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THINK CAREFULLY BEFORE SECURING OTHER DEBTS AGAINST YOUR HOME. YOUR HOME MAY BE REPOSSESSED IF YOU DO NOT KEEP UP REPAYMENTS ON A MORTGAGE OR ANY OTHER DEBT SECURED ON IT

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Home Phone		Loan Amount	Select... £1,000 - £4,999 £5,000 - £9,999 £10,000 - £14,999 £15,000 - £19,999 £20,000 - £29,999 £30,000 - £39,999 £40,000 - £49,999 £50,000 - £59,999 £60,000+
Mobile Phone		I have read declaration and accept the DPA statement.