UK Credit Help, financial advice for people with credit problems

Mortgage Enquiry Form

Please complete as much as possible
It is OK to leave items blank if the information is not known or you are uncertain
we can confirm this with you if it is essential.

Section one to be completed in all cases
Name:		Post Code
Address:


		Telephone including code
Date Of Birth	E-mail
Employment status	Employers Name (if employed)
Self Employed Trading name		Length of employment/Self Employment
Trading address (self Emp)		If trading from home please enter 'as home'
		Post Code
Second Applicant details (if applicable)
Name:		Post Code
Address:
If address same as above mark same as 1
If address same as above mark same as 1
		Telephone including code
Date Of Birth	E-mail
Employment status	Employers Name (if employed)
Self Employed Trading name		Length of employment/Self Employment
Trading address (self Emp)		If trading from home please enter 'as home'
		Post Code
Now Complete The relevant Section (s) Below
Mortgage - re-mortgage - loan quote
Property address		Post Code
If address same as above mark same as 1
If address same as above mark same as 1

Purchase price/current value	Amount of Loan or mortgage required	Amount outstanding if known (re-mortgage)

Life Cover
Reason for cover	Amount of cover	Term (Years)
Cover Type

Applicant 1	Applicant 2
Smoker	Smoker
Age	Age
General Insurance

Insurance Type		Amount of Cover

3 MONTHS FREE COVER OFFER Sometimes we can arrange 3 months free cover are you interested?

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Additional Information or instructions


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