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Preliminary    Application    Form    for    Mortgages   Remortgages 
.Please note that filling in this form places you under NO obligation whatsoever
PLEASE FILL IN ALL BLANKS - TYPE NA FOR NOT APPLICABLE
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MORTGAGE DETAILS
Mort Req   £   Property Value  £   Term YRS 
Mortgage  Re-mortgage Y/N   Right To Buy Y/N 
Repayment  Interest Only Y/N   1st Time Buyer Y/N 

APPLICANTS DETAILS
Mr/Mrs/Mz   Full Name   DOB   Marital Status 
Mr/Mrs/Mz   Full Name   DOB   Marital Status 
Address 
Years at this address   Tel No   Mobile No 
Previous Address 
Years at previous address 
Email Address 

INCOME AND EMPLOYMENT DETAILS
1st Applicant  Employed Y/N  Self Empl Y/N  Contract Worker Y/N  Self Cert Y/N
2nd Applicant  Employed Y/N  Self Empl Y/N  Contract Worker Y/N  Self Cert Y/N
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INCOME  1ST APPLICANT  2ND APPLICANT
Basic Income £  Wk/Mth/Yr  £  Wk/Mth/Yr 
Overtime/Commission/Bonus £  Wk/Mth/Yr  £  Wk/Mth/Yr 
Time in current occupation  Years   Months   Years   Months 
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CURRENT MORTGAGE & RENT DETAILS
 Amnt Outstanding  Monthly Payment  Present Arrears Arrears/last 3 mths Arrear/last 12 mths
First Mortgage  £   £   £   £   £ 
Name of Lender ....
Second Mortgage  £   £   £   £   £ 
Name of Lender ....
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CREDIT INFORMATION
CCJ's  Number   Total Amount 
Defaults  Number   Total Amount 
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ADDITIONAL INFO
If this is a re-mortgage please state the purpose of the mortgage
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If an interest only mortgage is required, do you have or will you take out a repayment vehicle           Y/N 
If YES, what type of policy will you be using 
If NO, how will you repay the mortgage 
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Mortgage Preference Rate  Standard variable Y/N   Fixed Y/N   Discounted Y/N 
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Attitude towards redemption penalties (Type X in Box)  Definitely Not   Open Minded   Don't Mind 
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IF THE FORM WILL NOT SEND THEN YOU HAVE MISSED OUT SOME VITAL INFORMATION
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