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Date received:?Received at:?Have you had a Salford Credit Union Loan before?YesNo Don’t know-259715-285750 Loan Application Form00 Loan Application Form-261620107315Please complete ALL the information on pages 1-3 and write in BLOCK CAPITALS. Documents Requested Y / NAn incomplete form may delay your application. If you need assistance in completing this form please ask.00Please complete ALL the information on pages 1-3 and write in BLOCK CAPITALS. Documents Requested Y / NAn incomplete form may delay your application. If you need assistance in completing this form please ask. INFORMATION ABOUT YOUMrMrsMsMissOtherMember No.SurnameFirst nameDate of BirthNational Insurance No.Mobile No.Home No.Email YOUR ADDRESSCurrent AddressPostcodeAre you a: home ownerhousing association tenantprivate tenantlodgerhostelliving with family or friendsIf you are a tenant please give the name of your landlord:How long have you lived at this address? yearsmonths Number adults in your householdAges of children in your householdPrevious address If less than 3 years at Current addressPostcodeHow long did you live at this address? yearsmonths Previous addressIf less than 3 years at previous two addressesPostcodeHow long did you live at this address? yearsmonths INFORMATION ABOUT YOUR EMPLOYMENT AND/OR BENEFITSAre you:employedself-employedunemployedstudentretiredIf employed what is your occupation?Employer’s name and addressFull time/part timepermanent/temporary/casualHow long have you worked here?Are you in receipt of benefits or tax credits? Yes/No If yes please list your benefits on the next page-261620661670Most decisions on applications may take 3 to 5 working days. On occasions we may need to ask you for further documents or evidence before we start processing.00Most decisions on applications may take 3 to 5 working days. On occasions we may need to ask you for further documents or evidence before we start processing. INFORMATION ABOUT YOUR INCOME Please make sure that you fill in ALL your income including income from pensions, tax credits or benefits. We will check these against your bank statement.Income from wages or company pensionIncome from benefits and tax creditsTypeAmountweek/fortnight/monthName of benefitAmountweek/fortnight/monthNet salary or wages??Company pension??Other??Other??Total Income?Total Benefit Income?Have you included your partner’s/spouse’s income? YES/NO (if yes, they must sign this application with you)INFORMATION ABOUT THE MONEY YOU SPENDPlease make sure you include ALL of your expenditure including any outstanding debt that you have. This will help us to see if you will be able to manage the repayments for this loan.List here all your regular outgoings and expensesCREDIT HISTORYOutgoingsAmountWeek/fortnight/monthOffice UsePlease answer ALL of the following questionsRent or MortgageHave you had any defaults or missed payments with your credit in the last 3 years? YNCouncil TaxWater chargesAre you currently in a debt management plan or IVA?YNGas and ElectricHave you ever been declared bankrupt?YNInsurancesDo you have any County Court Judgements (CCJs)?YNFood/Housekeeping If you answered YES to any of these questions please give details below. Include ALL of your current debt payments.Child care costsDo you have any CURRENT loans or other creditYNClothing etc.Please list all loans, credit cards, catalogues and other credit owedTV Rental and licenceName of creditorBalance owingPaymentsWk/mthHome/mobile Tel InternetTravel expensesCar tax/ins/petrol etc.SocialisingOther outgoingsTOTALDebt Repayments9525-3746500TOTAL OUTGOINGSSort Code - Account Number -Further information Surplus Income ?INFORMATION ABOUT YOUR LOAN – Please answer ALL of the questionsAre you applying for a?First LoanTop Up LoanPersonal LoanSecured LoanPlease ask for details of which loan is the right one for youHow much do you want to borrow??When do you need the loan?Are you topping up an existing Loan?YNWhat is the reason for the loan?Preferred repayment amount??Repayment frequency? Please CircleWeekly Fortnightly MonthlyIMPORTANT - YOUR PERSONAL INFORMATIONCredit Reference and Fraud Prevention AgenciesWe may make searches about you at credit reference agencies who will supply us with credit information as well as information from the Electoral Register.? The agencies will record details of any search whether or not this application proceeds.? We may use credit scoring methods to assist the application and to verify your identity.? Credit searches and other information which is provided to us and/or the credit reference agencies about you and anyone with whom you are linked financially or other members of your household.? This information may also be used for debt tracing and the prevention of money laundering as well as the management of your account.? In addition, we may ask you to provide physical forms of identification and/or we may telephone you to confirm you identity.? To prevent or detect fraud or to assist in verifying your identify we may make searches of group records and at fraud prevention agencies who will supply us with information.? We may also pass information to financial and other organisation involved in fraud prevention to protect ourselves and our customers from theft and fraud.? If you give us false or inaccurate information, details will be passed to fraud protection agencies.?This information may also be used for tracing and claims assessments and verifying identify.? Information held about you by the credit reference agencies may already be linked to records relating to anyone with whom you have a financial relationship such as a joint account.You must be a member of Salford Credit Union to be eligible for a loan. If your loan application is successful, and you are not already a member, you must become a member of Salford Credit Union. FORMAL DECLARATION – Your SignatureI declare that to the best of my knowledge I am in good health and fit to carry out my normal occupation and that the information I have given on this form is, to the best of my knowledge and belief, accurate and full information. I understand that the provision of false information is fraud and that the credit union may take appropriate action if I am found to have deliberately provided false or misleading information.ApplicantSignature:Print Name:Date:Partner/spouse If you have included your partner/spouse’s income they must sign belowSignature:Print Name:Date:WHAT TO DO NOW – Supporting InformationYou must now return this completed form to the credit union together with the following information:Your latest 3 months bank or post office statements that include all of the income and outgoings you have declaredYour latest Payslip or benefit statementPLUS (if you are not already a Salford Credit Union member)Something confirming your address like your most recent utility bill, council tax letter or benefit letterA form of ID like your passport or driving licence Important. Make sure you have completed the form fully and have all the supporting information requested otherwise your application will be delayed. In order to make a fully informed decision the loan officer looking at your application may need more information from you. If that is the case they will contact you as soon as possible. Once the loan officer is satisfied that information you have given is complete, we aim to give you a decision on your application within 5 working days. Return your form together with supporting information to:Salford Credit Union, 1 Loganberry Avenue, Brotherton House, Salford, M6 5UXFor enquiries: Tel: 0161 686 5880 or email: info@Authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. ................
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