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Applicant 1  
  Title First Name Middle Name(s)    
     
  Surname Maiden Name Date of Birth    
  / / dd/mm/yyyy    
  Marital Status Phone (daytime) Phone (evening)    
     
  Fax Mobile Email Address    
     
  Time in Employment Employment Status Income    
  Years Months    
   
       
Applicant 2  
  Title First Name Middle Name(s)    
     
  Surname Maiden Name Date of Birth    
  / / dd/mm/yyyy    
  Marital Status Phone (daytime) Phone (evening)    
     
  Fax Mobile Email Address    
     
  Time in Employment Employment Status Income    
  Years Months    
   
       
Home Details  
  Full Address Postcode Construction Type    
  Line 1
Line 2
Line 3
Line 4
Line 5
   
  Type of Property Date Purchased    
  / /    
  Your Status Mortgage Lender Monthly Mortgage Payment    
  £    
  How Long Resident Current Value Price Paid    
  Years Months £ £    
  Mortgage Balance If Ex Council house please provide any discount given    
  £ £    
  If you have lived at this address for less than 3 years please provide the following information:    
  Full Address Postcode How Long Resident    
  Line 1
Line 2
Line 3
Line 4
Line 5
Years Months    
         
         
   
       
Loan Details  
  Loan Amount Over a term of Credit Protection    
  £    
  Reason For Loan        
         
   
       
Please quote reference  
  How did you hear about us?        
         
   
       
  Before submitting your application please ensure that you have:
  • Provided all contact telephone numbers (including mobiles).
  • Provided your email address.
  • Provided your spouses details if married or your partners details if property is jointly owned. 
  • Read the legal section of this website and agree to the terms as set out including the section marked Customer Declaration.
   
     
Thank you, that's all the information we need. Now just click     
       
  Full written details about the terms of our loans are available on request. Loans subject to status.
YOUR HOME IS AT RISK IF YOU DO NOT KEEP UP REPAYMENTS ON A MORTGAGE OR OTHER LOAN SECURED ON IT.

Loan Line Ltd, Intec 2 Wade Road, Basingstoke RG24 8NE