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Full Name Client 1:
Mr
Mrs
Miss
Ms
Dr
*
Status:
Please Select
Single
Cohabiting
Married
Divorced
Widowed
Separated
Dependents:
1
2
3
4
5
Full Name Client 2:
Mr
Mrs
Miss
Ms
Dr
*
Status:
Please Select
Single
Cohabiting
Married
Divorced
Widowed
Separated
Additional Dependents:
1
2
3
4
5
Date of Birth Client 1:
*
Date of Birth Client 2:
*
Client 1: Smoker?
Yes:
No:
Client 2: Smoker?
Yes:
No:
On Electoral Role:
Yes
No
*
- client 1
Yes
No
client 2
Email Address:
*
Home Phone:
*
Work Phone Client 1:
Work Phone Client 2:
Mobile Phone Client 1:
Mobile Phone Client 2:
What is the best time for a Mortgage Professional to contact you to help sort out your Ideal Mortgage?
Please Choose...
Evening
Afternoon
Morning
Anytime
Preferred Time:
Who should they best Contact to discuss your Mortgage Requirements?
Client 1:
Client 2:
Resident UK Area:
Please Choose...
England
Scotland
Wales
N. Ireland
UK Home Addresses:
Last 3 years with postcodes:
*
Current Postcode:
*
Property Purchase/Valuation Price:
- £
Mortgage Sum Required:
- £
Mortgage Duration Required:
1
2
3
4
5
6
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Current Position:
Select
1st time buyer
buy to let purchase
buy to let remortgage
homemover - house sold
homemover house on the market
homemover house not on the market
Remortgage
Mortgage Scheme Required:
Mortgage Option Required:
Please Choose...
Variable Rate
Fixed Rate
Discount Rate
Capped Rate
Tracker Rate
Cashback Rate
Current Account
Other
How Soon Do You Need The Mortgage:
Please Choose...
0 - 2 Months
2 - 4 Months
Existing Mortgage Outstanding (£):
Remaining Term:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
Current Mortgage Lender:
Please Select
Abbey National
Advance Home Loans
All Types of Mortgages
Alliance & Liecester
Amber Home Loans Ltd.
APS
Bank of Ireland
Bank of Scotland
Barclays Bank
Barnsley Building Society
Bath BS
BDS
Best Advice
Beverley BS
BM Solutions
Bond 2 Let
Bradford and Bingley
Bristol & West
Britannia BS
Britannic Money
Buckinghamshire BS
Burchell Edwards
Cambridge BS
Capital HL/ Irish Permanent
Capital HL/ Irish Permanent S/C
Chelsea BS
Cheltenham & Cloucester
Chesham BS
Cheshire BS
Chorley & District BS
Clay Cross BS
Clydesdale Bank
Complete MLS
Coventry BS
Darlington BS
Derbyshire BS
Dudley BS
Dunfirmaline BS
Ecology BS
Exclusive Connections
First National
Flagship
Fleet Boston National Bank
Furness BS
Future Mortgages
Gainsborough BS
Genesis
GMAC
Halifax
Hanley Economic BS
Harpenden BS
High Street Home Loans
Hinkley & Rugby BS
HMSL
Holmesdale BS
Home Loan Partnership
ICMG
igroup
IMS
Intelligent Finance
Ipswich BS
Irish Nationwide BS
Irish Permanent
Kensington
Kent Reliance BS
L & G Mortgage Club
Lambeth BS
Leeds & Holbeck BS
Leek United BS
Legal & General Bank
Lloyds TSB Scotland
Loughborough BS
Manchester BS
Mansfield BS
Market Harborough BS
Marsden BS
Melton Mowbray BS
Members Mortgages
Mercantile BS
Monmouthshire BS
Mortgage Express
Mortgage Intelligence
Moirtgage Marketing Centre
Mortgage Master
Mortgage Next
Mortgage Plus
Mortgages Direct
Mortgages Plc
MX-Online
National Counties BS
Nationwide BS
Nat West
Network Mortgages Ltd
Newbury BS
Newcastle BS
New World (Cwlth Bank)
Northern Rock
Norwich & Peterborough BS
Norwich Union
Nottingham BS
Paragon
Penrith BS
Pink
Platform Home Loans
PMPA
Portman BS
Preferred
Pricipality BS
Private Label
Progressive BS
Royal Bank of Scotland
Saffron Waldon
Scarborough BS
Scot Life
Scottish Amicable
Scottish BS
Scottich Widows Bank
Shepshed BS
Skipton BS
Solent Mortgage Services
SPML
Stafford Railway BS
Stafdfordshire BS
Standard Life Bank
Stoud & Swindon BS
Sun Bank
Swansea BS
The Morgtgage Business
The Morgtgage Operation
The Mortgage Solution Ltd
Tipton & Croseley BS
Trustguard Homeloans
UCB
Ulster Bank
Universal BS
Other
Credit History (eg CCJ's, VAS):
Details for Categories C-F?
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
Please select
A - Excellent
B - Good
C - Fair
D - Moderate
E - Poor
F - Severe
Client 1 - Current Annual Gross Income:
£
p/a. Employed:
Self Employed:
*
Client 2 - Current Annual Gross Income:
£
p/a. Employed:
Self Employed:
*
Ongoing total Monthly Financial Committments (loans, hp, creditlords etc)
Deposit Source:
£
Additional Information :
I Agree
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.