Mortgage Enquiry form

Please complete this form and click on the "Submit" button at the bottom of the page. An adviser will then contact you to discuss your mortgage needs.
We will treat all your personal information as private and confidential except where disclosure is made at your request or with your consent in relation to arranging a mortgage.

How much can I borrow
Property value or purchase price:£		New loan:£
Existing loan balance:£		Sale price/value:£
Purpose of new mortgage:	Purchase	Remortgage
To:	Main residence	Buy-to-Let	Let-to-Buy
	2nd home	Other
If other:
Purpose of raising capital/extra borrowing: if re-mortgaging

Personal details
First Applicant		Second Applicant
Surname:		Surname:
All forenames:		All forenames:
Age:		Age:
Do you smoke?:	no yes	Do you smoke?:	no yes
Current address:		Current address:
Postcode:		Postcode:
Marital status		Marital status
Married	Widowed	Married	Widowed
Engaged	Single	Engaged	Single
Divorced	Separated	Divorced	Separated
Occupancy status		Occupancy status
Owner occupier	With parents	Owner occupier	With parents
Council tenant	Private tenant	Council tenant	Private tenant
Other		Other
Employment status		Employment status
Employment:	Self-Employed	Employment:	Self-Employed
Employed	Other	Employed	Other
Occupation:		Occupation:
Telephone work:		Telephone work:
Telephone home:		Telephone home:
Telephone mobile:		Telephone mobile:
Email:		Email:
No. of years in occupation:		No. of years in occupation:
Basic gross earnings:£ (before tax and deductions)		Basic gross earnings:£ (before tax and deductions)
	Salary Net profit Other		Salary Net profit Other
O\T or bonuses:£ (Guaranteed )		O\T or bonuses:£ (Guaranteed )
O\T or bonuses:£ (Non-guaranteed )		O\T or bonuses:£ (Non-guaranteed )
Do you have a current account?:	Yes No	Do you have a current account?:	Yes No
If yes:	Time held:	If yes:	Time held:
	Sort code:		Sort code:
Do you pay into a pension?		Do you pay into a pension?
Company Personal None		Company Personal None

Outgoings (mortgages, loans, major debt,rent paid)
Company	Mthly pay't	Balance owed	Purpose	To be settled?
				yes no
				yes no
				yes no
				yes no
				yes no
				yes no

Adverse Credit
CCJs/Defaults amount		Satistied	Date registered	Date satisfied
		yes no
		yes no
		yes no
		yes no
Arrears in last 12 months mths			Arrears in last 24 months mths	Current arrears mths
Bankrupt yes no			IVA yes no	Repossesion yes no

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