Mortgage Enquiry Form
Personal Data
Title & Full Name
Address
Length of time resided
Contact Tel number Home
Contact Tel number Work
App 1
App 2
Date of birth
UK permanent Resident
yes
no
yes
no
Occupation
Income – Basic, Overtime, Commission & Bonus
Self-employed – Net Profit
( £ )
(last 3 years if available)
( £ )
Name of Business and Date
Established
Financial Data
Value / Purchase price
( £ )
Mortgage Required and Term
( £ )
Current Monthly payment
( £ )
Other loans o/s & Monthly payment
( £ )
Will any of these loans be Redeemed
yes
no
If Yes, which loans
Mortgage Penalties
( £ )
Personal Bank A/C No. & Sort Code
Purchase or Re-mortgage
CCJ's, Arrears or Defaults
Detail below….. include amount, if cleared and date satisfied
Additional Notes :