Secured Online Enquiry

Your Name and Company

Your Contact Details

Loan Amount and Term

Loan Purpose Home Improvements / Credit Consolidation / Other

Authority to Credit Search Clients? If yes, you must have verbally informed the clients that the information on this form will be disclosed to a Credit Referencing Agency, which may keep a record of that information AND they may disclose that information, and the fact that a credit search was made

Should we contact the clients directly?

Applicant One: Full Name

Date of Birth

Any previous name

Dependants living at home Number & Ages

Home Telephone Number

Work Telephone Number

Mobile Telephone Number

Career Status? Employed / Self Employed / Contract / etc

Occupation / Job Title

Time in Job / Role

Company Details & Address

Income Details

Applicant Two: Full Name

Date of Birth

Any previous name

Work Telephone Number

Career Status? Employed / Self Employed / Contract etc

Occupation / Job Title

Time in Job / Role

Company and Address

Income Details

Security Property Address

Purchase Price and Date

Current Value Details of recent comparables to support this

Type of Property

Beds/Receps/ Baths/Garage

Ex-council?

If BTL, Applicants Home Address

Previous Addresses in last three years

Security Property Lender and Balance

Monthly Payment

Amount of ERCs

If flexible mortgage - Initial Advance

Details of any credit problems

Any other comments Have you completed every section to give us as much information as possible to place this deal? Then click submit.

AJP Finance is a trading name of Alexander James Partnership Ltd. Registered Number 4905815.

Authorised and Regulated by the Financial Conduct Authority.

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