Personal Loan Query Form


Loan Required: £ *
Term: £ *
Purpose Of Loan: *

Personal Details
Title: *
Surname: *
Forenames: *
DOB: *
Nationality:
Length of time in UK?
Current Address: *
On Voters Roll:
Postcode: *
Time at Address: (Yrs/Mths)
Previous Address: (If less than three years)
Postcode:
Time at Address: (Yrs/Mths)
Home Tel No: *
Mobile No: *
Marital Status:
No. of Dependants:
Age of Dependants:
NI Number:
Passport No:
Driving License No:
Credit Card No:
Are you:
Other:
If Homeowner, Monthly Mortgage: £
Life Insurance: £
Total Outstanding: £
Lender:
Arrears: £
Council Tax - Per Month/Year:
Years left in Mortgage repayments:
If Tenant, Monthly Rent: £
Council Tax - Per Month/Year: £
Defaults?
CCJ's?
If so, How many?

Employment Details
Occupation:
Employers Name & Address:
Telephone No:
Length of Employment: (Yrs/Mths)
Are you Self-Employed?
If Self-Employed will your Accountant confirm your income?
Basic Salary: £
Net: £
Gross: £
Overtime/Bonuses: £
Payment Type:
How long have you worked in the UK? (Yrs)
Details and sources of other income:

Credit Card & Loan Details
Do you currently have any personal loans?
Type of Loan:
Name of Lender:
Monthly Payment: £
Balance: £
Do you currently have any Credit Cards/Store Cards?
Type of Credit Card/Store Card:
Name of Lender:
Monthly Payment: £
Limit: £
Balance: £
Banking Details
Account Name:
Sort Code:
Account Number:
Time with Bank:
Cheque Gaurantee Card?

	* Required