Secured Loan Application


Agency Number:
Campaign Number:
Your Reference:
Title:
Firstname:
Surname:
Telephone:
Email:
1st line of Address:
Postcode:
Loan Amount:
Mortgage Balance:
Property Valuation:
Total Annual Income:
Notes:
Data Protection Statement - Please check with your client and confirm below In considering your application MDC will search your record at credit reference agency/agencies. They will add to your customer record details of our search and your application. This maybe seen by other companies carrying out searches at a later date. MDC will use a credit scoring or other automated decision making system when assessing your application. It is important that you give us accurate information. The credit reference agency/agencies and the fraud prevention agency/agencies will also use the records for statistical analysis about credit, insurance and fraud. By ticking this box you confirm that you have the customer authority for a search and they authorise us to link and record information about them

Your Customer should be advised to think carefully before securing other debts against their home.
Their home may be repossessed if they do not keep up repayments on a mortgage or any other debt secured on it.

Money Debt and Credit (Financial Services) Ltd, Registered in England & Wales No.05951422. Registered Office: 45 Clarendon Road, Watford WD17 1SZ
Financial Service Authority Number: 461643, Consumer Credit Licence Number: 0593490

A fee of up to 15% may be payable upon completion. Written quotation available upon request

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Secured Loans

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