Assured Loans

The Personal Approach to
Secured Homeowner Loans

Borrow between 5,000 and 100,000 for almost any
purpose, with repayment terms up to 25 years.

Its simple, affordable and quick. Apply online or call us today!

Step 1

Introducer Details

Leave this blank if no introducer is involved.

Company
Contact Name
Telephone Number
Fax Number
E-mail address
Licence Number

Application Details

If the property is jointly owned both applicants must apply.

Application Details	Applicant 1	Applicant 2
Title
First Name
Middle Name
Last Name
Maiden Name
Current Address
Post Code
Time at Current Address
Home Phone Number
Mobile Phone Number
Previous Address (if less than3 years ago)
Post Code
Time at this address
Date of Birth
Marital Status
Number of Children Under 18
Number of people living with you not mentioned
Are you a homeowner?	yes no

At Each Step your form will save.

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

Assured Loans Limited is registered as a Limited Company in England with Company Registration No. 4513120. Registered Office: Century House, 29 Clarendon Road, Leeds, LS2 9PG, United Kingdom. Email: info@assured-loans.co.uk

Assured Loans Limited. is directly authorised and regulated by the Financial Services Authority (FSA No. 311990) as an intermediary for general insurance.