Inheritance Loan Application Form

Inheritance Loan - Application Form

Please complete the details below to apply for an Inheritance Loan.

We recommend you save your application throughout, should you need to return to complete at a later date. You can do this by selecting the Save button, at the bottom of each page.

If you have any questions, please call us on 0800 009 6590 or email us at probate@amplafinance.com.

For details on how we use and store customer data, please refer to the Ampla Finance Privacy Policy

Inheritance Loans are provided by Ampla Consumer Finance.
Your Details
Name
Email
Contact number
Date of birth
Nationality
Residency
Current address
Have you lived at the above address for more than two years?
Please provide addresses for all properties you have resided at over the past 2 years
Employment status
Occupation
Employer
Years with employer
Personal annual income
Personal annual expenditure
Do you have any unspent criminal convictions?

Other
Please provide further detail regarding your unspent criminal convictions:
Do you have any significant / long-term health conditions or disabilities?
Please provide details of significant / long-term health conditions or disabilities
Do you have any practical needs to help complete your application
For example: large print, braille or alternative language

Details of your inheritance and the loan you require
What is the estimate value of proceeds you expect to receive and the assets this is likely to be paid from?
Is there a property to sell as part of the inheritance?
Please list any building improvements that need to be made before a sale can go ahead?
Has a conveyancing firm been instructed?
What stage is the sale at?
How much would you like to borrow from Ampla Finance?
When do you wish to receive the funds from Ampla Finance?
When do you expect to receive your inheritance and repay the Ampla loan?
Maximum term of 24 months
When expect to repay the loan?
Please describe the purpose of the loan

Application documentation
Are you currently seeking or involved in any IVA, Trust Deed, Bankruptcy, Debt Management Plan or Debt Relief order?
Please provide details?
Please provide your bank details for payment of the loan
Copy of the deceased’s Death Certificate

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Certified copy of the Will for estates with a Will

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Certified copy of the Grant of Probate (for estates with a Will), or Grant of Letters of Administration (for intestate estates)

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Certified copy of IHT Forms and any supporting schedules

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Instruction letter(s) from professional firm(s) appointed to settle the estate

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Any additional information on the assets and liabilities in the estate

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By signing this form, you hereby confirm that:
Signature
Print Name
Date

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Should be Empty:

Your Details