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Current Address
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Postcode
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Select an Address:
LIJP-2AB0-38AL-4YBJ
ElliLister1277230
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0
Select an Address:
Name/Number and Street
Address Line 2
Town/City
County
Is this the property receiving the repairs or improvements?
Yes
No
What are the type of works?
*
Bathroom
Boiler
Central Heating
Damp
Disability Adaptations
Electrics
Heat Pump Installation
Kitchen
Loft Insulation
Major Renovation
Plumbing
Renewable Energy
Roof
Solar PV Installation
Structural Repairs
Various
Wall Insulation
Windows
Other
What are the type of works?
*
Air source heat pumps
Ground source heat pumps
Heating ventilation and air-conditioning controls
Mechanical ventilation with heat recovery systems
Under-floor heating
Cavity wall insulation
Draught proofing
External wall insulation systems
Internal wall insulation systems
Loft or rafter insulation (including loft hatch insulation)
Hot water cylinder insulation
Roof insulation
Room in roof insulation
Under-floor insulation
Photovoltaics
Micro wind generation
Solar water heating
Solar blinds
Shutters and shading devices
High performance external doors
Replacement or secondary glazing
What are the type of works?
*
Floor insulation
Wall insulation
Loft Insulation
Roof insulation
Remediation works to walls/floors to remove moisture risk after installation of insulation
Double glazed windows
Triple glazed windows
Low carbon heat source e.g. air source heat pump
Solar PV Installation
Remediation works to supporting roof structure & scaffolding costs, so long as max loan value is not exceeded
What are the type of works?
*
Floor insulation
Wall insulation
Loft Insulation
Roof insulation
Remediation works to walls/floors to remove moisture risk after installation of insulation
Double glazed windows
Triple glazed windows
Low carbon heat source e.g. air source heat pump
Solar PV Installation
Remediation works to supporting roof structure & scaffolding costs, so long as max loan value is not exceeded
What are the type of works?
*
Insulation
Solar PV systems
Solar thermal systems
Ground/air source heat pumps
Battery storage where combined with a new solar PV system
Double & triple glazed windows where combined with insulation measures
Ventilation where combined with insulation measures
What is the address of the property receiving the repairs or improvements?
Postcode
Search
Select an Address:
LIJP-2AB0-38AL-4YBJ
ElliLister1277230
0
0
Select an Address:
Name/Number and Street
Address Line 2
Town/City
County
Are you the registered owner of this property?
*
Yes
No – I rent it and am applying for Bulk Buy Fuel
No – I'm purchasing
Have you received quotes?
Yes
No
Upload Quote (s)
Max. file size: 512 MB.
How much are you looking to borrow?
How much would you like to repay every month?
How much is your property worth
*
About You
Title
*
Mr
Ms
Miss
Mrs
Dr
Sir
Surname
*
Forename
*
How many applicants are applying? Please note, if there is more than one registered owner of the property, we will require all owners to apply. If this is not possible, please explain why:
*
1
2
3
4
Notes
*
Applicant 1
Title
Mr
Ms
Miss
Mrs
Dr
Sir
Surname
Forename
Email Address
Contact Number
Date of Birth
Month
Day
Year
Employment Status
Benefits
Carer
Employed full time
Employed part time
Maternity
Retired
Self-Employed
Unemployed
Tax Return Upload
Max. file size: 20 MB.
Time in Employment
1 Year
2 Years
3 Years
4 Years
5+ Years
Employer Name
Employer Address
Postcode
Search
Select an Address:
LIJP-2AB0-38AL-4YBJ
ElliLister1277230
0
0
Select an Address:
Name/Number and Street
Address Line 2
Town/City
County
Applicant 2
Title
Mr
Ms
Miss
Mrs
Dr
Sir
Surname
Forename
Email Address
Contact Number
Date of Birth
Month
Day
Year
Employment Status (Applicant 2)
Benefits
Carer
Employed full time
Employed part time
Maternity
Retired
Self-Employed
Unemployed
Tax Return Upload
Max. file size: 20 MB.
Time in Employment
1 Year
2 Years
3 Years
4 Years
5+ Years
Employer Name
Employer Address
Postcode
Search
Select an Address:
LIJP-2AB0-38AL-4YBJ
ElliLister1277230
0
0
Select an Address:
Name/Number and Street
Address Line 2
Town/City
County
Applicant 3
Title
Mr
Ms
Miss
Mrs
Dr
Sir
Surname
Forename
Email Address
Contact Number
Date of Birth
Month
Day
Year
Employment Status (Applicant 3)
Benefits
Carer
Employed full time
Employed part time
Maternity
Retired
Self-Employed
Unemployed
Tax Return Upload
Max. file size: 20 MB.
Time in Employment
1 Year
2 Years
3 Years
4 Years
5+ Years
Employer Name
Employer Address
Postcode
Search
Select an Address:
LIJP-2AB0-38AL-4YBJ
ElliLister1277230
0
0
Select an Address:
Name/Number and Street
Address Line 2
Town/City
County
Applicant 4
Title
Mr
Ms
Miss
Mrs
Dr
Sir
Surname
Forename
Email Address
Contact Number
Date of Birth
Month
Day
Year
Employment Status (Applicant 4)
Benefits
Carer
Employed full time
Employed part time
Maternity
Retired
Self-Employed
Unemployed
Tax Return Upload
Max. file size: 20 MB.
Time in Employment
1 Year
2 Years
3 Years
4 Years
5+ Years
Employer Name
Employer Address
Postcode
Search
Select an Address:
LIJP-2AB0-38AL-4YBJ
ElliLister1277230
0
0
Select an Address:
Name/Number and Street
Address Line 2
Town/City
County
Nationality
British
Afghan
Albanian
Algerian
American
Andorran
Angolan
Antiguans
Argentinean
Armenian
Australian
Austrian
Azerbaijani
Bahamian
Bahraini
Bangladeshi
Barbadian
Barbudans
Batswana
Belarusian
Belgian
Belizean
Beninese
Bhutanese
Bolivian
Bosnian
Brazilian
Bruneian
Bulgarian
Burkinabe
Burmese
Burundian
Cambodian
Cameroonian
Canadian
Cape Verdean
Central African
Chadian
Chilean
Chinese
Colombian
Comoran
Congolese
Costa Rican
Croatian
Cuban
Cypriot
Czech
Danish
Djibouti
Dominican
Dutch
East Timorese
Ecuadorean
Egyptian
Emirian
Equatorial Guinean
Eritrean
Estonian
Ethiopian
Fijian
Filipino
Finnish
French
Gabonese
Gambian
Georgian
German
Ghanaian
Greek
Grenadian
Guatemalan
Guinea-Bissauan
Guinean
Guyanese
Haitian
Herzegovinian
Honduran
Hungarian
Icelander
Indian
Indonesian
Iranian
Iraqi
Irish
Israeli
Italian
Ivorian
Jamaican
Japanese
Jordanian
Kazakhstani
Kenyan
Kittian and Nevisian
Kuwaiti
Kyrgyz
Laotian
Latvian
Lebanese
Liberian
Libyan
Liechtensteiner
Lithuanian
Luxembourger
Macedonian
Malagasy
Malawian
Malaysian
Maldivan
Malian
Maltese
Marshallese
Mauritanian
Mauritian
Mexican
Micronesian
Moldovan
Monacan
Mongolian
Moroccan
Mosotho
Motswana
Mozambican
Namibian
Nauruan
Nepalese
New Zealander
Ni-Vanuatu
Nicaraguan
Nigerien
North Korean
Northern Irish
Norwegian
Omani
Pakistani
Palauan
Panamanian
Papua New Guinean
Paraguayan
Peruvian
Polish
Portuguese
Qatari
Romanian
Russian
Rwandan
Saint Lucian
Salvadoran
Samoan
San Marinese
Sao Tomean
Saudi
Scottish
Senegalese
Serbian
Seychellois
Sierra Leonean
Singaporean
Slovakian
Slovenian
Solomon Islander
Somali
South African
South Korean
Spanish
Sri Lankan
Sudanese
Surinamer
Swazi
Swedish
Swiss
Syrian
Taiwanese
Tajik
Tanzanian
Thai
Togolese
Tongan
Trinidadian or Tobagonian
Tunisian
Turkish
Tuvaluan
Ugandan
Ukrainian
Uruguayan
Uzbekistani
Venezuelan
Vietnamese
Welsh
Yemenite
Zambian
Zimbabwean
How many people live in your household in total?
1
2
3
4
5
6
7
8
9
10
How many of the people living in your household are under 18?
1
2
3
4
5
6
7
8
9
10
How long have you lived at your current address?
Less than 1 year
1 year
2 years
over 3 years
Previous Home Address
Postcode
Search
Select an Address:
LIJP-2AB0-38AL-4YBJ
ElliLister1277230
0
0
Select an Address:
Name/Number and Street
Address Line 2
Town/City
County
Are you expecting any major life changes in the next 5 years?
Retirement
Job change
Income Change
Family change
Moving Property
Others
If Others Please Specify:
Have you considered other funding options?
Borrow Elsewhere
Use Savings
Friends of Family funding
Not do works
Lifetime Mortgage/Equity Release
Other
If Others Please Specify:
Where did you hear about us?
Council website
Council leaflet
Council recommendation
Retrofit West
Internet search
Leaflet
Lendology newsletter/email
Newspaper article
Social media
Solar Together
Word of mouth
Parish magazine
Event
Signposted by another agency
Other
Would you like to authorise Lendology CIC to liaise with another person or organisation about your loan application?
Yes
No
If Yes, that you would like to authorise Lendology to liase with another person or organisation:
Full Name
Connection to you
Appointee
Daughter
Son
Mother
Father
POA
Friend
Contact Number
Email
Energy Questions – For EEF and REL Loan Applications ONLY
Does your property have a recent Energy Performance Certificate (EPC)?
Yes
No
Third Choice
What property type best describes your home?
Detached
Semi-detached
Terraced
Large Flat
Small Flat
Park Home
Wall insulation – What type of outside walls does the property have?
Solid Wall
Cavity Wall
Unknown
Loft insulation – What level of insulation is currently in the loft space?
Some Insulation
No Insulation
After your planned modifications what level of insulation will be in the loft space?
Moderately Insulated
Well Insulated
Boiler – Does the property have a central heating system with a boiler running on fossil fuels (e.g. mains gas, oil or LPG)?
Yes
No
When was the current boiler installed?
Before 2004
2004-2014
2014-2018
Since 2018
What type of heating system do you plan on installing?
Gas Combi
Gas Regular
Electric Boiler
Heat Pump
Solar – Does this property have Solar PV (photovoltaic) panels installed?
Yes
No
As part of your planned modifications will you be installing Solar PV (photovoltaic) panels?
Yes
No
Windows- Does your property have double glazing on all windows?
Yes
No
As part of your planned modifications will you be replacing non-double-glazed windows with double glazing (or better)?
Yes
No
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