Mortgage Quote:
The information being collected below is solely for our use to conduct an initial loan investigation/assessment. It may be necessary to contact you for clarifications/additional information before finalising a recommendation. please tick the box to confirm you have read our initial disclosure before submitting your enquiry
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| Full Name Client 1: |
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| Status: |
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Dependents: |
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| Full Name Client 2: |
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| Status: |
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Additional Dependents: |
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| Date of Birth Client 1: |
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| Date of Birth Client 2: |
* |
| Client 1: Smoker? |
Yes:
No:
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| Client 2: Smoker? |
Yes:
No:
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| On Electoral Role: |
* |
client 1 |
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client 2 |
| Email Address: |
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| Home Phone: |
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| Work Phone Client 1: |
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| Work Phone Client 2: |
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| Mobile Phone Client 1: |
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| Mobile Phone Client 2: |
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| What is the best time for a Mortgage Professional to contact you to help sort out your Ideal Mortgage? |
Preferred Time:
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| Who should they best Contact to discuss your Mortgage Requirements? |
Client 1:
Client 2: |
| Resident UK Area: |
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UK Home Addresses:
Last 3 years with postcodes: |
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| Current Postcode: |
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| Property Purchase/Valuation Price: |
£
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| Mortgage Sum Required: |
£
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| Mortgage Duration Required: |
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| Current Position: |
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| Mortgage Scheme Required: |
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| Mortgage Option Required: |
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| How Soon Do You Need The Mortgage: |
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Early Repayment Charge:
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Yes:
No:
If yes, approximately how much: £
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| Existing Mortgage Outstanding (£): |
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| Remaining Term: |
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| Current Mortgage Lender: |
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Credit History (eg CCJ's, VAS):
Details for Categories C-F?
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Credit History:
Would you say your credit history is;
A - Excellent, No late payments in the last 6 years
B - Good, No late payments in the past 2 years
C - Fair, Some recent late payments
D - Moderate, CCJ, Defaults settled up to £1000
E - Poor, CCJ's, Defaults un-settled up to £1000
F - Severe, CCJ's, Defaults, Bankrupt, Current IVA
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| Client 1 - Current Annual Gross Income: |
£
p/a. Employed:
Self Employed:
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| Client 2 - Current Annual Gross Income: |
£
p/a. Employed:
Self Employed:
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| Self Cert. of either Income required: |
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If Yes |
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Ongoing total Monthly Financial Committments
(loans, hp, credit cards etc with more than 6 months left to run ) |
| Monthly Commitments: |
Client 1:
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Client 2:
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| Deposit Source: |
£
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| Additional Information : |
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I Agree
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| IMPORTANT WARNING NOTE: Out of courtesy we ask that you fully complete your details correctly and that by pressing the submit button you agree to be contacted. |
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