Mortgage Enquiry

Please enter "not applicable" or "N/A" in the sections that do not apply.

If you are not a broker and are a client applying directly, please skip section 1.

1. Broker Details
Broker Name
Broker Company Name
Broker Address 1
Broker Address 2
Broker Town
Broker County
Broker Postcode
Broker Telephone
Broker Fax
Broker Email
2. Client Details
Client Name
Client Address 1
Client Address 2
Client Town
Client County
Client Postcode
Client Telephone
Client Fax
Client Email
Purpose of Loan
Purchase
Buy To Let
Re-mortgage
First Time Buyer
Right-To-Buy
Let-To-Buy
Ex-Pat

Advance Required £
Estimated Value of Property £
Outstanding Finance on Property: £
How many years Accounts?
Any Adverse Credit?
  
Additional Notes
 
BY CLICKING THE APPLY BUTTON, YOU AGREE TO THE FOLLOWING TERMS & CONDITIONS

I confirm that I the applicant(s) are aware that the information given in their mortgage enquiry form will be given to a credit reference agency which will keep a record of the search, and that the information may be used by other lenders in assessing applications from the applicant(s) or other members of the applicants’ household and for debt recovery, tracing and fraud prevention.
The applicant(s) understand(s) that the details supplied may be held and made available to other companies. Under the Data Potection Act 1998, we have to inform the applicant(s) how their personal information will be used. The information provided on this form, may also be shared with third parties.
The applicant(s) consents(s) to the fact that the details on this form will be passed to third parties, who will make contact regarding the provision of mortgage services.

THINK CAREFULLY BEFORE SECURING OTHER DEBTS AGAINST YOUR HOME.

 YOUR HOME MAY BE REPOSSESSED IF YOU DO NOT KEEP UP REPAYMENTS ON YOUR MORTGAGE.