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Secured Loan Application Form

We are committed to finding you the best loan available to suit your needs. Please complete form below to apply for a secured loan.

Your home is at risk if you do not keep up your repayments on a mortgage or other loan secured on it, think carefully before securing debts against your home. Model Mortgages is a trading name of Homesavers Mortgages and Loans Limited. As indedependant mortgage brokers a fee may be charged where your requirements fall outside our normal criteria or where additional work is involved to obtain a mortgage for you or where no procuration fee is paid by lender. Normally we do not charge a fee but in these circumstances the fee will be £95 payable on application and Non refundable. We will advise you once we understand your requirements if we are going to charge a fee and we will explain this and provide details in writing.

Type of Loan:	- Secured Loan - Unsecured Loan
Loan amount required:
Loan term required:
Purpose of loan:
Applicants	Applicant 1 Details	Applicant 2 Details
Status:	- Married - Single	- Married - Single
Title:
First name:
Surname:
Date of birth:
Previous Address: (3 year address history including post codes)
Telephone: (home or mobile)
Email address:
Employment:	- Employed - Self employed	- Employed - Self employed
Occupation:
Name of employer/business:
How long employed/trading:
Are you:	- Home owner - Private renting - Living with relatives	- Home owner - Private renting - Living with relatives
Total monthly rent/mortgage payments:
Approx amount outstanding:
Total arrears if any:
Highest arrears in last 12 months:
Amount originally paid for home:
Home owned by:	- Self - Partner	- Self - Partner
Original amount borrowed:
Year bought:
Current value:
Name of mortgage company:
Name of bank:
Number of years with bank:
Account number:
Sort code number:
Gross income:
If self employed can you supply accounts:	- Yes - No	- Yes - No