Clone of Fact Find

1
Name* This field is required.
First Name
Last Name
2
Date of Birth* This field is required.
Date
Day
Month
Year
3
Country of Birth* This field is required.Start typing to search
Please Select
Please Select
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czechia
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
North Korea
North Macedonia
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
4
Nationality* This field is required.Start typing to search
Please Select
Please Select
Afghan
Albanian
Algerian
American
Andorran
Angolan
Anguillan
Antiguan
Argentine
Armenian
Australian
Austrian
Azerbaijani
Bahamian
Bahraini
Bangladeshi
Barbadian
Belarusian
Belgian
Belizean
Beninese
Bermudian
Bhutanese
Bolivian
Bosnian
Botswanan
Brazilian
British
British Virgin Islander
Bruneian
Bulgarian
Burkinan
Burmese
Burundian
Cambodian
Cameroonian
Canadian
Cape Verdean
Cayman Islander
Central African
Chadian
Chilean
Chinese
Colombian
Comoran
Congolese (Congo)
Congolese (DRC)
Cook Islander
Costa Rican
Croatian
Cuban
Cypriot
Czech
Danish
Djiboutian
Dominican
Dutch
East Timorese
Ecuadorean
Egyptian
Emirati
English
Equatorial Guinean
Eritrean
Estonian
Ethiopian
Faroese
Fijian
Filipino
Finnish
French
Gabonese
Gambian
Georgian
German
Ghanaian
Gibraltarian
Greek
Greenlandic
Grenadian
Guamanian
Guatemalan
Guinean
Guyanese
Haitian
Honduran
Hong Konger
Hungarian
Icelandic
Indian
Indonesian
Iranian
Iraqi
Irish
Israeli
Italian
Ivorian
Jamaican
Japanese
Jordanian
Kazakh
Kenyan
Kittitian
Kosovan
Kuwaiti
Kyrgyz
Lao
Latvian
Lebanese
Liberian
Libyan
Liechtenstein citizen
Lithuanian
Luxembourger
Macanese
Macedonian
Malagasy
Malawian
Malaysian
Maldivian
Malian
Maltese
Marshallese
Martiniquais
Mauritanian
Mauritian
Mexican
Micronesian
Moldovan
Monegasque
Mongolian
Montenegrin
Montserratian
Moroccan
Mosotho
Mozambican
Namibian
Nauruan
Nepalese
New Zealander
Nicaraguan
Nigerian
Nigerien
Niuean
North Korean
Northern Irish
Norwegian
Omani
Pakistani
Palauan
Palestinian
Panamanian
Papua New Guinean
Paraguayan
Peruvian
Pitcairn Islander
Polish
Portuguese
Puerto Rican
Qatari
Romanian
Russian
Rwandan
Salvadorean
Sammarinese
Samoan
Sao Tomean
Saudi Arabian
Scottish
Senegalese
Serbian
Sierra Leonean
Singaporean
Slovak
Slovenian
Solomon Islander
Somali
South African
South Korean
South Sudanese
Spanish
Sri Lankan
St Helenian
St Lucian
Stateless
Sudanese
Surinamese
Swazi
Swedish
Swiss
Syrian
Taiwanese
Tajik
Tanzanian
Thai
Togolese
Tongan
Trinidadian
Tristanian
Tunisian
Turkish
Turkmen
Turks and Caicos Islander
Tuvaluan
Ugandan
Ukrainian
Uruguayan
Uzbek
Vatican citizen
Venezuelan
Vietnamese
Vincentian
Wallisian
Welsh
Yemeni
Zambian
Zimbabwean
5
Email* This field is required.
example@example.com
6
Mobile Number* This field is required.
7
Current Address* This field is required.Start typing the first line of your address to search
First Line
Second Line
City
County
Postcode
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
8
When did you move into this address?* This field is required.
Date
Day
Month
Year
9
Have you lived at this address for more than 3 years?* This field is required.
YESNO
10
Previous Address
First Line
Second Line
City
County
Postcode
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
11
What is your marital status?* This field is required.
Single
Co-habiting
Married / Civil Partnership
Separated
Divored
Other
12
When did you start your current job?* This field is required.
Date
Day
Month
Year
13
Is your income in GBP?* This field is required.
YESNO
14
What currency is your income in?
Please Select
Please Select
Afghan afghani
Albanian lek
Algerian dinar
Angolan kwanza
Argentine peso
Armenian dram
Aruban florin
Australian dollar
Azerbaijani manat
Bahamian dollar
Bahraini dinar
Bangladeshi taka
Barbadian dollar
Belarusian ruble
Belize dollar
Bermudian dollar
Bhutanese ngultrum
Bolivian boliviano
Bosnia and Herzegovina convertible mark
Botswanan pula
Brazilian real
British pound sterling
Brunei dollar
Bulgarian lev
Burundian franc
Cambodian riel
Canadian dollar
Cape Verdean escudo
Cayman Islands dollar
Central African CFA franc
Chilean peso
Chinese yuan
Colombian peso
Comorian franc
Congolese franc
Costa Rican colón
Croatian kuna
Cuban convertible peso
Cuban peso
Czech koruna
Danish krone
Djiboutian franc
Dominican peso
East Caribbean dollar
Egyptian pound
Eritrean nakfa
Estonian kroon
Ethiopian birr
Euro
Fijian dollar
Gambian dalasi
Georgian lari
Ghanaian cedi
Gibraltar pound
Guatemalan quetzal
Guinean franc
Guyanese dollar
Haitian gourde
Honduran lempira
Hong Kong dollar
Hungarian forint
Icelandic króna
Indian rupee
Indonesian rupiah
Iranian rial
Iraqi dinar
Israeli new shekel
Jamaican dollar
Japanese yen
Jordanian dinar
Kazakhstani tenge
Kenyan shilling
Kuwaiti dinar
Kyrgyzstani som
Lao kip
Latvian lats
Lebanese pound
Lesotho loti
Liberian dollar
Libyan dinar
Lithuanian litas
Macanese pataca
Macedonian denar
Malagasy ariary
Malawian kwacha
Malaysian ringgit
Maldivian rufiyaa
Mauritanian ouguiya
Mauritian rupee
Mexican peso
Moldovan leu
Mongolian tögrög
Moroccan dirham
Mozambican metical
Myanmar kyat
Namibian dollar
Nepalese rupee
Netherlands Antillean guilder
New Taiwan dollar
New Zealand dollar
Nicaraguan córdoba
Nigerian naira
North Korean won
Norwegian krone
Omani rial
Pakistani rupee
Panamanian balboa
Papua New Guinean kina
Paraguayan guaraní
Peruvian sol
Philippine peso
Polish złoty
Qatari riyal
Romanian leu
Russian ruble
Rwandan franc
Saint Helena pound
Samoan tala
São Tomé and Príncipe dobra
Saudi riyal
Serbian dinar
Seychellois rupee
Sierra Leonean leone
Singapore dollar
Solomon Islands dollar
Somali shilling
South African rand
South Korean won
South Sudanese pound
Sri Lankan rupee
Sudanese pound
Surinamese dollar
Swazi lilangeni
Swedish krona
Swiss franc
Syrian pound
Tajikistani somoni
Tanzanian shilling
Thai baht
Tongan paʻanga
Trinidad and Tobago dollar
Tunisian dinar
Turkish lira
Turkmenistani manat
Ugandan shilling
Ukrainian hryvnia
United Arab Emirates dirham
United States dollar
Uruguayan peso
Uzbekistani som
Vanuatu vatu
Venezuelan bolívar
Vietnamese đồng
Yemeni rial
Zambian kwacha
Zimbabwean dollar
15
What is your basic annual income?* This field is required.Please enter your gross annual income before tax. We'll ask about additional income such as allowances, overtime and bonuses in the next question..
16
Do you have any additional income from this employment?* This field is required.Such as car allowance, overtime or bonuses.
YESNO
17
Tell us about your additional income* This field is required.This additional income may help improve your affordability for a mortgage. Please enter £0 if not applicable.
18
Are you currently in a probation period?* This field is required.
YESNO
19
What is your job title?* This field is required.
20
What is the name of your employer?* This field is required.Please enter this as it's shown on your payslips (or how your company is registered if self-employed)
21
Please enter figures for Applicant 1 only* This field is required.Enter '£0' if not applicable
22
Do you have any arrears?* This field is required.
YESNO
23
Details* This field is required.Please provide as much information as possible, including dates, amounts and the story behind the arrears.
Huge
Large
Normal
Small
Ok
Ok
24
Have you ever been declared bankrupt?* This field is required.
YESNO
25
Details* This field is required.Please provide as much information as possible, including dates, amounts and the story behind the bankruptcy.
Huge
Large
Normal
Small
Ok
Ok
26
Have you ever had a county court judgement (CCJ)?* This field is required.
YESNO
27
Details* This field is required.Please provide as much information as possible, including dates, amounts and the story behind any CCJ.
Huge
Large
Normal
Small
Ok
Ok
28
Have you ever had a default?* This field is required.
YESNO
29
Details* This field is required.Please provide as much information as possible, including dates, amounts and the story behind any defaults.
Huge
Large
Normal
Small
Ok
Ok
30
Have you ever entered a debt management plan (DMP)?* This field is required.
YESNO
31
Details* This field is required.Please provide as much information as possible, including dates, amounts and the story behind any DMP.
Huge
Large
Normal
Small
Ok
Ok
32
Have you ever had an individual voluntary arrangement (IVA)?* This field is required.
YESNO
33
Details* This field is required.Please provide as much information as possible, including dates, amounts and the story behind any IVA.
Huge
Large
Normal
Small
Ok
Ok
34
Have you had any payday loans in the last 3 years?* This field is required.
YESNO
35
Details* This field is required.Please provide as much information as possible, including dates, amounts and the story behind any payday loans.
Huge
Large
Normal
Small
Ok
Ok
36
Have you missed or made late payments on any commitment in the last 3 years?* This field is required.
YESNO
37
Details* This field is required.Please provide as much information as possible, including dates, amounts and the story behind any missed or late payments.
Huge
Large
Normal
Small
Ok
Ok
38
Have you ever had a property repossessed?* This field is required.
YESNO
39
Details* This field is required.Please provide as much information as possible, including dates, amounts and the story behind any repossessions.
Huge
Large
Normal
Small
Ok
Ok
40
Have you previously had a mortgage application declined?* This field is required.
YESNO
41
Details* This field is required.Please provide as much information as possible, including dates, amounts and the story behind any declined applications.
Huge
Large
Normal
Small
Ok
Ok
42
Have you experienced any other credit problems in the past?* This field is required.
YESNO
43
Details* This field is required.Please provide as much information as possible, including dates, amounts and the story behind any other credit problems.
Huge
Large
Normal
Small
Ok
Ok
44
Do you have any criminal convictions?* This field is required.
YESNO
45
DetailsPlease provide as much information as possible, including dates and whether spent/unspent
Huge
Large
Normal
Small
Ok
Ok
46
Please tell us in a just a few lines what you wish to achieve* This field is required.
Huge
Large
Normal
Small
Ok
Ok
47
How much is your existing property worth?* This field is required.Please tell us the approximate value of the property to be used as security
48
How much is your current mortgage outstanding on this property?* This field is required.If there is no mortgage, please enter '0'
49
If you're buying a new property - what is the purchase price?Please tell us the approximate value of the property you wish to purchase
50
How much do you need to borrow?* This field is required.
51
If you are buying a new property and have found one - please share a link to the listing here:Please paste a link to the property on Rightmove/Zoopla/etc.
52
Will this be a sole or joint mortgage application?* This field is required.
SoleJoint
53
Name* This field is required.
First Name
Last Name
54
Date of Birth* This field is required.
Date
Day
Month
Year
55
Country of Birth* This field is required.Start typing to search
Please Select
Please Select
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czechia
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
North Korea
North Macedonia
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
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56
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Please Select
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57
Email* This field is required.
example@example.com
58
Mobile Number* This field is required.
59
Current Address* This field is required.Start typing the first line of your address to search
First Line
Second Line
City
County
Postcode
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
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Anguilla
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Argentina
Armenia
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Australia
Austria
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Germany
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Guinea-Bissau
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Italy
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Japan
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Jordan
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Laos
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Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
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Madagascar
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Maldives
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Poland
Portugal
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Qatar
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Romania
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Saint Barthelemy
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Samoa
San Marino
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Sudan
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eSwatini
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Syria
Taiwan
Tajikistan
Tanzania
Thailand
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Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
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Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
60
When did you move into this address?* This field is required.
Date
Day
Month
Year
61
Have you lived at this address for more than 3 years?* This field is required.
YESNO
62
Previous Address
First Line
Second Line
City
County
Postcode
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
63
What is your marital status?* This field is required.
Single
Co-habiting
Married / Civil Partnership
Separated
Divored
Other
64
When did you start your current job?* This field is required.
Date
Day
Month
Year
65
Is your income in GBP?* This field is required.
YESNO
66
What currency is your income in?
Please Select
Please Select
Afghan afghani
Albanian lek
Algerian dinar
Angolan kwanza
Argentine peso
Armenian dram
Aruban florin
Australian dollar
Azerbaijani manat
Bahamian dollar
Bahraini dinar
Bangladeshi taka
Barbadian dollar
Belarusian ruble
Belize dollar
Bermudian dollar
Bhutanese ngultrum
Bolivian boliviano
Bosnia and Herzegovina convertible mark
Botswanan pula
Brazilian real
British pound sterling
Brunei dollar
Bulgarian lev
Burundian franc
Cambodian riel
Canadian dollar
Cape Verdean escudo
Cayman Islands dollar
Central African CFA franc
Chilean peso
Chinese yuan
Colombian peso
Comorian franc
Congolese franc
Costa Rican colón
Croatian kuna
Cuban convertible peso
Cuban peso
Czech koruna
Danish krone
Djiboutian franc
Dominican peso
East Caribbean dollar
Egyptian pound
Eritrean nakfa
Estonian kroon
Ethiopian birr
Euro
Fijian dollar
Gambian dalasi
Georgian lari
Ghanaian cedi
Gibraltar pound
Guatemalan quetzal
Guinean franc
Guyanese dollar
Haitian gourde
Honduran lempira
Hong Kong dollar
Hungarian forint
Icelandic króna
Indian rupee
Indonesian rupiah
Iranian rial
Iraqi dinar
Israeli new shekel
Jamaican dollar
Japanese yen
Jordanian dinar
Kazakhstani tenge
Kenyan shilling
Kuwaiti dinar
Kyrgyzstani som
Lao kip
Latvian lats
Lebanese pound
Lesotho loti
Liberian dollar
Libyan dinar
Lithuanian litas
Macanese pataca
Macedonian denar
Malagasy ariary
Malawian kwacha
Malaysian ringgit
Maldivian rufiyaa
Mauritanian ouguiya
Mauritian rupee
Mexican peso
Moldovan leu
Mongolian tögrög
Moroccan dirham
Mozambican metical
Myanmar kyat
Namibian dollar
Nepalese rupee
Netherlands Antillean guilder
New Taiwan dollar
New Zealand dollar
Nicaraguan córdoba
Nigerian naira
North Korean won
Norwegian krone
Omani rial
Pakistani rupee
Panamanian balboa
Papua New Guinean kina
Paraguayan guaraní
Peruvian sol
Philippine peso
Polish złoty
Qatari riyal
Romanian leu
Russian ruble
Rwandan franc
Saint Helena pound
Samoan tala
São Tomé and Príncipe dobra
Saudi riyal
Serbian dinar
Seychellois rupee
Sierra Leonean leone
Singapore dollar
Solomon Islands dollar
Somali shilling
South African rand
South Korean won
South Sudanese pound
Sri Lankan rupee
Sudanese pound
Surinamese dollar
Swazi lilangeni
Swedish krona
Swiss franc
Syrian pound
Tajikistani somoni
Tanzanian shilling
Thai baht
Tongan paʻanga
Trinidad and Tobago dollar
Tunisian dinar
Turkish lira
Turkmenistani manat
Ugandan shilling
Ukrainian hryvnia
United Arab Emirates dirham
United States dollar
Uruguayan peso
Uzbekistani som
Vanuatu vatu
Venezuelan bolívar
Vietnamese đồng
Yemeni rial
Zambian kwacha
Zimbabwean dollar
67
What is your basic annual income?* This field is required.Please enter your gross annual income before tax. We'll ask about additional income such as allowances, overtime and bonuses in the next question..
68
Do you have any additional income from this employment?* This field is required.Such as car allowance, overtime or bonuses.
YESNO
69
Tell us about your additional income* This field is required.This additional income may help improve your affordability for a mortgage. Please enter £0 if not applicable.
70
Are you currently in a probation period?* This field is required.
YESNO
71
What is your job title?* This field is required.
72
What is the name of your employer?* This field is required.
73
Please enter figures for Applicant 2 only* This field is required.Enter '0' if not applicable
74
Do you have any arrears?* This field is required.
YESNO
75
Details* This field is required.Please provide as much information as possible, including dates, amounts and the story behind the arrears.
Huge
Large
Normal
Small
Ok
Ok
76
Have you ever been declared bankrupt?* This field is required.
YESNO
77
Details* This field is required.Please provide as much information as possible, including dates, amounts and the story behind the bankruptcy.
Huge
Large
Normal
Small
Ok
Ok
78
Have you ever had a county court judgement (CCJ)?* This field is required.
YESNO
79
Details* This field is required.Please provide as much information as possible, including dates, amounts and the story behind any CCJ.
Huge
Large
Normal
Small
Ok
Ok
80
Have you ever had a default?* This field is required.
YESNO
81
Details* This field is required.Please provide as much information as possible, including dates, amounts and the story behind any defaults.
Huge
Large
Normal
Small
Ok
Ok
82
Have you ever entered a debt management plan (DMP)?* This field is required.
YESNO
83
Details* This field is required.Please provide as much information as possible, including dates, amounts and the story behind any DMP.
Huge
Large
Normal
Small
Ok
Ok
84
Have you ever had an individual voluntary arrangement (IVA)?* This field is required.
YESNO
85
Details* This field is required.Please provide as much information as possible, including dates, amounts and the story behind any IVA.
Huge
Large
Normal
Small
Ok
Ok
86
Have you had any payday loans in the last 3 years?* This field is required.
YESNO
87
Details* This field is required.Please provide as much information as possible, including dates, amounts and the story behind any payday loans.
Huge
Large
Normal
Small
Ok
Ok
88
Have you missed or made late payments on any commitment in the last 3 years?* This field is required.
YESNO
89
Details* This field is required.Please provide as much information as possible, including dates, amounts and the story behind any missed or late payments.
Huge
Large
Normal
Small
Ok
Ok
90
Have you ever had a property repossessed?* This field is required.
YESNO
91
Details* This field is required.Please provide as much information as possible, including dates, amounts and the story behind any repossessions.
Huge
Large
Normal
Small
Ok
Ok
92
Have you previously had a mortgage application declined?* This field is required.
YESNO
93
Details* This field is required.Please provide as much information as possible, including dates, amounts and the story behind any declined applications.
Huge
Large
Normal
Small
Ok
Ok
94
Have you experienced any other credit problems in the past?* This field is required.
YESNO
95
Details* This field is required.Please provide as much information as possible, including dates, amounts and the story behind any other credit problems.
Huge
Large
Normal
Small
Ok
Ok
96
Do you have any criminal convictions?* This field is required.
YESNO
97
DetailsPlease provide as much information as possible, including dates and whether spent/unspent
Huge
Large
Normal
Small
Ok
Ok
98
Household Budget Planner* This field is required.Please enter your typical monthly outgoings for the household - if this is for a new house purchase please include expected costs where applicable. Please enter £0 where not applicable. *You may need to scroll to complete this form, depending on your device.
Average Monthly Cost (£)
Electricity
Row 0, Column 0
Gas
Row 1, Column 0
Water
Row 2, Column 0
Council Tax
Row 3, Column 0
Television (Including Streaming Services)
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Home Insurance
Row 5, Column 0
Ground Rent
Row 6, Column 0
Service Charge
Row 7, Column 0
Groceries
Row 8, Column 0
Clothing
Row 9, Column 0
Mobile Phone
Row 10, Column 0
Internet
Row 11, Column 0
Petrol/Fuel
Row 12, Column 0
Car Insurance
Row 13, Column 0
Car Costs (Tax, servicing, MOT etc)
Row 14, Column 0
Childcare
Row 15, Column 0
Children's Education
Row 16, Column 0
Recreation
Row 17, Column 0
Electricity
Gas
Water
Council Tax
Television (Including Streaming Services)
Home Insurance
Ground Rent
Service Charge
Groceries
Clothing
Mobile Phone
Internet
Petrol/Fuel
Car Insurance
Car Costs (Tax, servicing, MOT etc)
Childcare
Children's Education
Recreation
Average Monthly Cost (£)
Row 0, Column 0
Average Monthly Cost (£)
Row 1, Column 0
Average Monthly Cost (£)
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Average Monthly Cost (£)
Row 3, Column 0
Average Monthly Cost (£)
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Row 17, Column 0
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99
How many people are financially dependant on you?* This field is required.This could be children or adults that have your regular financial support.
100
Initial Disclosure Document* This field is required.Please ensure you read and understand the Houz Mortgages scope of service.
101
Data Protection* This field is required.To understand how we look after your personal information provided, please read the privacy notice linked below.
102
IdentificationIf you require an Agreement in Principle - please upload ID for each applicant - this must be a passport or driving licence and the document must be signed, in date and show your current address (driving licence only). You can also upload additional supporting documents here if you feel they would be relevant to your enquiry.
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103
Consent to Credit SearchWe need your consent to carry out a credit search with a lender to obtain an Agreement in Principle. This will be a 'soft' credit search and will not impact your credit score.
I/we agree to Houz Mortgages processing a credit search on behalf of a lender
104
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