Section 1 - First Applicant Details
Title	Mr Mrs Miss Dr Rev.
Surname
First Names
Date of Birth
Address
Town
City
County
Postcode
Home Telephone
Mobile Telephone
Email
Time at Present Address
Date of Purchase
Purchase Price
If ex-Council / Housing Association Amount of Discount
Present Value
Reason of Increase if any
Leasehold, Years Left
Who Owns Property
Maiden Name
Broker Agent Comments

 

Section 1 - Second Applicant Details
Title	Mr Mrs Miss Dr Rev.
Surname
First Names
Date of Birth
Address
Town
City
County
Postcode

 

Section 2 - First Applicant Employment Details & Income
Occupation
Employer's Name
Employers Address
Town
City
County
Postcode
Work Telephone Number
Date Employment Commenced
Basic
Guaranteed Overtime
Regular Overtime
Bonus/Commission
Other
Secondary Income
Maintenance Received
Paid	Yes No -- Select --
Bank Name
Sort Code
Account Number

 

Section 2 - Second Applicant Employment Details & Income
Occupation
Employer's Name
Employers Address
Town
City
County
Postcode
Work Telephone Number
Date Employment Commenced
Basic
Guaranteed Overtime
Regular Overtime
Bonus/Commission
Other
Secondary Income
Maintenance Received
Paid	Yes No -- Select --
Bank Name
Sort Code
Account Number

 

Section 3 - Current Mortgage
Lender's Name
Address
Town
City
County
Postcode
Monthly Repayments
Present Arrears
Highest Arrears
Endowment Premium
How Long with Current Lender
Other Loans secured on property
Balance
Month Amount
Name of Company
Commencement Date

 

Section 4 - Credit Information
Company	Date	Amount Borrowed	Balance

 

How did you hear of Quote4mortgages? e.g. Name of magazine/newspaper you saw our advert in, T.V., radio, Teletext, internet advert etc.
Section 5 - Newsletter
Would you like to receive our free newsletter	Yes No