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Telephone? |
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Lender Required? |
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Product? |
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Rate and Product Code? |
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Applicant 1: |
Applicant 2 : |
Title? |
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Surname? |
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First Name(s)? |
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Other names?
(In past 3yrs) |
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D.O.B?
(DD/MM/YR) |
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UK Resident? |
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Nationality? |
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Home Tel? |
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Marital Status? |
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No. of Dependants? |
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Current address? |
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Time at current
address?
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Residential Status? |
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Previous Address?
(3yrs History Required) (*Please include? Residential Status & Time @ address) |
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Type of Employment? |
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Occupation? |
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Time in employment?
(6 Months min) |
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Previous Employment? |
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Income?
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Basic £
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Basic £
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Additional Income?
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Extra £
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Extra £
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Additional Income Source?
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Time With Bank? |
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Amount of Current res. Mortgage? |
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Repaying before Completing? |
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Reason For Remortgage? |
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Cheque Card? |
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Existing Mortgage Details. |
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Applicant 1: |
Applicant 2: |
Joint*? |
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*if YES only fill in App1 |
Lender? |
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Date Purchased?
(DD/MM/YR) |
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Original Loan Amount? |
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Outstanding Balance? |
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Monthly Payment? |
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Original PP? |
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Other information useful to this case? |
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Have you ever been in arrears?
(rent/mortgage/any credit/loan) |
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Have you ever been made bankrupt? |
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if YES, Date Discharged? (DD/MM/YR) |
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Do you have any CCJ's or defaults? |
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Monthly Outgoings? |
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Itemised C/Cards? |
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Itemised Loans? |
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Property/Loan Details- All questions must be answered |
If Remortgage purpose of additional funds? |
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Total Loan Req? |
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Term? |
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Add fees? |
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Purchase price/Est. Value? |
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Source of Deposit? |
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Ex Local authority? |
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Freehold/Leasehold? |
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Leasehold, unexpired term? |
yrs |
Standard Construction? |
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If no, please Advise? |
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Age of Property? |
yrs |
Is Property Within M25?? |
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Type of Property? |
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If Flat, is it above commercial premises? |
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How many Floors in block of Flats? |
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Est Monthly Rental? (BTL) |
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Further Information, CCJ’s etc? |
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Please confirm that you have read and agree to the following |
Information given on this form will be looked at in detail and will help us make a quick assessment as to whether we are able to consider your client further for a mortgage application. This information will be held on computer and is subject to the Data Protection Act. We may make enquiries of one or more credit reference agencies within the terms of the Data Protection and Consumer Credit Acts. Credit reference agencies may keep a record of any search enquiry and make this available to other enquirers.
I have confirmed the information given above with my client(s). I have explained the implication of OPM and its lenders panel carrying out a credit search and have authority to agree as above on behalf of him/her/them. Information given on this form will be looked at in detail and will help us make a quick assessment as to whether we are able to consider. |
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