Applicant 1:

Full Name:

Date of Birth:

Current address:

Time at current address:

Previous address if under 3 years:

Time at Previous address:

Marital status:

Dependants under 18: 

Email address: 

Best contact number:

If Employed - Time with employer?

If Self employed, When did you start Trading?

Occupation:

Annual Gross Income:

Net monthly income:

Other income:

Retirement Age:

Applicant 2:

Full Name:

Date of Birth:

Current address:

Time at current address:

Previous address if under 3 years:

Time at Previous address:

Marital status:

Dependants under 18: 

Email address: 

Best contact number:

If Employed - Time with employer?

If Self employed, When did you start Trading?

Occupation:

Annual Gross Income:

Net monthly income:

Other income:

Retirement Age:

Property Details for Remortgage:

Who is your existing mortgage with?

Mortgage account number?

Remaining Term?

Current monthly payment?

When did you purchase this property?

What year was the property built?

Number of bedrooms

Number of Kitchens

Number of Bathrooms

Does property have a garage?

If Flat annual Service Charge?

Is this a residential or BTL Mortgage :

Applicant 1:

Any other mortgages?

Type of mortgages? Residential or BTL?

Applicant 2:

Any other mortgages?

Type of mortgages? Residential or BTL?

Applicant 1:

Do u have any loans or credit cards?

In the last 6 years have you been insolvent, bankrupt or sequestrated?

In the last 6 years have you been involved in court proceedings in respect of debt or financial agreements with creditors?

Applicant 2:

Do u have any loans or credit cards?

In the last 6 years have you been insolvent, bankrupt or sequestrated?

In the last 6 years have you been involved in court proceedings in respect of debt or financial agreements with creditors?

Bank

Do you have a current account?

Time with bank?

Who do you bank with?

Account for direct debit:

Day of the month for direct debit:

Disclosure and use of your information

I/We confirm the information given in this form is accurate and I agree that you, or any lender to whom you submit this application, may use and disclose my data as described in the Data Protection Act. I have read the Privacy Policy and I am happy To proceed.

I/We do not wish to receive correspondence from you offering other products which you think may be of interest to me/us.

Additional Information