Loan Application Form - The Co-Operative Credit Union Page 2
ADVERTISEMENT
1
2
3
4Financial Details
Please complete the following section to the best of your knowledge.
£ per
£ per
Outstanding
Value of
Income
month
Expenditure
month
Balance
Assets
(nett)
Salary/Wages
Rent/mortgage
Pension
Council Tax
Benefits
Electricity
Other (specify)
Gas
Telephone
Groceries
Catalogues
Credit cards
Hire purchase
Car loan
Other loans
Travel
Clothing
Savings/Investments
Home Insurance
Car insurance
Other (specify)
TOTAL
TOTAL
If you are subject to any of the following, please tick the relevant box and provide further
information:
□
□
□
County Court Judgement
Undischarged Bankrupt
Mortgage/Loan Arrears
□
□
Individual Voluntary Arrangement
Currently on sick/maternity leave
To qualify for a loan all sections must be completed in full. Failure to comply may result in the
application being returned to you and delay loan application process. Please note that all loans
are subject to approval. Please also supply copies of your last three month’s payslips and
bank statements.
Declaration (important – please read carefully)
I declare that
to the best of my knowledge I am in good health and fit to carry out my normal occupation.
I am not indebted to any other Credit Union, bank or loan agency as a borrower, guarantor or
surety except as stated above.
neither I nor any company of which I am a shareholder or director is the subject of any
bankruptcy or insolvency proceedings or interim or administration order either now or pending
or threatened pursuant to the Insolvency Act 1986.
I have not served or been served notice of termination of my employment.
I further declare the information given on this form is accurate and correct. I understand that the
provision of false information is fraud and that in the event I am found to have deliberately
falsified information, appropriate action may be taken.
Applicant’s Signature …………………………...……… Date ………………………
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business