The UK Mortgage Shop - Mortgage Enquiry Form

Personal Details Help us to Help you: Enter all your relevant information to enable us to provide free advice, FEES FREE

	1st Applicant	2nd Applicant (if joint mortgage)
Title
Lastname
Firstname
Middle Names
Alias
Address or just door No. or housename
Post Code
Time at above?	years months	years months
Previous Address (if less than 3 years)
Previous Postcode
Time at above?	years months	years months
Work Tel. No.
Home Tel. No.
Mobile Tel. No.
Fax No.
Email Address
Date of Birth (eg 28/02/1950)
Nationality
Marital Status
Relationship to joint applicant
Smoker?
Occupation
Emp. Status
Length of Employment if 2.5 years put 2.5
Previous Employment (if current less than 2 yrs)
Basic Salary or Net Profit (£/year eg 24000)
Total Yearly Income (£/year eg 24000)
Bonus, O/time etc (£/year eg 5500)

New Property / New Mortgage Details
For monetary values, enter without the pound sign or commas: e.g., for £125,000 type 125000.

Mortgage Amount Required		Purchase Price or Value of Property Being Mortgaged
Term Required	years	First Time Buyer?
Loan Type		Own Property to be Sold?
Deposit Amount (if any)		Expected Price

Existing Mortgage Details
For monetary values, enter without the pound sign or commas: e.g., for £125,000 type 125000.

Existing Lender
Existing Mortgage Amount		Mortgage Type
Remaining Term		Existing Value

Existing Endowment/Life/Pension Policies

Company Type Premium Sum Assured Term
(Years) Start Date
(eg12/04/1982)

Debts/Finance

Please detail here any uncleared finance, personal loans, credit card balances etc or Adverse Credit such as County Court Judgements, Defaults, IVA's, Bankruptcies etc, giving as much detail as possible or None.

Notes/Preferences

ie type of rate/loan capped, discounted, fixed, cashback, repayment, ISA etc & other preferences.

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Company	Type	Premium	Sum Assured	Term (Years)	Start Date (eg12/04/1982)