Homeowner Loans » Loan Application

Please complete our form as accurately as possible.
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Loan Required:
Loan Term:	years
Purpose of Loan:
Name:*
Telephone (Daytime):*
Telephone (Evening):
Telephone (Mobile):
Email Address:
Postal Address:*
Post Code:*
Approximate value of property (£):
Current Mortgage Balance (£):
Employment Status:
By clicking submit you confirm that you have read and accept the Data Protection notice below.

DECLARATION: NOTICE UNDER THE DATA PROTECTION ACT I/we declare that the statements and particulars in this application form are true and accurate to the best of my/our knowledge and belief and shall form part of any subsequent agreement. I/we agree that such information might be relied upon by all third parties to whom Choice Loans and Mortgages is authorised to disclose the same as if such third parties had received the information directly. CUSTOMER INFORMATION AND DATA PROTECTION In assessing your application, we will make enquiries about you including searching any records held by Credit Reference Agencies and checking your details with Fraud Prevention Agencies. The Credit Reference Agencies will keep details of any searches. Information held about you by the Credit Reference Agencies may already be linked to records relating to one or more of your financial partners. For the purpose of this application you may be treated as financially linked and your application will be assessed with reference to any "associated" records. If you are a joint application or if you have told us of some other financial association with another person, you must make sure that you are entitled to (a) disclose information about your joint applicant and anyone referred to you by you; and (b) authorise to search, link or record information at Credit Reference Agencies about you and anyone referred to by you. An association between joint applicants and between you and anyone you tell us is your financial partner will be created at Credit Reference Agencies. This will link your financial records, each of which will be taken into account in all future applications by either or both of you. This will continue until one of you successfully files a disassociation at Credit Reference Agencies. If you have requested payment protection insurance and/or home insurance we may pass information about you to any organisation approved by us to enable them to arrange and administer the requested plan and for the purposes of underwriting, claims handling and fraud prevention (which could include passing details to other insurers). Please telephone us on 0845 126 0350 if you want details of those Credit Reference Agencies and Insurers from whom we obtain and to whom we pass information about you. You have a legal right to these details. You have a right to receive a copy of the information we hold about you if you apply to us in writing. A fee will be payable. CUSTOMER CONSENT - IMPORTANT: PLEASE READ THIS BEFORE YOU SUBMIT YOUR FORM By submitting this application form, you consent to us disclosing details about you as described above. Also you consent to us disclosing your name and address to the lender or lenders to which we submit your application. In particular, your details may be used and disclosed so that you can be provided with information about goods and/or services offered by us and other organisations which may be of interest to you. If you do not want to receive marketing information, you may write to us at any time.

THINK CAREFULLY BEFORE SECURING OTHER DEBTS AGAINST YOUR HOME.
YOUR HOME MAY BE REPOSSESED IF YOU DO NOT KEEP UP REPAYMENTS ON A MORTGAGE OR ANY OTHER DEBT SECURED ON IT.