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 2

Bank Details

This is all safe on a secure database.

Bank Name

Sort Code

Account Number

Direct Debits allowed?

Yes No

Are any of the following held?

Cheque Card / Visa / Mastercard / Storecards / loans

Employment Details

Please Try to fill all areas

Employment Status

Applicant 1

Applicant 2

Employer First Name

Employer Last Name

Employer Company Name

Employer Current Address

Employer Post Code

Time at this Employer

Job Title

Net Monthly Income

Can 3 previous payslips be provided?

Yes No

Previous Employer Details (if less than 3 years)

If self employed can income be proved?

Yes No

If unable is self certification an option?

Yes No

Loan Requirements

Request loan amount	GBP £
Loan Term	years (5 to 25)
Loan Purpose

At Each Step Move 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..