Online Enquiry Form
Please fill your details below
Number of applicants
*
1
2
Personal Details: Applicant 1
Name
*
Email address
*
Phone number
*
Date of birth
*
/
Day
/
Month
Year
Employment status
*
Employed
Self-employed
Company Director
Unemployed
Number of dependants to applicant 1
If joint, only enter for one applicant
Personal Details: Applicant 2
Name
*
Email address
*
Phone number
*
Date of birth
*
/
Day
/
Month
Year
Employment status
*
Employed
Self-employed
Company Director
Unemployed
Number of dependants to applicant 2
If joint, only enter for one applicant
Employment & Income: Applicant 1
Basic annual income
*
Overtime
Other income
Self-employment & Income: Applicant 1
Name of business
Years established
Net profit latest year
Net profit previous year
Employment & Income: Applicant 2
Basic annual income
Overtime
Other income
Self-employment & Income: Applicant 2
Name of business
Years established
Net profit latest year
Net profit previous year
Mortgage & Property Details
What date did you move into your current property?
*
/
Day
/
Month
Year
Current address
*
Street Address Line 2
Previous address if less than 3 years
Street Address Line 2
Current mortgage provider
*
Term remaining
*
Interest rate (if known)
Monthly payment
*
Property value
*
Remaining mortgage amount
*
Please list all loans, credit cards, store cards & hire purchase details:
Name of creditor/lender
Amount Outstanding
Applicant 1 or 2
Monthly Payment
Would you like to consolidate into your mortgage?
Debt type (card/loan)
Outgoing 1
Outgoing 2
Outgoing 3
Outgoing 4
Outgoing 5
Outgoing 6
Outgoing 7
Outgoing 8
Outgoing 9
Would you like to raise money within the mortgage for a holiday, special occasion, car and home improvements? If so, how much?
As part of the process to have a mortgage approved, the lender will carry out a credit search on you to help determine your creditworthiness. This search will either be a hard or soft credit check and a record of the search is retained indefinitely on your credit file. Please can you confirm that you are happy with this and for us to proceed to obtain an agreement in principle for you at this time?
*
Yes
No
Notes:
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