The following Trust Deed form must be completed in full any omissions will cause a delay in the time taken to validate your qualification. On validation that you qualify we will provide £100 financial assistance as well as a Pre-paid Visa Credit Card. We normally reply same day.
Please take your time to complete the application form below. Should you have any queries regarding completion of this form please do not hesitate to contact us e-mail at:admin@trust-deed-advice.com
CLEAR ALL YOUR DEBTS TODAY & SAVE YOUR HOME £100 FINANCIAL ASSISTANCE - FREE PREPAID CREDIT CARD FACILITY
DO YOU QUALIFY - COMPLETE THIS FORM WE WILL LET YOU KNOW INSTANTLY.
Our Reference:
Tel Number:
Contact Name:
E-mail:
Background Story - Circumstances and causes your current financial situation:
From the details that you have accrued, please give as much information as possible – include dates, events, job and health factors. The more information that you provide will allows us to speed up the validation process.
1. Have you ever been bankrupt ? Yes / No.
2. If Yes - Please give brief details:
3. Please list all persons in your household. Supplying DOB & relationship to you.
4. Mr / Mrs / Ms / Miss
Your Details:
Partner Details:
Surname:
First Name:
Previous Names Known:
Date of Birth:
Residential Address:
Postal Code:
Mortgage: Yes / No.
Rent: Yes / No.
Marital Status:
Date of Marriage:
No & ages of dependents:
National Insurance Number:
Mobile Telephone Number:
Work Telephone Number:
Home Telephone Number:
E-Mail address:
Best time to contact:
5. BANKING DETAILS:
Name:
Address:
Type of account Held:
Current a/c - Loan a/c.
Savings a/c - Mortgage a/c.
6. EMPLOYMENT DETAILS:
(If self employed, please provide details as below relevant to your business).
Employers Name:
Date Commenced:
Position:
7. PROPERTY DETAILS:
Rented:
Arrear - Yes / No.
Amount - (£)
Name on Agreement (Mr / Ms / Joint)
Mortgaged:
Date Purchased:
Name of Building Society/Lender:
Value – Open Market: (£).
Mortgage Outstanding: (£).
Second Charge: (£).
Description / Age of Property: (House - Flat - Semi detached - Brick Concrete etc).
Endowment (Age / Surrender) (£).
Mortgage Arrears Details: (£).
8. CREDITOR DETAILS:
CREDIT CARDS: ( If more than one card please list as Card 1, 2 or 3 etc).
Card Type:
Balance Due: (£).
Monthly payment: (£).
Arrears Amount (£).
Single / Joint card.
Legal Action Pending ? (If Yes - Details - CCJ's issued etc).
LOAN AGREEMENTS: ( If more than one loan please list as loan 1,2 or 3 etc. Please state if secured or unsecured).
Loan Type:
Purpose of Loan (1,2 or 3):
Single / Joint Loan.
9. VEHICLE DETAILS:
(If More than one vehicle, please list as vehicle 1, 2 or 3 etc).
Vehicle 1.
HP - Yes / No.
Term: (36 - 60 months).
Year:
Make:
Model:
Mileage:
Trade Value:
Balance Left:
Date Started:
Monthly Payments:
No Months Paid:
Finance Company:
Arrears Amount: (£).
10. H P - AGREEMENTS:
(If More than one agreement, please list as1, 2 or 3 etc).
Product / Service:
11. Income v Expenditure / Month:
£ INCOME:
WAGES (net)
WAGES (partner)
INCOME SUPPORT
DISABILITY LIVING
ALLOWANCE
WORKING TAX CREDIT
PENSION
CHILD BENEFIT
CHILD TAX CREDIT
CHILD MAINTENANCE
NON-DEPENDENTS
OTHER INCOME (please specify)
12.Income v Expenditure / Month:
£ EXPENDITURE:
1ST MORTGAGE
2ND MORTGAGE
RENT
GROUND RENT
HOME INSURANCE (buildings/contents)
COUNCIL TAX
ENDOWMENT POLICY
GAS
