An easy to use WordPress plugin

Loan Application Form

A versatile multistep form to collect loan information. Includes personal details, address, financial data and proof of identity uploads.

Baby steps to begin with

Loan Details

Borrowing: £1000
Do you need a larger amount? Contact us once your application has been completed.
Term: 6 months
Repayment Options
All values are examples only
Loan type
Have you found the car you want? *
Vehicle registration number *
List these debts *
Is this a first or second mortgage *
Who holds your first mortgage?
Where are your expected funds coming from? *
Is there a possibility of delay? *
Purpose of business loan *
What do you want to purchase? *
When was the business established? *
Full name *
Email address *
Mobile number *
Please complete all marked fields

Looking good – this wont take long at all


Monthly Net Income *
Employment *
Name of Employer
Work telephone number
Job title
Business name *
Please complete all marked fields
Down the slope now to the finish


Monthly accomodation cost *
Monthly utilities bills *
Monthly cost of food and groceries *
Existing monthly loan repayments
Other Expenditure (including entertainment)
You curently have left each month
No Expensese? Lucky you!
Please complete all marked fields
Almost Finished – Just one more step.


House/Flat number and road *
Town/City *
Postcode *
Type of Residence *
Time at Residence *
Previous House/Flat number and road
Previous Town/City
Previous Postcode
Type of Residence
Time at Residence *
Please complete all marked fields
Final Step – Complete and let us do our thing!

Validation and Declarations

Required documents. If you don't have the documents to hand you can send them later
Valid ID
Proof of address
Please complete all marked fields


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Download the plugin

Get the Plugin

If you want the plugin download it here. If you need help setting things up give me a call on 07921 859805 or fill in the form on the Contact page