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Quick Application Form
Please fill in our form below.
Personal Information
First Name
Last Name
E-Mail
Contact No.
1.
What was the amount of your loan?
Please Choose
Less than £3000
More than £3000
We cannot help you with this type of claim, but if you would like to find out more about the services we offer then just call 08444 961 013
2.
When did you take out the loan?
Please Choose
Less than 18 months ago
18 months to 8 years ago
More than 8 years ago
We cannot help you with this type of claim, but if you would like to find out more about the services we offer then just call 08444 961 013
3.
Was your loan a business loan?
Please Choose
Yes
No
We cannot help you with this type of claim, but if you would like to find out more about the services we offer then just call 08444 961 013
4.
If your loan has stopped or been repaid how long had you had it at the point it was stopped / repaid?
Please Choose
N/A as loan is still running
Less than 6 months
6 months or more
We cannot help you with this type of claim, but if you would like to find out more about the services we offer then just call 08444 961 013
5.
If your loan is still running, how long does it still have to run?
Please Choose
N/A no longer running
0-20 years
Over 20 years
We cannot help you with this type of claim, but if you would like to find out more about the services we offer then just call 08444 961 013
6.
Was your loan sold by a bank, building society or secured loan Company?
Please Choose
Yes
No
We cannot help you with this type of claim, but if you would like to find out more about the services we offer then just call 08444 961 013
7.
Have you made a successful claim for benefits under the policy?
Please Choose
Yes
No
We cannot help you with this type of claim, but if you would like to find out more about the services we offer then just call 08444 961 013
8.
Are you 2 months or more behind with the repayments?
Please Choose
Yes
No
We cannot help you with this type of claim, but if you would like to find out more about the services we offer then just call 08444 961 013
9.
Are your finances controlled by a debt management firm or have you ever been made bankrupt or had CCJ’s made against you?
Please Choose
Debt Management
Bankrupt / IVA
CCJ's
We cannot help you with this type of claim, but if you would like to find out more about the services we offer then just call 08444 961 013
Once you have answered all the questions above please submit the form for the next steps you need to take
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