Loan Application Form      Loan Requirements Amount required (£) Repayment amount (£) Repayment term (months) Purpose of loan Where did you see our ad? Do you require insurance cover? Single cover (insures main wage earner) Double cover (insures both applicants) No cover      Your home is at risk if you do not keep up your repayments on a mortgage or other loan secured on it. Loans secured on property. Licensed credit brokers. Written quotations available on request.