Confidential mortgage enquiry form

Please complete all details in full and we will respond with details of the best mortgage for you. If any information is not available at this stage, just leave the section blank. If any additional details are required, we will contact you later. 

Remember there is no obligation to accept any offer arising from this enquiry and that you can cancel your application at any time with no penalties or costs due. 

Use the 'Tab' key to move between fields. Please check that you have entered all of your details correctly and then press the 'Submit Form' button to send us your details.

 Your Personal Details
Your title
Your surname / family name
Your first names
Your date of birth

 Your Partner's Personal Details (for joint enquiries)
Your partner's title
Their surname / family name
Their first names
Their date of birth

 Your Address and Contact Details
House name / number and street
Area or suburb
Town or city
Postcode
How long have you lived at this address?   years   months
Your daytime telephone (including area code)
Your evening telephone (including area code)
Your mobile telephone (if any)
Your email address
If you have lived at your current address less than 3 years, please give previous address details:
Previous house name / number and street
Area or suburb
Town or city
Postcode
How long did you live at your previous address?   years   months

 Your Employment and Income Details
What is the nature of your employment?
What is your gross annual  income £
What is your occupation or job title?

 Your Partner's Employment and Income Details (for joint enquiries)
What is the nature of your partner's employment?
What is your partner's gross annual income £
What is your partner's occupation or job title?

 Your Residential Details

What is your residential status?
If you are a homeowner or mortgage payer, please give further details:
What is the estimated value of your property £
What is your current mortgage balance £
Who is your current mortgage lender?

 About Your Monthly Expenditure
What is your monthly mortgage or rent payment £
What is your total monthly payment for other bills £
How much do you owe on credit or store cards £
What is the total monthly payment for your cards £
How much do you owe on other loans or credit £
What is the total monthly payment for other credit £

 About Your Credit History
Have either of you ever had a CCJ or default registered against you?
Have either of you ever been declared bankrupt?
Have either of you ever had arrears on any previous or current mortgage?
Have either of you ever had arrears on any other credit?

 Your New Mortgage Requirements
What is the property purchase price or valuation £
Do you have a deposit available ?
How much deposit do you have £
How much would you like to borrow in total £
How long would you like to repay the mortgage?   years
What type of mortgage do you require?
Have you found a property yet?
What kind of repayment method do you require?

 Any Other Details

Please use the following space to add any further details you think relevant to this enquiry:

By submitting this enquiry form I/we understand that a fully regulated mortgage advisor will contact me to discuss my/our requirements. I/we also understand that I/we am/are under no obligation to accept any offer arising from this enquiry and that I/we can cancel the application at any time with no penalties or costs due.