Quick Loan Quote

Loan Application

Amount of loan applied for -	A value is required.
Purpose of loan -	Please select an item.

Applicant 1

Title
Forename	A value is required.
Middlename	A value is required.
Surname
Date of birth	A value is required.
Marital Status
Landline	A value is required.
Mobile
Email	A value is required.
Are you employed	Yes No Please make a selection.
Are you Self-employed	Yes No
What is your Occupation / Job Title	A value is required.
How long have you worked in your present employment?	A value is required.
Employer Name
Employer 1st Line Of Address	A value is required.
Employer 2nd Line Of Address	A value is required.
Employer Town	A value is required.
Employer County	A value is required.
Employer postcode
Current Income	A value is required.

Applicant 2 (if applicable)

Title
Forename
Middlename
Surname
Date of birth
Marital Status
Landline
Mobile
Email
Are you employed	Yes No
Are you Self-employed	Yes No
What is your Occupation / Job Title	A value is required.
How long have you worked in your present employment?
Employer Name
Employer 1st Line Of Address
Employer 2nd Line Of Address
Employer Town
Employer County
Employer postcode
Current Income

Applicant 1

Home Address	A value is required.
Town	A value is required.
County	A value is required.
Postcode	A value is required.
How Long have you lived at home address?	A value is required.
Property Estimated Valuation	A value is required.
Mortgage Amount	A value is required.
Lender	A value is required.

Applicant 2 (if applicable)

Home Address(if different from Applicant 1)
Town
County
postcode
How Long have you lived at this address?
Property Estimated Valuation
Mortgage Amount
Lender
Registered Owner's Name

Please check this box to confirm that you are happy for Economic Financial Solutions to contact you in relation to your loan application.

Please Agree to Terms.

Once this form is received it will be underwritten based on the information provided, Please ensure the information provided is accurate to the best of your knowledge and is based on recent financial statements.

We may need to carry out searches to decide whether to accept your application, including checks to confirm your identity. We make these checks, including electoral register checks, through credit reference agencies and fraud prevention agencies. If the information you provide is false or inaccurate, or we suspect fraud, we may provide details to fraud prevention agencies and other relevant organisations. We and other organisations may use these records to recover debts and prevent fraud and money laundering. This search and details of your borrowing (if appropriate), will be recorded by the credit reference agency. If this is a joint application, our search creates a financial link between you in the credit reference agency records. This means that your financial affairs may be treated as affecting each other. In the event of non-repayment, relevant details may be disclosed to these agencies. You are legally entitled on payment of a fee to see any information held about you by any credit reference agency.

Who told you about the facility?

A value is required.

Please ensure that you complete this form in full. All fields are mandatory