About
you
*Your Situation:
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New Purchase
Re-Mortgage
Self Employed
Buy to Let
Council Right to Buy
Equity Release
Commercial
1st Time Buyer
Moving To The UK
Other
First
Applicant Second
Applicant
Title:
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Mr
Mrs
Miss
Ms
Other
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Mr
Mrs
Miss
Ms
Other
First Name:
Middle Name:
Surname:
Maiden Name
Date of Birth:
House Number/Name:
Address 1:
District/Town:
County:
Post Code:
When did you move into this
address:
Please provide details of previous address history covering last 3 years:
* Daytime Telephone Number:
Evening Telephone Number:
Mobile Telephone Number:
* Email Address:
Your income
Occupation:
Employer:
Length of Employment:
Is the Position:
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Permanent
Temporary
Contract
Other
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Permanent
Temporary
Contract
Other
Gross Basic Income:
Guaranteed Overtime/Bonuses:
Regular Overtime/Commission:
Total:
Self Employed Details (If Applicable)
Type of Business:
Are Accounts Available:
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Yes
No
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Yes
No
Nett Profit for 2003:
Nett Profit for 2002:
Nett Profit for 2001:
Your Credit History
Have you ever been Bankrupt/Repossessed?
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Yes
No
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Yes
No
Have you ever had any County Court Judgments?:
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Yes
No
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Yes
No
Have you ever had any Defaults?:
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Yes
No
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Yes
No
Have you ever had any arrears?:
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Yes
No
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Yes
No
If you answered yes to any of the above please provide more details:
Your Mortgage, Loans and Credit Cards
Name of existing Mortgage Lender:
Current Mortgage Balance:
Purchase Price or Current Valuation of Property:
Mortgage or Loan Amount you Require:
Please provide details of all Personal Loans/Credit Cards/Hire Purchase/Maintenance Payments etc...
Name of Lenders
(Add further details in the comments box at the end of the form)
Combined Balance of all the above:
Average payments per month for all above:
The Mortgage you Need
Which mortgage products are you most interested in?:
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Fixed Rate
Discounted Rate
Interest Only
Capped Rate
Tracker Rate
Libor Rate
Any Products
Have you found a property?:
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Yes
No
In what time scale do you require the mortgage?:
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1 to 2 Weeks
3 to 6 Weeks
7 to 12 Weeks
Just Considering
Have you or your partner recently applied for a mortgage quote elsewhere?:
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Yes
No
Please enter any further information or comments that may be relevant to your situation:
