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Name *

Town/City *

Phone Number *

Email Address *

Amount of Loan $

Security Offered
(Home)

Gross Annual Income $

Optional Questions

What is the property worth?
(Purchase Price/Valuation)

Loan Purpose
(Purchase, refinance, increase, build)

Income
(Your household income each year before tax)

Outgoings
(Credit Card limits, hire purchases, personal loans, other loans, student loans, child support)

Your Monthly Payments

Number of Adults

Number of Dependents

Baycorp Credit Rating
(Any Listings?)

Yes

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Confirmation Code

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0800 247 667