Online Loan Application Enquiry
If you would like us to contact you with a personalised illustration, Please complete this form.

Questions with an asterisk must be completed.

Title* Mr Mrs Ms

Surname* First name*

Date of birth* Marital Status

House No/Name* Street*

Town* Postcode*

Contact Tel.No.Home* Mobile

Best time for Contact* Email address*

Details of loan advance required

How much do you wish to borrow?*

Over how many years?*

Your property

What is the value of your property?*

Name of current mortgage lender?

Amount of mortgage outstanding*

What is your current monthly mortgage payment?*

Any subsequent lenders?
If Yes please give details and amount outstanding.

Employment status

What is your employment status?*

Is this a Single or Joint application?*

Annual gross income of 1^st applicant*

Annual gross income of 2^nd applicant*

Your circumstances

Do you have any County CourtJudgements (CCJs) IVAs/Bankruptcy outstanding in last 3 years?* YesNo

If Yes please specify:

Have you missed any loan/secured loan/rent payments in the last twelve months?* YesNo

If Yes please specify:

Please note : By completing and submitting this form you are giving permission for First Union Loans Ltd to contact you.

You may wish to print and keep a copy of this document for future reference.
Your home may be repossessed if you do not keep up payments on a mortgage or any other debt secured upon your property. Think carefully before securing loans or any other debts on your property

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