|
Borrower |
Co-borrower
(if any) |
|
Mr
Mrs
Miss
Ms |
Mr
Mrs
Miss
Ms |
|
Name:
|
Name:
|
|
Age
:
|
Age :
|
|
Smoking
: yes
no |
Smoking : yes
no |
|
Credit
history :
|
Credit
history :
|
|
Gross
annual income: £
|
Gross
annual income: £
|
|
Property
details |
|
Value
of the property |
£ |
|
Current
mortgage size |
£ |
|
Terms
required |
years |
|
Type
of mortgage |
|
|
Extra
capital required ? |
If
yes, how much
£
|
|
Current
mortgage provider |
|
|
Current
monthly repayment |
£
|
| |
|
|
|
|
|
|
|
Do
you have a penalty to move from a current mortgage ? |
|
If yes, how much ? |
£
|
|
Buy
to Let details (if
applicable) |
|
Buy
to Let income : |
£
|
|
|
|
Contact
details |
|
Home
telephone number * :
|
*
required |
|
Work
telephone number : |
|
|
Mobile
telephone number : |
|
|
Best
time to call : |
|
|
Email
* : |
*
required |
|
Address
* : |
*
required |
|
Postcode
: |
*
required |
|
Additional
information (if
any) |
|
|
|
|