Use this Form And We Will Provide An Agreement In Principle Within 48 Hours!
Please fill in as much detail as possible.   Only Fields with an * are required, any not applicable mark N/A
Main E-mail Address:* Telephone No:*
Purchase Price/Valuation:*     £    Balance of Existing Mortgage:     £  
Loan Amount Required:*     £    Amount of any capital raising:    £     
Loan Type:*  FTB/Previous Mortgage:* Status:*
1st Applicant   Mr. Mrs. Miss Other
2nd Applicant  Mr. Mrs. Miss Other
Name:*
Name:
Date of Birth*

Date of Birth

Marital status*
Marital status
Address*
Address
Time at Address*
Time at Address
If less than 3 years please provide previous address
If less than 3 years please provide previous address
Income Details
   * Employed  Self-Employed
Income Details
 Employed  Self-employed
Employer *
Employer
Time employee/
Self-employed *
Time employee/
Self-employed
If Self-employed
tick applicable
 Chartered/Certified
Accounts       Bookkeeper none
If Self-employed
tick applicable
 Chartered/Certified
Accounts       Bookkeeper none
Basic pay/Net profit *
Basic pay/Net profit
Credit Commitments
Credit Commitments
Loans- Total Monthly payments *
Loans- Total Monthly payments
Credit Cards- Total balance *
Credit Cards- Total balance
Other Credit Commitments *
Other Credit Commitments

Any Mortgage/rent arrears in the last 12 Months?  * Yes No DETAILS: & other relevant information.
Has mortgage/rent been DSS assisted in the last 12 months?  * Yes No
Has either applicant ever been made bankrupt or entered into an IVA?  * Yes No
Has either applicant ever had a CCJ or default registered against them?   * Yes No
Has either applicant ever had a property
repossessed?  *		 Yes No

How did you find us: *
By submitting this form you agree to the information pertaining to Disclosure & Use Of Your Information. Details are available on request.
(YOUR HOME IS AT RISK IF YOU DO NOT KEEP UP REPAYMENTS ON A MORTGAGE OR OTHER LOAN SECURED ON IT. )
Click "Submit" Once and wait for confirmation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
 
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