Loan Application Form printable pdf download

Loan Application Form

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LOAN APPLICATION

Name(s):

Tel Home:

Account No:

Address:

Tel Work:

Mobile:

Date Joined:

Date of Birth

(1):

(2):

Age:

Years at address:

Account Type:

Guarantor

Account No.

Amount €

Accommodation:

Area Code:

Address

Common Bond Code:

Guaranteeing

Account No.

Amount €

Marital Status:

Maiden Name:

Address

Dependents:

LOAN DETAILS

Application Date:

OP:

Loan Amount Required:

€

No of Loans to Date:

No of Letters:

€

Amt of Last Loan:€

Existing Balance:

Date of Last Loan:

€

Highest Loan:

€

Less Cancelled RPI:

Ratio:

€

Max Net Loan:

€

New RPI Premium:

€

Arrears/Prepaid: €

Net RPI:

€

New Loan balance

Interest Due:

€

Share Balance:

Loan Type:

Duration:

Collateral:

Repayment Details: The Total Loan Liability of €

is repayable in

instalments of €

including interest. Date last instalment is due

OTHER REPAYMENT SCHEDULES:

EMPLOYMENT/INCOME/RPI/ADDRESS DETAILS

Account Holder:

Spouses Name:

Employers Code:

Account No:

Address:

Employers Code:

Occupation:

Address:

Salary (after tax):€

Occupation:

Salary/Other Income (after tax):€

How Long Employed:

How long Employed:

Additional Income

Previous Address

Description

Amount

Frequency

€

RPI

Breadwinner Name:

Date of Birth:

Member Signature

:____________________________

If you are not in full time employment you can still avail of RPI. Enter your partner/spouse above & if

they are unable to work due to illness or redundant you r repayments will be protected.

MORTGAGE and CREDIT DETAILS

Description

Name of Creditor

Current Balance

Repay Amount Frequency

€

Loan Application Form

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