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Preliminary    Application    Form    for    Secured   Loans
.Please note that filling in this form places you under NO obligation whatsoever
PLEASE FILL IN ALL BLANKS - TYPE NA FOR NOT APPLICABLE
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 LOAN DETAILS
 Loan Req        £   Repayment         £   Term YRS 
 No Cover Y/N   Single Cover Y/N   Double Cover Y/N 
 Purpose of Loan 

 APPLICANTS DETAILS
 Mr/Mrs/Mz   Full Name   DOB   Marital Status 
 Mr/Mrs/Mz   Full Name   DOB   Marital Status 
 Previous Name  Maiden Name 
 Address 
 Years at this address   Tel No   Mobile No 
 Previous Address 
 Years at previous address   How many children (if any)   Ages 
 Email Address 

 INCOME AND EMPLOYMENT DETAILS
 1st Applicant  Employed Y/N  Self Empl Y/N  Contract Worker Y/N  Self Cert Y/N
 2nd Applicant  Employed Y/N  Self Empl Y/N  Contract Worker Y/N  Self Cert Y/N
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 INCOME  1ST APPLICANT  2ND APPLICANT
 Gross Income £  Wk/Mth/Yr  £  Wk/Mth/Yr 
 Other Income £  Wk/Mth/Yr  £  Wk/Mth/Yr 
 Time current occupation  Years   Months   Years   Months 
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 CURRENT PROPERTY DETAILS.
 Value Now  £   Date Purchased   Purchase Price          £ 
 Freehold Y/N   Leasehold Y/N   Unexpired Lease (Yrs) 
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 COUNCIL PROPERTIES
 Was property purchased from the council Y/N   Council Discount                                      £ 
 Did you get a discount Y/N   What was the council valuation                 £ 
 Original Local Authority Build Y/N 

 PROPERTY TYPE
 House Y/N   Bungalow Y/N   Flat Y/N   Maisonette Y/N 
 Detached Y/N   Semi Y/N   Terraced Y/N   Garages (no) 
 Living Rooms (no)   Bedrooms (no)   Bathrooms (no)   Kitchens (no) 

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 ADDITIONAL INFO
 If your property has increased in value since you purchased please explain why and list any home improvements
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 Details of local estate agent selling properties like yours
 Name   Telephone Number 
 Address 
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 EXPENDITURE
 Name and address of First mortgage lender
 Name and address of Second mortgage lender
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*** NOTE - The last column marked 'Clear Y/N' is asking if you intend to clear the outstanding balance
 Loans  Lender  A/C number  Balance  Mthly Payment  Clear Y/N
 1st  Mortgage  As Above  £   £ 
 2nd Mortgage  As Above  £   £ 
 Bank Loan  £   £ 
 Bank O/D  £   £ 
 Credit Card  £   £ 
 Car Loan  £   £ 
 Other  £   £ 
 Other  £   £ 
 Other  £   £ 
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 ARREARS
 Loans     Last 12 Months     Last 3 Months
 1st  Mortgage  £   £ 
 2nd Mortgage  £   £ 
 Bank Loan  £   £ 
 Bank O/D  £   £ 
 Credit Card  £   £ 
 Car Loan  £   £ 
 Other  £   £ 
 Other  £   £ 
 Other  £   £ 
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 APPLICANTS DECLARATION
 Data Protection Act 1998 Declaration

 I/We confirm that I/We have the consent of any third party whose details I/We may disclose to Omega Concepts being
 the agent for Trustguard ("You") for onward disclosure to lenders, to disclose such details and to authorise You and the
 parties refered to in the paragraph below to process such details for the purposes of assessing my/our application and
 administering and enforcing any subsequent loan which may be granted to me/us.

 I/we agree that You and any lender shall be entitled to use and process, by any medium, the information given by me/us
 in this application form any other information about me/us which it may require during the lifetime of any loan
 ("the data") for the following purposes:-

 1) to provide and search the files of one or more licensed credit reference agencies whether before, or during the 
     lifetime of any loan granted to me/us by the lender, who will keep a record of such search, to confirm the Data, 
     and for the purposes of credit assessment or account administration.

 2) to disclose the Data to credit reference agencies when requested by them for consideration of any future applications
     for finance made by me/us or members of my/our household or for fraud prevention and/or tracing debtors
     (the agencies may also disclose the Data to other lenders for these purposes)

 3) to disclose the Data to any other company within the lenders group of companies and/or my/our mortgage broker 
     and/or to any third parties (for example, insurers) at any time for the purposes of accessing my/our application
     and administering and enforcing any subsequent loan whether during the course of my/our application or during
     the lifetime of any loan granted pursuant to such application

 4) to disclose the Data to any third parties who replaces or who may replace my/our lender

     You and any lender may use the Data to send information to me/us about you/their products or services and/or
      products or services of other companies in your/their group   Y/N 

      You and any lender may pass the Data to third parties who wish to send information to me/us about you/their 
      products or services                                                              Y/N 
 
 

 Signature of 1st name applicant (Type your name)  Signature of 2nd name applicant (Type your name)
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 AUTHORISATION TO 1ST MORTGAGEE  AUTHORISATION TO PROCESS AUTHORITIES
 To   To 
 A/C Number   A/C Number 
 Date   Date 
 Re:   Re: 
 Please supply such information that Trustguard Homeloans
 deem necessary with regards to my/our Mortgage
 Please supply such information that Trustguard Homeloans
 deem necessary with regards to my/our Application
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 Signature of 1st name applicant (Type your name)  Signature of 1st name applicant (Type your name)
 Signature of 2nd name applicant (Type your name)  Signature of 2nd name applicant (Type your name)
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IF THE FORM WILL NOT SEND THEN YOU HAVE MISSED OUT SOME VITAL INFORMATION
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