Pre Approval Mortgage Form

Please fill in all details below to find a suitable financing facility. All information is kept confidential and will not be passed onto any third party. This is a no obligation application form, only when you decide to proceed with the application will there be a fee of £120.00.

If you would prefer to print out the form and send it by post please download the pdf version.

(please leave blank, if you are not sure about completing any details)

Applicant
Title:
Surname:
Forenames:
Date of Birth:
Marital Status:
Present Address:
Zip/Postal Code:
Telephone number:
Mobile number:
E-mail address:
Length of time at current address:
Residentual Status:
Previous address (if less than 3 years at current address):
Previous Post Code:
Occupation:
Self Employed:	Yes No
Annual Salary Income:
Current Mortgage or Tennancy Details:
Current Monthly Payment:
Missed Payments in Last 12 Months:	Yes No
If yes, which months were missed/ under paid?
Current Arrears owing:
Has Housing Benefit been claimed in last 12 months:	Yes No
Mortgage Required:
Mortgage type:	Mortgage Remortgage Buy to let Right to buy First time buyer Self Cert Adverse Don't Know
Purchase price/Estimated Value:
Repayment method:	Capital and Interest Interest Only Endowment
Exsisting Loan Ammount:
Exsisting Lender:
Property type:	House Bungalow Flat
If flat how many in block:
Is the property ex-council:	Yes No
Tenure (if known):	Freehold Leasehold
Term Remaining:
Bank Details:
Does the applicant have a current account:	Yes No
Is salary paid into accounts:	Yes No
CCJ's/Defaults:
CCJ or Default:
Ammount:
Date Registered:
Date Satisfied: