Poor Credit Loan Enquiry Form - Homeowners and Tenants

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If you are a homeowner or tenant with poor credit then complete our Online Enquiry Form - You'll be contacted to discuss your enquiry further and with a competitive quote...

Please answer all 8 questions in hi-lighted in Yellow - the remaining are optional
1. Your Personal Details
	First Applicant	Second Applicant (if applicable)

UK Resident
Homeowner/Tenant
Title
First Name
Middle Name
Surname
Date of Birth
Status
Gross income(pa)	(£)	(£)
Employment

2. Your House & Contact Details
	Current Address	Old address (if less than 3 years at current)

Home Address
(contd.)
Town/City
County
Post Code
Time at current address	years months
Work Phone
Home Phone	One contact number is required
Mobile
E-mail

3. Your Mortgage Details - for mortgage payers & homeowners only

Name of Lender
Monthly payment	Numeric (£)
Mortgage amount	Numeric (£)
Approx. property value	Numeric (£)

4. Your Loan Requirement

Purpose of loan
Loan amount	Numeric (£) - JUST TYPE IN NUMBERS

5. Data Protection Act

I have read & accept the DPA Statement

Any Purpose Loans

Buying a New Car

Now is the chance to get that new 07 or used car with a loan.

Home Improvements

Extend your home, get a new kitchen or new interior furnishings.

Dream Holidays

Take that holiday of a lifetime like a cruise or family holiday in florida

Debt Consolidation

Combine all your debts into one affordable monthly payment .

Cosmetic Surgery

Feel you want to look better from botox to breast implants.

Wedding Expenses

Make you wedding day a very special day to remember.

Sitemap | Data Protection Act | Home

YOUR HOME MAY BE REPOSSESSED IF YOU DO NOT KEEP UP MORTGAGE OR DEBT REPAYMENTS SECURED ON IT
THINK CAREFULLY BEFORE SECURING ANY OTHER DEBT ON YOUR HOME. NON PAYMENT OF ANY LOAN CAN AFFECT YOUR CREDIT RATING

Every effort has been made to ensure that the facts here are correct. No liability is accepted for any errors contained herein or for any loss resulting from actions taken.