Inquiry Form - Brantwood Finance Company

Before you submit an enquiry, it is important to know what is required and to consider certain factors before entering a home credit loan agreement. Click the link to see the relevant information before you apply.

Loan Enquiry Form

How did you hear about us? *

Your friend or family member

Please supply the name of the person that recommended you

Amount you'd like to borrow? (£) *

100

*Credit limits are subject to an affordability assessment. New customers up to £200.

Reason for needing the loan ...

The bit about you ...

Title

First Name *

Last Name *

Email Address *

Date of birth *

Home Tel. Number

Mobile Tel. Number *

Marital Status

Residential Status

Home Address *

Home Address

Town

City

Postcode

Time at your current address *

Previous Address *

Previous Address

Town

City

Postcode

Time at your previous address *

The bit about your income ...

Employment Status

Job Title *

Income (after tax) *

How often do you receive your income?

How much money you receive in total? *

Are you expecting an increase / decrease in income during the term of your loan?

Permissions

An Agent/Representative of Brantwood Finance Company can contact me by phone or alternatively, visit me at my home address and complete my application?

Please read before submitting

By submitting this form, if we feel we can help you, you will receive a call back from a representative within 4 working days. If you do not hear from us within this time, unfortunately we are not able to proceed with your application.

If you're accepted in principle, a member of our team will call you to finish your loan application. This could be done over the phone or at your home with an assigned Agent.

Disclaimer

I confirm that I am at least 21 years old and a UK resident.

By completing the Loan Enquiry Form, I confirm that I am not in an Individual Voluntary Arrangement (IVA) or Debt Management Scheme or currently declaring bankruptcy and that all of the information I have provided to you is true.

If I receive a call back from Brantwood Finance Company in relation to my enquiry, I understand and agree that, prior to the full completion of my application and the release of any loan monies, an Agent of Brantwood Finance Company will contact me or visit me at my home address to complete an affordability assessment and consumer credit agreement. This is the contractual agreement I agree to enter when receiving a loan from Brantwood Finance Company.

Loan amount and length of term requested is subject to change pending an affordability assessment.

Data Protection Statement

We are required by the Data Protection Act to keep your personal details confidential and the information you provide will only be used to make a decision on whether to lend you money.

Credit Reference and Fraud Prevention Agencies

We may check your details and credit rating with credit reference agencies – and you will have the right to know which credit reference agency we use. We may also use the information you provide to prevent fraud, money laundering and debt tracing.

If you are human, leave this field blank.