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Mortgage Enquiry Form
Please submit a fully completed form. This will allow us to find you the best mortgage that matches your details.
Your Details:
　 Applicant 1 　 Applicant 2
Name
 　

Date of Birth
　
Marital Status
  
Any Dependents
 　
Home Address
 　
Postcode
 　
Time at address
 　
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
　
How long
　
Self cert required
 　
Employment details
 　
Self Employed:
　 Applicant 1 　 Applicant 2
Profit
　
Accountant
　
Chartered / Certified
 　
Adverse Credit: (eg defaults CCJs Loan arrears bankruptcy IVA)
Do we have permission to credit search client(s)
　
　 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
　  
Other

please give details		 　
Owner:
Value
Mortgage balance
Price paid
Monthly payment
Year Purchased
  　
Current lender
Current Rate
　 　 　 　
Highest arrears in last 12 months
 　
Any additional sercured borrowing?
  
Renting:
Private
Letting agent
Council
Housing Association
Monthly payments
Current arrears
Highest arrears in last 12 months 　
Has housing benefit been received in the last 6 months
Has housing benefit been received in the last 12months
Client Requirements:
Remortgage
Purchase
Buy to Let
Secured loan
If purchase, state agreed price
 　
Amount required
　
　
Term
　
Is the property ex-local authority
 　
Is it a 'Right to Buy'
 　
Is the property of NON STANDARD construction
(ie timber framed / steel framed / concrete etc)
　
Is it a flat
　
Repayment method
 　
Other Information:


　

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Contact Ken Mortgage Advise  By appointment
916 Beech court, Ilex way, London, Sw16 3Qy.
Tel: 07901936263, Fax 02079001952
 Email: kenmortgages@msn.com, smken1@yahoo.co.uk

5699837, CCL: 535756 FSA: 305656

Your home is at risk if you do not keep up repayments on a mortgage or
other loan secured on it. Written details on request