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1st Applicant
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2nd Applicant
(if joint
application) |
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| Title |
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| Surname |
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| First Names |
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| Maiden Name |
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| Date of Birth |
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| Marital Status |
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| No. Children |
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| Do you smoke? |
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| Residential Status |
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| Home Tel No. |
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| Work Tel No. |
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| Mobile Tel No. |
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| E-Mail Address |
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| Current Address |
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| Post Code |
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| Years at address |
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| If you haven't lived at this address for the past
3 years then please list your previous addresses |
| Previous Address |
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| Post Code |
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| Years at address |
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| Previous Address |
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| Post Code |
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| Years at address |
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Employment Status
(if self-employed
then please complete the next section) |
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| Name of Employer |
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| Trade of Employer |
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| Nature of Business |
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| Job Title |
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| Time in employment |
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years |
years |
| Basic Income |
£ |
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£ |
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| Guaranteed Overtime |
£ |
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£ |
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| Regular Overtime |
£ |
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£ |
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| Bonus |
£ |
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£ |
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| Regular Commission |
£ |
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£ |
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| Total Income |
£ |
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£ |
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| Do you have 3 years accounts? |
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| Do you require Self-Certification of income? |
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| Percentage Shareholding |
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% |
% |
| Net Profit (Last 3 years) |
£ |
Year 1 |
£ |
Year 1 |
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£ |
Year 2 |
£ |
Year 2 |
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£ |
Year 3 |
£ |
Year 3 |
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| Have you ever been declared bankrupt? |
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| Have you ever had a CCJ registered against you? |
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| Have you ever been in arrears with any mortgage, tenancy or other
loan agreement? |
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| If you have answered 'Yes' to any of the above, please give brief
details |
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Existing Mortgage/Rental Agreement? |
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if yes then, |
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What is the monthly payment? |
£ |
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£ |
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if a mortgage then, |
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What was the original amount? |
£ |
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£ |
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What is the outstanding balance? |
£ |
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£ |
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| Will any portion of this be paid off with the new mortgage? |
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| if so, how much? |
£ |
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£ |
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| Existing Loans, HP or Leases? |
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if yes then, |
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| What are the total monthly payments? |
£ |
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£ |
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| What was the original total amount? |
£ |
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£ |
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| What is the total outstanding balance? |
£ |
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£ |
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| Will any portion of this be paid off with the new mortgage? |
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| if so, how much? |
£ |
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£ |
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| Are any of the loans secured? |
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Existing Store/Credit Cards? |
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if yes then, |
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What are the total monthly payments? |
£ |
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£ |
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What are the total outstanding balances? |
£ |
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£ |
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| Will any portion of this be paid off with the new mortgage? |
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| if so, how much? |
£ |
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£ |
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What are your total other regular monthly outgoings?
(eg, utilities, household maintenance,
etc) |
£ |
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£ |
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| Loan Type |
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| Purchase Price / Valuation |
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£
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| Loan Required |
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£
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| Tenure |
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| Preferred Term of Mortgage |
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years |
| Type of Mortgage? |
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| Type of Mortgage Scheme? |
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| Type of Property |
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| Will deposit be paid from own resources? |
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| Anticipated Sale Price / Estimated Value |
£ |
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£ |
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| Amount of Existing Mortgage |
£ |
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£ |
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| Lender |
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| Current Monthly Payment |
£ |
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£ |
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| Type of Mortgage? |
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| Type of Mortgage Scheme? |
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| To be redeemed on/before completion |
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| Redemption Penalty? |
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| if yes, how much? |
£ |
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£ |
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| Preferred Contact |
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| Preferred Contact Method |
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| Preferred Contact Time |
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| Additional Information |
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Would you like us to obtain and agreement in principle for you?
(This requires a credit check) |
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By submitting this
enquiry I/We understand that I/We am/are under NO OBLIGATION and
agree that: The information provided is true and accurate, and
that you, as a broker, may provide details of this enquiry, to
other brokers or lending companies, you feel best suited to fulfil
my/our requirements, and that broker/lender may contact me/us
for further information as required. A lender may use the information
held by credit reference agencies in support of our application,
and may ask a third party to verify any information given in the
application. You may hold the information given in this enquiry
on computer for as long as it takes to complete the request.
By submitting this form, you are in agreement with our published
Data Protection policy. |
