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Your home may be repossessed if you do not keep up repayments on your mortgage
Mortgage Questionnaire
Please select
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Purchase
Buy to Let
Right to Buy
Re-Mortgage
Self Certification
Adverse Credit
100% Mortgage
No proof of Income
First Time Buyer
The information collected will be used solely for the purpose of providing background information when contacting you to arrange an appointment.
Your Details
First Applicant
Second Applicant
(if required)
Forenames
Surname
Maiden or previous name
Date of Birth
Address 1
Address 2
Address 3
Address 4
Postcode
Date moved in
Details of previous address
covering last 3 years
Address 1
Address 2
Address 3
Address 4
Postcode
Date moved in
Home Telphone
Work Telephone
Best time to contact you?
Please Select
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9am
10am
11am
12pm
1pm
2pm
3pm
4pm
5pm
6pm
7pm
8pm
9pm
Contact via
Please Select
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Home Telephone
Work Telephone
Email
Letter
Email address
Your Income
Employment status
Employed
Self Employed
Employed
Self Employed
Occupation
Months in current employment
Months in continuous employment
If Self Employed are your accounts available?
Yes
No
Yes
No
If YES - Last 3 years
If Employed:
Basic Income
Overtime / Commission (guaranteed)
Total income
Your Credit History
Have you had any County Court Judgements (CCJ's) or Defaults recorded against you?
Yes
No
Yes
No
If yes, please give full details
And when satisfied
Have you been bankrupt?
Yes
No
Yes
No
If yes. date discharged
Rent or Mortgage Arrears
Yes
No
Yes
No
If yes, please give details
Your Loans and Credit Cards
Name of Existing Mortgage Lender (if any)
Amount Outstanding
Is current property being sold?
Yes
No
Yes
No
If yes, Sale price
Any other Outstanding loans?
Yes
No
Yes
No
Amount
Total Monthly payment
Months left to pay
Credit Cards
Total Balance outstanding
Total Monthly payment
Your New Mortgage Requirements
Both Applicants
Purchase price / valuation
Amount of mortgage required
How urgent is your need
Please Select
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Very
1 Months Time
3 Months Time
Have you found a property
Yes
No
Would you like a visit from one of our advisers?
Yes
No
Please enter any other information that you feel is relevent
© 2005 Paul Fenton Homebuyer Services