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What type of Mortgage are you looking for?
Residential
Residential
Buy to let
Commercial
Bridging
Have you already applied for a mortgage with any other lender?
*
Yes
No
If yes – what was the outcome?
Layout
Applicant Type
*
First Time Buyer
Home Mover
Additional Property
Remortgage
Personal Details (Applicant 1)
Title
*
Mr
Mrs
Miss
Ms
Dr
Applicant Type
First Time Buyer
Home Mover
Additional Property
Remortgage
Personal Details (Applicant 2)
Title
Mr
Mrs
Miss
Ms
Dr
Layout
Full Name
*
First
Middle
Last
Date of Birth
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Residential Status
*
Renting - Private
Living with Parents
Living with Partner
Living with Relatives
Living with Friends
Renting - Local Authority
Owner without mortgage
Owner with Mortgage
Address
*
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Date Moved In
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If current residency is less than 3 years please provide previous address. (Last three years address history is required)
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Date Moved In
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Date Moved Out
Previous Residential Status
Rented - Private
Lived with Parents
Lived with Partner
Lived with Relatives
Lived with Friends
Rented - Local Authority
Owned without mortgage
Owned with Mortgage
Home Telephone Number
Mobile Number
*
Email
*
Marital Status
*
N.I.N
*
Nationality
*
When did you first come to the UK, if you were not born here?
Number of dependent children under the age of 17
*
0
1
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3
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7
Full Name
First
Middle
Last
Date of Birth
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1920
Residential Status
Renting - Private
Living with Parents
Living with Partner
Living with Relatives
Living with Friends
Renting - Local Authority
Owner without mortgage
Owner with Mortgage
Address
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Date Moved In
DD
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1924
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1922
1921
1920
If current residency is less than 3 years please provide previous address. (Last three years address history is required)
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Date Moved In
DD
1
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1920
Date Moved Out
Previous Residential Status
Rented - Private
Lived with Parents
Lived with Partner
Lived with Relatives
Lived with Friends
Rented - Local Authority
Owned without mortgage
Owned with Mortgage
Home Telephone Number
Mobile Number
Email
Marital Status
N.I.N
Nationality
When did you first come to the UK, if you were not born here?
Layout
Name of first dependent
Name of second dependent
Name of third dependent
Name of fourth dependent
Name of fifth dependent (copy)
Date of Birth
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Date of Birth
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YYYY
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Date of Birth
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YYYY
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Date of Birth
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Date of Birth
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How many properties do you own currently? Please complete our Property Portfolio Form if you own multiple properties. You can download the form from our website Forms Section or request a copy by emailing us at
[email protected]
. Once you have filled out the form with the necessary information, kindly send the completed form to us at
[email protected]
.
Who else will live at the property over the age of 17 other than the applicants?
Layout
Name
Name
Date of birth
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Date of birth
MM
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Relation
Relation
Employment/ Income Details
Layout
What is your employment status?
*
Employed
Contractor
Self Employed - Sole Trader
Self Employed - Partner
Limited Company Director - Less than 20% Shares
Limited Company Director - More than 20% shares
Homemaker
Retired
Unenmployed
Employer Name
*
If Self Employed, Business Name
Employer / Business Address
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Kingdom of)
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
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Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
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Turks and Caicos Islands
Tuvalu
Türkiye
Uganda
Ukraine
United Arab Emirates
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United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Start Date
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1928
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1926
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1921
1920
Job Title
*
Work / Business Phone Number
*
What is your employment status?
Employed
Contractor
Self Employed - Sole Trader
Self Employed - Partner
Limited Company Director - Less than 20% Shares
Limited Company Director - More than 20% shares
Homemaker
Retired
Unenmployed
Employer Name
If Self Employed, Business Name
Employer / Business Address
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
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State
Zip Code
Start Date
MM
1
2
3
4
5
6
7
8
9
10
11
12
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DD
1
2
3
4
5
6
7
8
9
10
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12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
YYYY
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Job Title
Work / Business Phone Number
Layout
Gross Salary Per Year (Before Tax)
*
Gross Salary Per Year (Before Tax)
If you are self employed please provide your net profits from the past three years? If you need any assistance, feel free to consult your accountant.
Please provide your last three years Net Profits.
Net Profit 2019-20
Net Profit 2020-21
Net Profit 2021-22
Net Profit 2019-20
Net Profit 2020-21
Net Profit 2021-22
If you have been employed for less than one year, we kindly request that you provide us with your previous employment details.
Layout
Employer name
Dates worked From
Employer's Address
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Salary
Dates worked To
Reason for leaving
If you're in receipt of benefits or universal credits, please let us know. To determine the correct amount of your Universal Credit benefits, we will need to calculate your benefit amount for the last three months.
Universal Credits (Start from the last month)
Last Month
Previous Month
Prior to Previous Month
Layout
Working Tax Credit Annual Amount
Child Benefit Annual Amount
Child Tax Credit Annual Amount
Any other benefits
Who is this benefit paid to?
Loan Details
Purchase Price
Value of property
*
Deposit / Equity – Amount and details of where the deposit will come from
*
Layout
Deposit Breakdown (Savings)
Family Gift - £
Sale of Asset: £
Layout
Mortgage Required
*
Purpose:
Term Required (Years)
Initial Fixed Term Required (2 or 5 years fixed)
Repayment Method
Budget for mortgage payment?
Fee arrangement to be added to loan or pay upfront? (Lender fee)
Full mortgage Address:
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
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Guinea-Bissau
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Honduras
Hong Kong
Hungary
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India
Indonesia
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Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
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Korea (Republic of)
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Lebanon
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Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
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Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Type of property
Layout
Beds
Attic / Dormer
Year built
Reception rooms
Garages
EPC
Kitchen
Parking spaces
Basement
Tenure
Is the property above or near commercial premises?
Survey Contact / Estate Agent
Layout
Name
Address
Number
Email
If Private sale Name
Layout (copy)
Relationship of seller
Address
Number
Email
Any Convictions
Additional Information
Submit