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Enquire Online :

The information collected will be used solely for the purposes of providing
background information when contacting you to arrange an appointment. Upon
receipt of the enquiry form we shall contact you by telephone and email.

please tick the box to confirm you have read our initial disclosure before submitting your enquiry

 
Full Name Client 1: *
Status: Dependents:
Full Name Client 2: *
Status: Additional
Dependents:
Date of Birth Client 1: *
Date of Birth Client 2: *
Client 1: Smoker? Yes: No:
Client 2: Smoker? Yes: No:
On Electoral Role: * client 1 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?  Preferred Time:
Who should they best Contact to discuss your Mortgage Requirements? Client 1: Client 2:
Resident UK Area:
UK Home Addresses:
Last 3 years with postcodes: 		*
Current Postcode: *
Property Purchase/Valuation Price: £
Mortgage Sum Required: £  
Mortgage Duration Required:  
Current Position:
Mortgage Scheme Required:
Interest only, part of split £
Mortgage Option Required:
How Soon Do You Need The Mortgage:
Existing Mortgage Outstanding (£):
Remaining Term:
Current Mortgage Lender:

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
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 :

Data Protection Act 1998
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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.


 

Licensed broker 340249 established 1973.