Mortgage Enquiry Form

Privacy Policy: It is guaranteed that your details will only be used to respond to your query and will not be released to any third party. Remember, at this stage you are enquiring about the best mortgage deals available to you so there is no obligation.

All information supplied will be treated in the strictest of confidence.

Please fill the form completely, using the tab key or your mouse to move across boxes. When finished just press the 'Send Form' button to submit your application. Alternatively, you may wish to print this form and fax it to 0870 133 7959.

Your Full Name:
Your Partner's Name:
Your Email Address:
Your Tel No (Day/Eve):
Mortgage Required:
Amount Required:	£
Property Value:	£
Over How Many Years:
Mortgage Purpose:
Are you a first time buyer?	Yes No
Mortgage/Re-Mortgage required:
If Re-Mortgage:
Existing Mortgage Balance?	£
Mortgage Amount Outstanding	£
What is your monthly mortgage payment?	£
Term Remaining?	Yrs
Name of Mortgage Company?
Type of Existing Mortgage:
Personal Details
Date Of Birth:
Marital Status:
Current Address (inc Postcode):
Time at this address:	Yrs/months
If less than 3 years, Previous Address(inc Postcode)
Existing Mortgage/Rent History
Is the account up to date?	Yes No
Have the last 3 mortgage payments been made on time?	Yes No
Please detail any CCJs/mortgage arrears etc
Employment Details
Occupation
	Full Time Employed
	Self -Employed
	Redundant/Unemployed
If self-employed do you have accounts?	Yes No
Name and Address of Employer:
Time at Current Job:	Yrs/Months
Gross Monthly Pay:	£
Partners Employment Details
Occupation
	Full Time Employed
	Self -Employed
	Redundant/Unemployed
If self-employed do you have accounts?	Yes No
Name and Address of Employer:
Time at Current Job:	Yrs/Months
Gross Monthly Pay:	£
Additional Information/Comments
(eg looking for flexible mortgage, buy to let, etc)
Permission to perform credit search if required?	Yes

Your home is at risk if you do not keep up repayments on a mortgage or other loan secured on it.