Finance Form | LHD Car Supermarket

Amount Required (£)*

Over How Many Years? *

Purpose of Loan *

Marital Status *

Name (1st) *

Date of Birth (dd/mm/yyyy) *

Name (2nd)

Date of Birth (dd/mm/yyyy)

Your Address*

Postcode*

Home Phone *

Other Phone *

Yrs at current address *

How Many Children? *

Email Address *

Previous Address *

Postcode *

Years at previous address *

Living Arrangements

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1st Named Applicant - Employment

Gross Monthly Income *

Occupation *

Employer / Name of Business *

Address of Employer *

Postcode *

Email of Employer *

Time With Current Employer

(Years) *

(Months)

Details of Other Income

2nd Named Applicant - Employment

Gross Monthly Income

Occupation

Employer / Name of Business

Address of Employer

Postcode

Email of Employer

Time With Current Employer

(Years)

(Months)

Details of Other Income

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1st Named Applicant - Self Employed Earnings

Annual Profit (net)

Period of Self-employment (years)

Accountant's Name and Address

Phone Number

2nd Named Applicant - Self Employed Earnings

Annual Profit (net)

Period of Self-employment (years)

Accountant's Name and Address

Phone Number

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Your Outgoings - Mortgage

Current Balance for All Accounts *

Monthly Repayment *

Current Arrears *

Highest Arrears in Last 12 Months *

Name and Address of Lender *

Account Number

Your Outgoings - Secured Loans or Overdrafts

Current Balance for All Accounts *

Monthly Repayment *

Current Arrears *

Highest Arrears in Last 12 Months *

Name and Address of Lenders *

Account Number

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Property Type *

Joint Owned? *

Part of Property Let? *

No. of Bedrooms *

No. of Receptions *

No. of Bathrooms *

No. of Garages *

When built? *

Freehold or Leasehold? *

Years Left *

Date of Purchase *

Cost of Property *

Value Today *

Date Property Re-Mortgaged if Different from Date of Purchase *

Purchased as a Sitting Tenant? *

Council Discount (if any) *