104.89.228