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Online Mortgage Application.
Please fill in all applicable sections and press the submit button at the bottom. You do not need to be on-line to complete this form.
Name:
Address:
Post Code:
Telephone
Email:
Mortgage Type
Purchase:
Re-Mortgage:
Right to Buy:
First Time Buyer:
Purchase Price:
Valuation:
Amount Required:
Years:
Freehold?:
Leasehold?:
Mortgage Required:    
First Applicant:
Name of Applicant:
Date of Birth:
Outstanding Mortgage(s)      
1st:
Mortgage is with:
2nd:
Mortgage is with:
Employment Details
    
How Long in Current
 Years/months in employment:
Gross Annual Salary or Net Profit:    
Guaranteed Overtime:
Regular Overtime:
Can Income be Proved?
How?
Occupation:
Second Applicant:
Name of Applicant:
Date of Birth:
Outstanding Mortgage(s)      
1st:
Mortgage is with:
2nd:
Mortgage is with:
Employment Details
    
How Long in Current
 Years/months in employment:
Gross Annual Salary or Net Profit:    
Guaranteed Overtime:
Regular Overtime:
Can Income be Proved?
How?
Occupation:
Past
Mortgages Arrears:
1st Charge:
Months:
Amount:

Current Arrears

2nd Charge:
Months:
Amount:
CCJ's:
No. & Date:
Total:
Satisfied:
Defaults:
No. & Date:
Total:
Satisfied:
Bankruptcy:
Discharge Date:
Satisfied:
   
     
Is salary lodged to a bank Account?: If Yes, are the statements available?:
Are there any returns on the bank statements?: How many?:
Is there any adverse credit history, i.e. defaults, arrears, CCJ's? Please give a brief reason for adverse history:
Please press submit to send this form to us.

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