1 Minute Enquiry Form
(Please complete all fields)

Single/Joint application:
Name/s: *
Address: *
Postcode: *
How long have you lived here: years
Mortgage Arrears: Yes
No
How many ccj's: *
Loan Amount Required: *
Term:
Purpose of loan
Occupation *
Years in current job: *
Salary Details: *
per week
per month
per year
Deposit:
Contact details Phone * Email*
* Required

THINK CAREFULLY BEFORE SECURING OTHER DEBTS AGAINST YOUR HOME. YOU MAY BE REPOSSESSED IF YOU DO NOT KEEP UP REPAYMENTS
ON A MORTGAGE OR ANY OTHER DEBT SECURED ON IT
YOUR HOME IS AT RISK IF YOU DO NOT KEEP UP REPAYMENTS ON YOUR MORTGAGE, OR OTHER LOANS SECURED ON IT
A fee between 0% and 10% of the loan may be charged on some plans depending on credit history and ability to prove income.
Example: Loan of £15,000: 120 monthly repayments of £204.66, 10.4%APR variable Loans secured on residential property.
Refinance Ltd, BRE Estate, Watford, WD25 9XX