First Choice Mortgage & Investment - Mortgage Application

On-line mortgage enquiry form

Please complete all fields where possible. If any information is not available at this stage, please leave the section blank. If any additional details are required, we will contact you later

Personal details

First Applicant

Second Applicant

Title	Title
Surname	Surname
Forename(s)	Forename(s)
Current address	Current address
Postcode	Postcode
Telephone (Day or work)	Telephone (Day or work)
Telephone (Evening or home)	Telephone (Evening or home)
E-mail address	E-mail address
Fax number	Fax number
Date of birth	Date of birth
What is your sex ?	What is your sex ?
Marital status ?	Marital status ?
Do you smoke ?	Do you smoke ?
Are you in good health ?	Are you in good health ?
Do you have any dependants ?	Do you have any dependants ?
Names of Dependants, Relationships and Dates of birth	Names of Dependants, Relationships and Dates of birth
Are there any foreseeable changes to your circumstances ?	Are there any foreseeable changes to your circumstances ?
Is your present home	Is your present home
How long at this address ? years months	How long at this address ? years months
Previous address (If above is less than 3 yrs)	Previous address (If above is less than 3 yrs)
How long at this previous address ? years months	How long at this previous address ? years months

Employment details

First Applicant

Second Applicant

Nature of employment	Nature of employment
Occupation / Job title	Occupation / Job title
Who is your employer ?	Who is your employer ?
How long have you been in your current employment ? years months	How long have you been in your current employment ? years months
Previous employer if above is less than 3 years	Previous employer if above is less than 3 years
Number of years accounts held (self-employed only)	Number of years accounts held (self-employed only)
How long have you held a bank account ? Years	How long have you held a bank account ? Years
What is your gross annual income ? £ p.a.	What is your gross annual income ? £ p.a.
What is your basic income ? £ p.a.	What is your basic income ? £ p.a.
How much is your regular overtime/bonus ? £ p.a.	How much is your regular overtime/bonus ? £ p.a.
Other regular income ? £ p.a.	Other regular income ? £ p.a.
What is you total net monthly income from all sources ? £ p/month	What is you total net monthly income from all sources ? £ p/month
How much do you feel you can comfortably afford for your mortgage and any mortgage related plans ? £ p/month	How much do you feel you can comfortably afford for your mortgage and any mortgage related plans ? £ p/month
Is this a maximum ?	Is this a maximum ?
Do you expect this to remain the same for some time ?	Do you expect this to remain the same for some time ?
Are you expecting any changes in your income/expenditure ?	Are you expecting any changes in your income/expenditure ?

Current mortgage & loans

First Applicant

Second Applicant

Please give details of any credit problems in the box below :-	Please give details of any credit problems in the box below :-
Have you ever had any CJJ's	Have you ever had any CJJ's
Have you ever been bankrupt or subject to IVA ?	Have you ever been bankrupt or subject to IVA ?
If you have an existing mortgage, how much is outstanding ? £	If you have an existing mortgage, how much is outstanding ? £
Current mortgage lender ?	Current mortgage lender ?
What rate of interest ?	What rate of interest ?
What type of loan ?	What type of loan ?
Do you have any store cards, credit cards or other loans ?	Do you have any store cards, credit cards or other loans ?
How much do you owe on credit or store cards ? £	How much do you owe on credit or store cards ? £
What is your monthly payment on credit or store cards ? £	What is your monthly payment on credit or store cards ? £
How much do you owe on other loans ? £	How much do you owe on other loans ? £
What is your monthly payment on other loans ? £	What is your monthly payment on other loans ? £
Over what term ?	Over what term ?
When is the final payment due ?	When is the final payment due ?
Other household expenditure ? £ (monthly)	Other household expenditure ? £ (monthly)
Do you intend to use your mortgage to clear any loans ?	Do you intend to use your mortgage to clear any loans ?
If so, how much ? £	If so, how much ? £

Mortgage requirements

What is the purpose of your mortgage application ?	If you are purchasing property, what is your situation ?
Address of property to be mortgaged	Type of property
Postcode of new property	Purchase price / approximate valuation £
How much money would you like to borrow ? £	Over what term would you like your mortgage to run ? years
Do you have a deposit available ?	How much is your deposit ? £
Source of deposit

Additional information

First Applicant

Second Applicant

Do you expect to be able to pay off some or all of your new mortgage, within the foreseeable future ?	Do you expect to be able to pay off some or all of your new mortgage, within the foreseeable future ?
If YES, how much do you envisage paying off ? (Approx) £	If YES, how much do you envisage paying off ? (Approx) £
Are you likely to move home for any reason, within the foreseeable future ? (Say 5-7 years)	Are you likely to move home for any reason, within the foreseeable future ? (Say 5-7 years)
Approximate timescale ? Years	Approximate timescale ? Years
Which of the following features are important to you
Avoid the uncertainty of interest rate changes ?	Avoid the uncertainty of interest rate changes ?
Fix your mortgage payments for a certain period ?	Fix your mortgage payments for a certain period ?
If YES, for how long	If YES, for how long
Put an upper limit on your mortgage payments in the early years ?	Put an upper limit on your mortgage payments in the early years ?
Minimise mortgage payments in the first few years, in the form of a discount or stepped rate ?	Minimise mortgage payments in the first few years, in the form of a discount or stepped rate ?
If YES, over what initial period ? Years	If YES, over what initial period ? Years
Be able to vary your monthly payments and/or to pay lumps sums off your mortgage without penalty ?	Be able to vary your monthly payments and/or to pay lumps sums off your mortgage without penalty ?
No tie in. after a fixed, discounted or capped rate ?	No tie in. after a fixed, discounted or capped rate ?
Access to initial cash sums (known as cash back) ?	Access to initial cash sums (known as cash back) ?
Ability to add fees to the loan ?	Ability to add fees to the loan ?
You want the certainty of your mortgage being paid at the end of the loan ?	You want the certainty of your mortgage being paid at the end of the loan ?
Please answer the following final questions
Is it important to you to be certain that your monthly mortgage payments will pay off your mortgage in full at the end of the term ? OR Would you choose the invest to repay method and therefore accept the investment risk that is a feature of this method ?	Is it important to you to be certain that your monthly mortgage payments will pay off your mortgage in full at the end of the term ? OR Would you choose the invest to repay method and therefore accept the investment risk that is a feature of this method ?
What is your attitude to the risk of repaying your mortgage ?	What is your attitude to the risk of repaying your mortgage ?
Do you want advice on Buildings & Contents Insurance ?	Do you want advice on Buildings & Contents Insurance ?
Do you require advice on Mortgage Protection Insurance ?	Do you require advice on Mortgage Protection Insurance ?

I/We acknowledge that the Mortgage Advisor can hold and process by computer or otherwise, information obtained about me/us contained in this form ("the Personal Data") and may use the Personal Data for all purposes in connection with the service and management of my mortgage requirements.

I/We understand that I/we have the right to ask for a copy of the Personal Data in return for payment of a small fee and to require the Mortgage Advisor to correct any inaccuracies in the Personal Data.

I/We understand that the Personal Data may be disclosed to theFinancial Services Authority as part of their compliance monitoring activities.

Your home is at risk if you do not keep up the repayments on a mortgage or other loan secured on it. All loans subject to status

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Reg No 300151