Help for the self employed, contract workers and people with variable income

Mortgage Application Form


Please complete all details in full and we will respond within 24\48 hours with details of the best mortgage for you. If any information is missing, it may delay and/or prevent your advisor being able to produce a mortgage illustration for you. Please also note that we require at least one contact telephone number to provide an illustration.

Use the 'Tab' key to move between fields. Please check that you have entered all of your details correctly and then press the 'Submit Form' button to send us your details.

Your Personal Details
   
Title*
First names*
Surname*
Date of birth*
Marital Status*
   
Your Partners Details
   
Title
First names
Surname
Date of birth
Partners Marital Status Single
Engaged
Married
Divorced
Separated
Widowed
   
Your Address Details
   
House name or number and street*
Area*
Town or city*
Postcode*
Time at this address*
Home telephone including code*
Mobile telephone
Email address*
   
If you have lived at your current address less than 3 years, please give further details:
Address
Area
Town or city
Postcode
Time at this address
   
Your Employment Details
   
Your gross annual salary*
Your occupation job title*
If Self employed do you wish to self declare income*
Details of other income*
   
Your Partners Employment Details
   
Your gross annual salary
If Self employed do you wish to self declare income
Details of other income
   
Your Residential Details
   
Please choose an option*
 
If you are a homeowner or mortgage payer, please give further details:
Estimated property value
Current mortgage outstanding
   

Your New Mortgage Requirements

   
Current mortgage lender
Current mortgage lenders address
Purchase price *
Amount of deposit *
Mortgage required
Term required
Type of mortgage required*
Type of repayment required*
Have you found a property yet*
   
When would you like to complete
   
Property Details Of New Property
   
Is the property Please select*
Has the property ever been owned by the council* Yes
No
Is this a Housing Association property* Yes
No
Free hold or leasehold* Freehold
Leasehold
If Leasehold unexpired term
Is the Property* Detached
Semi 
Terraced 
Maisonette
Flat
If flat how many floors
Is any part of it to be let* Yes
No
Rental Value
   
Adverse Credit Information
   
How is your credit history*
Have you CCJ's defaults or arrears* Yes
No
If you have any CCJ's, defaults or arrears please give details of dates & amounts etc:
If you have any CCJ's defaults or arrears please give details of dates and amounts etc
   
Feedback and Declaration
   
How did you find our site
 

By submitting this enquiry form I/We understand that a fully qualified independent mortgage advisor will contact me within 24 hours to discuss my/our requirements. I/we also understand that I/we am/are under no obligation to accept any offer arising from this enquiry and that I/we can cancel the application at any time with no penalties or costs due.


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