Section 1 - Property Details
Address of property to be used as security
Town
City
Country / State
Post Code / ZIP
Country
Description of Property
Purchase Price / valuation
Deposit
Financing / Currency Required
Terms of years required
Type of Mortgage (Repayment/Endowment/Other)
Additional cost of Home Improvement £
Is the property to be constructed	Yes No -- SELECT --
If yes, please give completion date & when schedule of funds are required
Full Name & Address of Builder/Developer?
Town
City
County / State
Post Code / ZIP
Country
Telephone Number
Use of Property (Vacation Home, Retirement, Rental etc)
Broker Agent Comments

 

Section 2 - Applicant 1 - Details
Name of Applicant
Surname of Applicant
Address
Town
City
County
Post Code
Country
Nationality
Marital Status
Date of Birth
Smoker	Yes No -- SELECT --
Tel Home
Tel Work
Fax
Email
How Long at this address
Owner/Tenant/Other
Previous Address
Town
City
County
Post Code
Country

 

Section 3 - Applicant 1 - Employment
Occupation
Employed or Self-Employed	Employed Self - Employed -- SELECT --
If Employed are you more than a 20% Shareholder?
Employer/Business Name
Address
Town
City
County
Post Code
Country
How Long Employed / Established
Full Name of Accountant
Address
Town
City
County
Post Code
Telephone Number
Previous Employer / Business Name
Address
Town
City
County
Post Code
How Long

 

Section 4 - Applicant 1 - Financial Details
Name Of Current Lender / Landlord
Address
Town
City
County
Post Code
Mortgage / Rent per month
Account Number
Existing Mortgage - Balance outstanding
Term of Loan Remaining
Type of Loan
Name Bank / Building Society
Address
Town
City
County
Post Code
Account Number

 

Section 5 - Applicant 1 - Assets, Income & Liabilities
Assets & Income
Bank/ Building Society Accounts
Property
Life Assurance (Cash Value)
Other Assets (Detail on Back)
TOTAL ASSETS
Annually Salary / Income
Overtime / Commission
Other Income (Detail on Back)
Total Income
Liabilities	Monthly
Bank Loans
Mortgages & Lenders
Stocks & Shares
Car Loans
Other Loans
Credit Cards
Maintenance
Rent
Other Debts
Total Liabilities

 

Section 6 - Applicant 2 - Details
Name of Applicant
Address
Town
City
County
Post Code
Country
Nationality
Marital Status
Date of Birth
Smoker	Yes No -- SELECT --
Tel Home
Tel Work
Fax
Email
How Long at this address
Owner/Tenant/Other
Previous Address
Town
City
County
Post Code
Country

 

Section 7 - Applicant 2 - Employment
Occupation
Employed or Self-Employed	Employed Self - Employed -- SELECT --
If Employed are you more than a 20% Shareholder?
Employer/Business Name
Address
Town
City
County
Post Code
Country
How Long Employed / Established
Full Name of Accountant
Address
Town
City
County
Post Code
Telephone Number
Previous Employer / Business Name
Address
Town
City
County
Post Code
How Long

 

Section 8 - Applicant 2 - Financial Details
Name Of Current Lender / Landlord
Address
Town
City
County
Post Code
Mortgage / Rent per month
Account Number
Existing Mortgage - Balance outstanding
Term of Loan Remaining
Type of Loan
Name Bank / Building Society
Address
Town
City
County
Post Code
Account Number

 

Section 9 - Applicant 2 - Assets, Income & Liabilities
Assets & Income
Bank/ Building Society Accounts
Property
Life Assurance (Cash Value)
Other Assets (Detail on Back)
TOTAL ASSETS
Annually Salary / Income
Overtime / Commission
Other Income (Detail on Back)
Total Income
Liabilities	Monthly
Bank Loans
Mortgages & Lenders
Stocks & Shares
Car Loans
Other Loans
Credit Cards
Maintenance
Rent
Other Debts
Total Liabilities

 

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 10 - Newsletter
Would you like to receive our free newsletter	Yes No