Application

STEP 1:

Please tick this box to confirm that the customer(s) has been made aware that first 4 seconds will carry out a credit search with a credit reference agency and a record of the search will be held on their files and by ticking this box you confirm that the customer(s) has authorised this information to be passed on to a third party. Firsts 4 Seconds is a trading style of Commercial 1 limited CCL no: 605640

Introducer Company:

Contact Name:

Telephone No:

LOAN DETAILS:

How much would your customer like to borrow? £

Term: Months/Years

What is the purpose of their loan:

HOME DETAILS:

Full home address:

Post Code:

Time at above address: Years Months

Home phone number (inc STD code):

Mobile Phone Number:

Email Address:

If not applicable, state N/A

CHILDREN LIVING AT HOME:

Number:

Ages:

PROPERTY DETAILS:

Current property value: £

Date of Purchase:

Purchase price: £

Year built(approx):

Property type, e.g: terraced, detached, flat etc:

If it is a flat, how many storeys in the entire building:

If house:

Property construction, eg: brick/mortar,concrete etc:

Roof Type:

Number of bedrooms:

Number of Receptions:

Is their property on a shared ownership scheme:

What improvements have they made (if any) to the property since they purchased it?

Has the property ever been owned by the council:

EX - COUNCIL DETAILS:

Did they purchase as a sitting tenant:

If YES, answer the remaining questions below
If NO, move on to the personal details section

Council value when they bought the property: £

Purchase price - council value less the discount: £

What discount did they receive? £ and/or %