Loan RequirementsAmount of Loan (£)*Purpose of Loan*Home ImprovementsDebt ConsolidationCarWeddingBusiness PurposeOtherLoan period*0 Years1 Years2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years11 Years12 Years13 Years14 Years15 Years16 Years17 Years18 Years19 Years20 Years21 Years22 Years23 Years24 Years25 Years26 Years27 Years28 Years29 Years30 Years31 Years32 Years33 Years34 Years35 Years36 Years37 Years38 Years39 Years40 Years41 Years42 Years43 Years44 Years45 Years46 Years47 Years48 Years49 Years50 Years51 Years52 Years53 Years54 Years55 Years56 Years57 Years58 Years59 Years60 YearsProperty DetailsType of property*ResidentialBuy to LetEx local authority?YesNoUnknownEstimated property value (£)*Estimated mortgage balance (£)*Monthly mortgage payments (£)*Monthly rental income (£)*Credit HistoryHow many mortgage payments have you missed in the last 12 months?0123456+How many payments have you missed on your loans and credit cards in the last 12 months?0123456+How many CCJs and defaults have you had in the last 24 months?0123456+Your DetailsIs this a joint application?*YesNoApplicant 1Title*Forename*Surname*Email* Phone*Date of Birth* Employment statusEmployed Full-TimeEmployed Part-TimeSelf-employedNot employed but looking for workNot employed and not looking for workHomemakerRetiredStudentPrefer Not to AnswerIncome ( £ )*Time in current job*0 Years1 Years2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years11 Years12 Years13 Years14 Years15 Years16 Years17 Years18 Years19 Years20 Years21 Years22 Years23 Years24 Years25 Years26 Years27 Years28 Years29 Years30 Years31 Years32 Years33 Years34 Years35 Years36 Years37 Years38 Years39 Years40 Years41 Years42 Years43 Years44 Years45 Years46 Years47 Years48 Years49 Years50 Years51 Years52 Years53 Years54 Years55 Years56 Years57 Years58 Years59 Years60 YearsTime in current job (months)0 Months1 Months2 Months3 Months4 Months5 Months6 Months7 Months8 Months9 Months10 Months11 Months12 MonthsYour partner's detailsApplicant 2Title*Forename*Surname*Date of Birth* Employment statusEmployed Full-TimeEmployed Part-TimeSelf-employedNot employed but looking for workNot employed and not looking for workHomemakerRetiredStudentPrefer Not to AnswerIncome ( £ )*Time in current job*0 Years1 Years2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years11 Years12 Years13 Years14 Years15 Years16 Years17 Years18 Years19 Years20 Years21 Years22 Years23 Years24 Years25 Years26 Years27 Years28 Years29 Years30 Years31 Years32 Years33 Years34 Years35 Years36 Years37 Years38 Years39 Years40 Years41 Years42 Years43 Years44 Years45 Years46 Years47 Years48 Years49 Years50 Years51 Years52 Years53 Years54 Years55 Years56 Years57 Years58 Years59 Years60 YearsTime in current job (months)0 Months1 Months2 Months3 Months4 Months5 Months6 Months7 Months8 Months9 Months10 Months11 Months12 MonthsConfirm & agree* We confirm that we agree, where appropriate, to being contacted by the company in respect of our financial arrangements. This iframe contains the logic required to handle Ajax powered Gravity Forms.
