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

Forename(s)

Forename(s)

Surname

Surname

Current address

Current address

Postcode

Postcode

How long at this address
 years  months

How long at this address
 years  months

Is your present home

Is your present home

On Electoral Roll?

On Electoral Roll?

Nationality

Nationality

E-mail address

E-mail address

Telephone (Evening or home)

Telephone (Evening or home)

Telephone (Day or work)

Telephone (Day or work)

Mobile number

Mobile 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

Smoked in the last 12 months

Smoked in the last 12 months

Are you in good health

Are you in good health

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

Was your previous home

Was your previous home

Was you on Electoral Roll?

Was you on Electoral Roll?

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


 

Employment details

First Applicant

Second Applicant

Occupation / Job title

Occupation / Job title

Nature of employment

Nature of employment

Type of Contract

Type of Contract

Probationary Period?

Probationary Period?

Details if yes

Details if yes

Are you a Controlling Director

Are you a Controlling Director

If yes give %

If yes give %

Employment Start Date

Employment Start Date

Cert/Chartered Accountant

Cert/Chartered Accountant

Who is your employer

Who is your employer

Retirement Age

Retirement Age

If lending goes into retirement age how will loan be maintained?

If lending goes into retirement age how will loan be maintained?

Income and Expenditure details

First Applicant

Second Applicant

Employed-Basic Salary
£ 

Employed-Basic Salary
£ 

Self Employed Net Profits-year 1
£ 

Self Employed Net Profits-year 1
£ 

Self Employed Net Profits-year 2
£ 

Self Employed Net Profits-year 2
£ 

Self Employed Net Profits-year 3
£ 

Self Employed Net Profits-year 3
£ 

Overtime/Comm/Bonus
£ 

Overtime/Comm/Bonus
£ 

Any Tax Credits/Benifits
£ 

Any Tax Credits/Benifits
£ 

Any other income
£ 

Any other income
£ 

Gross Monthly income
£ 

Gross Monthly income
£ 

Net Monthly income
£ 

Net Monthly income
£ 


Total Monthly Expenditure


Exclude current or anticipated mortgage costs, include all commitments and household bills. (also list loan amounts etc)
Use Affordability form at the end if unsure of household expenditure/affordability

Monthly disposable income:

Amount you wish to commit towards your mortgage:

Is this a maximum?

Do you expect the above to remain the same?

Any changes anticipated?

If YES to the above give details

 

Current mortgage & loans

Are you currently :-

Who is your current mortgage lender

What is your current rate of interest

 %

Outstanding loan
Current Valuation

£ 
£ 

Rent / mortgage payment- inc MPP ?

£ 

What is your current mortgage type :-

When does the current deal on your mortgage expire
(e.g. discount period etc.) ?

What is your current repayment type :-

Are there any redemption penalties

If YES, when do these end

Are you prepared to pay this

Please give the amount of the redemption penalty

£ 

Existing Mortgage term

Do you have any other secured lending

If YES, please give details of your secured lending

What term is remaining on your secured lending

Do you own any other properties

If so, please provide details

If Buy to let give current/anticipated rental income ?

£ 

New mortgage & Details

Property Address

Standard Construction

Purchase Price/Valuation

£ 

Council Valuation- If right to buy

£ 

Amount of Deposit available

£ 

Source of Deposit

 

Mortgage amount required

£ 

Loan to Value?

 %

Term required?

 

Type of interest

 

Do you want the ability to overpay

By how much?

£
  %

Are you likely to move house in the next 5 years

Are you concerned about the possibility of future interest rate rises

Are you prepares to see your mortgage rise and fall in line with interest rate rises

Redemption period required

 

Ability to add fees to the loan

Repayment basis-Attitude to risk?

 

If interest only provide details of how loan is to be paid

 

Portability required?

If yes provide reason

 

Do you have cash deposit accounts you could use to reduce the amount you wish to borrow.

If yes provide details

 

Do you want to fix your mortgage costs for a certain period

If yes for how long

 years

Do you require a mortgage that tracks the Bank of England rate

If yes for how long

 years

Do you require a discount on your mortgage costs in the first few years

If yes for how long

 years

Do you require an initial lump sum (repayable should you repay or move mortgage in the early years) to help with expenses

Which of the following are important to you

No higher lending fee

Speed of mortgage completion

Ability to add fees to loan

Ability to vary repayment

Ability to make overpayment

Ability to link mortgage to a savings or current account

Free legal fees

No valuation fee

Valuation fees refunded

No booking or arrangement fees

Ability to make underpayments or take a repayment holiday

Have you any specific requirements or any comments you would like us to record

 

Commitments

First Applicant

Second Applicant

Type of commitment, monthly payment, balance outstanding to be cleared etc

Type of commitment, monthly payment, balance outstanding to be cleared etc

Adverse Credit?

Adverse Credit?

CCj's, Defaults, Mortgage Arrears, Rent Arrears, Bankruptcy, IVA, Missed payments, Housing Benefit.
Give details of any of the above

CCj's, Defaults, Mortgage Arrears, Rent Arrears, Bankruptcy, IVA, Missed payments, Housing Benefit.
Give details of any of the above

Self certification required

Self certification required

Provide reasons and confirm affordability

Provide reasons and confirm affordability

Other notes


Other notes


Insurance advice


Do you want advice on Buildings & Contents Insurance


Claims in the last 5 years

If Yes, provide Claim details

Number of bedrooms

Type of property

Year built

Life and Critical Illness

Accident, sickness and unemployment



Affordability - Income


Are you confident of household income / expenditure figures ?



Total Household Income from all sources

First Applicant

£ 

Second Applicant

£ 

Total household income


£ 


Expenditure Monthly costs. Single/Joint

Personal Loans

£ 

Credit/Store Cards

£ 

Other e.g. second mortgage

£ 

Council Tax

£ 

Utilities Electric, Gas, Water etc

£ 

Insurances

£ 

Savings

£ 

Travel

£ 

Food

£ 

Clothing

£ 

Entertainment

£ 

Other e.g. Holidays, clubs etc

£ 

Total Household Expenditure (B)

£ 

A- Total Household Income

£ 

B- Total Household Expenditure

£ 

Disposable monthly Income A-B

£ 

Amount able to commit to mortgage payments

£ 


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 may be repossesed if you do not keep up the repayments on a mortgage.

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First Choice Mortgage and Investment
5 Church Street, Thorne, Doncaster, DN8 5BE
is authorised and regulated by the Financial Services Authority.
Partners: James Ruhmann, Richard Turner, David Greenwood
telephone no.:01405 818527 / 815742.

©  First Choice Mortgage & Investment

Authorised and regulated by the Financial Services Authority
We are on the FSA Register
No 300151
at www.fsa.gov.uk/register