Loan Application Form
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5Consultant
Loan Application Form
A. Your Details
Company/Trust
Mr
Mrs
Miss
Ms
Other
Mr
Mrs
Miss
Ms
Other
PLEASE SELECT ONE
PLEASE SELECT ONE
Surname
Surname
First Names
First Names
Preferred Name
Preferred Name
Date of birth
/
/
Date of birth
/
/
No of Dependants
No of Dependants
Ages of Dependants
Ages of Dependants
Address
Address
City/Town
Post Code
City/Town
Post Code
Postal Address
Postal Address
Post Code
Post Code
Home phone (
)
Home phone (
)
Work phone (
)
Work phone (
)
Mobile phone (
)
Mobile phone (
)
Email
Email
No
No
(BY PROVIDING YOUR EMAIL ADDRESS YOU ARE AGREEING TO RECEIVE ELECTRONIC INFORMATION AND UPDATES FROM TSB BANK. IF YOU DO NOT WANT TO RECEIVE THIS INFORMATION, PLEASE TICK THE ‘NO’ BOX ABOVE)
B. Employment Details
Occupation
Occupation
Employer
Employer
Period there
Period there
C. Borrowing Purpose
PLEASE TICK ONE BOX
Home Loan
Refinance
Other
D. Loan Amount
Loan Amount Required $
Deposit $
Purchase Price $
E. Loan Facilities
Table/Instalment Loan amount $
Loan Term
Repayment Frequency
$
Revolving Credit Loan amount $
F. Security Details
Address
1)
2)
G. Solicitor
Solicitor Name:
Firm:
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Parent category: Business