Type Of Enquiry ( Please put an (x) in the boxes which apply to your enquiry
Loan Type ie fixed, disc:
Purchase:
Re-Mortgage:
Right To Buy:
Buy To Let:
 
Let To Buy:
1st Time Buyer:
Self-Cert:
Not 1st Time Buyer:
 
Personal Details
First Applicant - Personal Details
Title
Forename:
Surname:
Other Name:
Date Of Birth:
Marital Status
Second Applicant - Personal Details
Title
Forename:
Surname:
Other Name:
Date Of Birth:
Marital Status
 
First Applicant - Contact Details
Daytime Contact No:
Evening Contact No:
Email Address:
Second Applicant - Contact Details
Daytime Contact No:
Evening Contact No:
Email Address:
 
 
First Applicant - Current Address
Address:
Town:
Country:
Post Code:
Second Applicant - Current Address
Address:
Town:
Country:
Post Code:
   
First Applicant - Previous Address if current less than 3yrs
Address:
Town:
Country:
Post Code:
Second Applicant - Previous Address if current less than 3yrs
Address:
Town:
Country:
Post Code:
   
Is The Property A Flat:
Above Commercial:
Is The Property A Flat:
Above Commercial:
   
Loan Details
Product Required :
Purchase Price:
Value If RTB:
Current Mortgage Balance:
 
Loan Amt Required:
Loan To Value ie 95%:
Purpose Of Further Borrowing:
 

First Applicant - Last 2 Years Net Profits or Total Annual Income

Applicant 1 Salary:

Year 1 Net Profit:   
Year 2: Net Profit:
Joint Income:

Is the Proposed Security:

Flat

Second Applicant - Last 2 Years Net Profits

Applicant 2:

Year 1 Net Profit:
Year 2 Net Profit:
S / Cert Income :
Storeys of flat:
 
Other Existing Debts

Lender
Amount
To Be Re-Paid On Completion
(If Not) Monthly Repayment
Bal O/S ()
End Date

Challenge to Overcome:

Defaults:

IVA:

Missed Payments:

CCJs:

Bankruptcy:

   
Provide full details of above ccj's,defaults,missed payment,bankruptcy,iva including Dates, Amounts, when registered and if satisfied.
   
Introducer Name  

 

I/we expressly consent to be being contacted without prior notice or arrangement by using the contact details I/we have provided on the form and further consent that such contact may be in relation to (a) my/our mortgage arrangements and/or (b) other products and services


 
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