Finance Application

To apply for finance please complete the following application, we understand this is a difficult and often distressing time so we aim to give you a clear decision quickly.

Applicant personal information

Title

First Name

Middle name

Last name

Date of Birth

Marital Status

How did you hear about us?

Applicant address

We require 3 years address history

Residential information

Applicant contact information

Email Address

Re-type Email Address

Home Phone

Mobile Phone

Finance details

Finance period

Preferred repayment date

Finance amount (you can change this later if necessary)

Representative example: EXAMPLE: Loan amount of £2500.00 with a monthly repayment of £225.47 over a term of 12 months at a rate of interest per annum (fixed) of 15.9%. This is equivalent to 15.9% APR Representative. Total amount repayable is £2,705.64. Your personal circumstances affect the rate we can offer you which may differ from the representative APR. We will do a credit assessment of your circumstances when you apply.

Funeral details

Funeral Date

Deceased full name

Applicant employment details

Employment Status

Length of Employment

Income Frequency

Date you are paid

Total income amount per month

Income Method

Applicant banking details

Card Type ( Debit Card Only, you will be charged 1 pence)

Your name as it appears on card

16-digit long card number (without spaces)

Issue number (Enter "1" if unknown)

3-digit Card Security Code

Valid from Month

Valid from Year

Card Expiry Month

Card Expiry Year

Privacy information

Funeral Safe Terms of Use and Privacy Policy

Please review and accept Terms of Use and the Privacy policy

CPA Statement

I have read and understand continuous payment authorities and that Funeral Safe Ltd will use this method for collection. CPA Statement

Personal Data & Affordability

I give my consent to Funeral Safe Limited sharing the above data for the purpose of this loan application and that this includes but is not limited to Credit referencing agencies, my chosen representative (Originator Company) and UK Banks. I also confirm that I can afford the proposed finance.

Terms of UseWebsite General Information

Funeral Safe Limited with registered number – 09706369 and registered address – Delta 5a, Masterlord office village, West Road, Ipswich, Suffolk, IP3 9FH . Henceforth any use of “we”, “us”, “our” shall refer to Funeral Safe Limited. Take heed that further to the acceptance of the Terms of Website use, all products and services are subject to status and the terms & conditions of the respective products and services.

2.0. Users of Site and Account Conduct

2.1. You are permitted to only hold ONE Funeral Safe Ltd account. Instances where users create a duplicate account omitting or adding certain personal information in order to appear as a new user, will be treated as an attempt to defraud the company. Such instances will be referred to the relevant organization for further action.

This is the privacy statement of Funeral Safe Limited. We understand that your privacy is extremely important to you. As a result we have put in place a number of measures to ensure that any personal data we obtain from you visiting this website or via one of our affiliates is processed and maintained in accordance with accepted principles of good information handling and also in accordance with the Data Protection Act 1998.

By entering you card details and (later through your application process) accepting the terms of the loan agreement you consent to funeral safe limited collecting payments from you the customer using a Continuous payment authority.

What is a continuous payment authority? (CPA)

It's a recurring payment made on your credit or debit card that you have authorised a company to take. The value and regularity of the payments can be varied by the business claiming the payment. This way of making payments is different from a Direct Debit or Standing Order as it is set up by you directly with the company concerned, without the involvement of your bank or building society.