Your Mortgage Requirements

Application Type

Re-mortgage	First Time Buyer	Next Time Buyer
Secured Loan	Other

Loan Details

Property current value/Purchase Price

How much would you like to borrow?

Current mortgage provider?

Current mortgage balance?

Over how many years?

Mortgage Type

A fixed rate	A discounted rate
A variable rate	Unsure/Would like advice

Personal Circumstances

No proof of income	Poor credit rating	CCJ’s
Defaults	Mortgage arrears	Contracters
Repossession pending	Previously turned down	Self-Employed

Freelance

Late or missed payment on loans and credit cards

Personal Circumstances

* = Mandatory field.

How many applicants are there? *

Applicant 1

First name *

Surname *

House No/Name

Street

Town

Post code

How long at this address?

Email address *

Employed/self employed/other *

Gross annual income *

Telephone number *

Mobile number

Work number

Best time to call

Any other Information/Comments?

Thank you for completing the application form. We will contact you at a time of your preference to briefly confirm a few details and will then come back to you within two hours with the best deal available to suit your needs. Please tick this box to give your consent. Our Initial Disclosure Document is available here.

Think carefully before securing any debt against your home. Your home may be repossessed if you do not keep up repayments on a mortgage or any other debt secured on it. The actual rate will depend on your circumstances. Ask for a personalised illustration. The overall cost for comparison is 3.97% APR. An arrangement fee will be levied between £495- £2495 on completion depending on circumstances.

As Independent Mortgage Brokers we provide you with the option to pay our total fees yourself and we will pass on to you any commission we receive. In this instance our fee for arranging this mortgage will not exceed £2000 or 2% of the loan whichever is the greater.

Do you have any questions that I can help you with?