Please fill out the enquiry below

 Your details

 

Applicant one                                                                         Applicant two

 

Title --- Mr. Mrs. Miss. Ms.                                                                          Title --- Mr. Mrs. Miss. Ms.

 

 First Name                           First Name

 Last Name                            Last Name 

 Date of Birth   (e.g 17/12/1980)                       Date of Birth

 

 House Number/ Name                   House Number/ Name

 Street                                             Street                           

 Town/City                                              Town/City                   

 County/Region                                       County/Region            

 Postcode                                                       Postcode                      

 

 Home Phone                                           Home Phone 

 Work Phone                                           Work Phone  

 Mobile                                                   Mobile          

 Email                                             Email            

 Preferred Method of Contact --- Home Phone Work Phone Mobile Email                       Preferred Method of Contact --- Home Phone Work Phone Mobile Email

 Preferred Contact Time                                 Preferred Contact Time             

 

 

Mortgage Details

 

 Amount Required  £  (e.g. 100,000)

 Property Value      £   (If Known)

 Mortgage Type         --- Purchase Remortgage Right to Buy Buy to Let Commercial

 

 Have you found a property?   Yes   No

 

 First Time Buyer?                   Yes   No

 

 Poor Credit?                           Yes   No (Any missed payments on loans, credit cards or mortgage arrears, County Court Judgments or bankruptcy)

 

 Self Certified?                        Yes   No (Self-certified means you are unable to provide proof of  income)

 

 Term of Mortgage                            Years (1-30)

 When do you need your mortgage?  --- within 1 month within 3 months 6 months or more

 

 Any other relevant information: