Mortgage Enquiry Form
Please submit a fully completed form. This will allow us to find you the best mortgage that matches your details.
Client Details:
Applicant 1
Applicant 2
Name
Date of Birth
Day
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02
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31
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
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1945
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1947
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1949
1950
1951
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1953
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1955
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1961
1962
1963
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1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
Marital Status
Single
Married
Divorced
Separated
Widowed
Living together
Please select
Single
Married
Divorced
Separated
Widowed
Living together
Please select
Any Dependents
None
1
2
3
4
5
6
7
8
9
10
Please select
None
1
2
3
4
5
6
7
8
9
10
Please select
Home Address
Postcode
Time at address
1 year
2 years
3 years
4 years
5 years
6 years
7 years
8 years
9 years
10 years
11 years
12 years
13 years
14 years
15 years
16 years
17 years
18 years
19 years
20 years
21 years
22 years
23 years
24 years
25 years
Please select
1 year
2 years
3 years
4 years
5 years
6 years
7 years
8 years
9 years
10 years
11 years
12 years
13 years
14 years
15 years
16 years
17 years
18 years
19 years
20 years
21 years
22 years
23 years
24 years
25 years
Please select
Telepone No.
Previous address
if less that 3 years
at current addess
Postcode
Employed Income
:
Applicant 1
Applicant 2
Gross salary P/A
Overtime / Bonuses
W F T C
Employment status
Probation period
Part time
Full time
Rolling contract
Please select
Probation period
Part time
Full time
Rolling contract
Please select
How long
1 year
2 years
3 years
4 years
5 years
6 years
7 years
8 years
9 years
10 years
11 years
12 years
13 years
14 years
15 years
16 years
17 years
18 years
19 years
20 years
21 years
22 years
23 years
24 years
25 years
Please select
1 year
2 years
3 years
4 years
5 years
6 years
7 years
8 years
9 years
10 years
11 years
12 years
13 years
14 years
15 years
16 years
17 years
18 years
19 years
20 years
21 years
22 years
23 years
24 years
25 years
Please select
Self cert required
Yes
No
Please select
Yes
No
Please select
Employment details
Self Employed:
Applicant 1
Applicant 2
Profit
Accountant
Yes
No
Please select
Yes
No
Please select
Chartered / Certified
Chartered
Certified
Please select
Chartered
Certified
Please select
Adverse Credit:
(eg defaults CCJs Loan arrears bankruptcy IVA)
Do we have permission to credit search client(s)
Yes
No
Please select
Applicant 1
Applicant 2
Adverse details
Please list all known details and amounts.
Adverse Credit Information:
If there are mortgage / rent payment arrears in the last 12 months please indicate which monthly payments were missed:
Last Month
2 Months Ago
3 Months Ago
4 Months Ago
5 Months Ago
6 Months Ago
7 Months Ago
8 Months Ago
9 Months Ago
10 Months Ago
11 Months Ago
12 Months Ago
Present Housing:
Applicant 1
Applicant 2
Owner
Renting
Living with parents
Please select
Owner
Renting
Living with parents
Please select
Other
please give details
Owner:
Value
Mortgage balance
Price paid
Monthly payment
Year Purchased
Current lender
Current Rate
Highest arrears in last 12 months
None
1
2
3
4
5
6
7
8
9
10
11
12
Please select
Any additional sercured borrowing?
Yes
No
Please select
Renting:
Private
Letting agent
Council
Housing Association
Monthly payments
Current arrears
Highest arrears in last 12 months
None
1
2
3
4
5
6
7
8
9
10
11
12
Please select
Has housing benefit been received in the last 6 months
Yes
No
Please select
Has housing benefit been received in the last 12months
Yes
No
Please select
Client Requirements:
Remortgage
Purchase
Buy to Let
Secured loan
If purchase, state agreed price
Amount required
Term
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Please select
Is the property ex-local authority
Yes
No
Please select
Is it a 'Right to Buy'
Yes
No
Please select
Is the property of NON STANDARD construction
(ie timber framed / steel framed / concrete etc)
Yes
No
Please select
Is it a flat
Yes
No
Please select
Repayment method
ISA / Endowment
Repayment
Interest Only
Please select
Other Information:
Please ensure you have fully completed the form and press submit below
.
ver1 22/10/03