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Fast hassle free application process!
Simply complete the form below and let us do the rest!
For FREE

Remember - there is no obligation, you can pull out at any time for any reason without penalty.

 
Security Note: Please also be assured that your details will remain entirely confidential.
 
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Personal Details:    
   
 
The Loan amount you require: £
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Repayment selected over:
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Purpose of loan:
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Marital status:
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First Names:
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Last Name:
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Date of birth:
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Partners first names:
 
Partners last name:
 
Partners date of birth:
 
   
 
Home telephone:
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Email Address:
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House Name/Number:
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Street Name:
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Town:
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County:
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Postcode:
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How long have you lived at this address? (years)
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Previous address if you have lived
for less than three years at your current address
House Name/Number:
 
Street Name:
 
Town:
 
County:
 
Postcode:
 
   
 
 
 Your Work
 (Note: if you are self-employed please state occupation and how long trading)
   
 
 
Employers name:
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How long have you been employed by them? (years)
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Occupation:
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Partners employers name:
 
How long have they been employed by them? (years)
 
 
Occupation:
 
 
   
 
About Your Home
   
 
Total monthly mortgage: £
 
Approximate amount outstanding: £
 
Total arrears (if any): £
 
   
 
Highest arrears in last 12 months
(if any): £
 
Original amount borrowed on mortgage (including all further advances): £
 
 
The name of the company you have your mortgage with:
 
Address of their office that you deal with:   
   
 
 
Mortgage account number:
 
The name of the Bank(s) or Building Society you use:

   
 
 
Is your home a:
 
Is it:
 
 
Number of bedrooms:
 
Number of receptions:
 
 
Year bought:
 
What is it worth now:
 
 
The amount that you paid for your home:
 
Is your house owned by:
 
   
 
 
Your Income
Your gross income with overtime and any bonuses (if self-employed your net income)
Weekly:
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Monthly:
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Yearly:
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If self employed can you supply accounts?
Yes No

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Do either of you have a Cheque or Debit Cards?
Yes No
 
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Do either of you have a Mastercard?
Yes No
 
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Do either of you have a VISA card?
Yes No
 
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Do either of you have an AMEX or Diners Club?
Yes No
 
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Total number of store card held between you:
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Data Protection Notice:
 
 
 
Registered with the DPA (Data Protection Act 1998) Registrar of Data Controllers Number Z4806052 Directly Authorised by the FSA. Firm Number 300163
 
 
Essex Countrywide Business Awards Winner
 

The Cooper Partnership - 26 Wren Avenue, Eastwood,
Leigh on Sea, Essex. SS9 5AF
Email : info@cooperloans.co.uk

 
loans - apply online - faq - contact - refer a friend - home 
Southend District Business Awards Winner
     
Registered with the DPA (Data Protection Act 1998) Registrar of Data Controllers Number Z8827130
Authorised and Regulated by the Financial Services Authority (FSA). Firm Number 300163