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Customer Fact Find – CENTRAL
Customer Fact Find – CENTRAL
Step 1 of 16 - Agreement in Principle form
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Mortgage Advice Bureau - Online Fact Find - Lydia Johnson
Thank you for accessing our Online Customer Fact Find. This should take approximately 15 minutes to complete.
The aim behind this online customer fact find form is to arm our advisers with as much information as possible in order to speed up the process of both your new mortgage and appointment duration.
Please enter the password provided to you by our admin team to progress.
Password
*
Is this a single or joint application?
*
Single
Joint
If joint application, please complete all fields for both Applicant 1 and 2.
Is this application for a new purchase, re-mortgage or life insurance only?
*
Purchase
Remortgage
Buy-to-let Purchase
Buy-to-let Re-mortgage
Life Insurance Only
Applicant(s) Details
Applicant 1: Name
*
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
Prefix
First
Middle
Last
Applicant 2: Name
*
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
Prefix
First
Middle
Last
Applicant 1: Previous Names
Leave blank in none.
Applicant 2: Previous Names
Leave blank in none.
Applicant 1: Date Name Changed
Leave blank if not applicable.
Applicant 2: Date Name Changed
Leave blank if not applicable.
Applicant 1: DOB
*
Applicant 2: DOB
*
Applicant 1: Nationality
*
Applicant 2: Nationality
*
Applicant 1: Place of Birth
*
Town or City you were born in
Applicant 2: Place of Birth
*
Town or City you were born in
Applicant 1: Marital Status
*
Married
Single
Divorced
Separated
Widowed
Civil Partnership
Co-habiting
Applicant 2: Marital Status
*
Married
Single
Divorced
Separated
Widowed
Civil Partnership
Co-habiting
Applicant 1: Contact Telephone
*
Mobile number is preferred
Applicant 2: Contact Telephone
*
Mobile number is preferred
Applicant 1: Email
*
Applicant 2: Email
*
Applicant 1: Smoker?
*
Please answer 'Yes' if you use e-cigarettes or have stopped smoking within the last 12 months.
Yes
No
Applicant 2: Smoker?
*
Please answer 'Yes' if you use e-cigarettes or have stopped smoking within the last 12 months.
Yes
No
Applicant(s) Address(es)
Do both applicants reside at the same address?
*
Yes
No
Applicant 1: Residential Status
*
Owner (Mortgaged)
Owner (Mortgage Free)
Private Rented
Local Authority Rented
Living with Parents
Living with Relatives/Friends
Other
Applicant 1: Residential Status (Other)
*
Applicant 1: Current Address
*
Street Address
Address Line 2
City
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Applicant 1: Approximate Date You Moved In
*
Applicant 1: Have you lived at your current address for 3 years or longer?
*
Yes
No
Applicant 1: Landlord/Letting Agent Details
*
Landlord or Letting Agent: Name, Address and Contact Telephone Number
Did both applicants reside at the same address previously?
*
Yes
No
Applicant 1: Previous Address
*
We require 3 years address history to process your application. Please give details of your previous address below.
Street Address
Address Line 2
City
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Applicant 1: Approximate Date You Moved In To Previous Address
*
Applicant 2: Residential Status
*
Owner (Mortgaged)
Owner (Mortgage Free)
Private Rented
Local Authority Rented
Living with Parents
Living with Relatives/Friends
Other
Applicant 2: Residential Status (Other)
*
Applicant 2: Current Address
*
Street Address
Address Line 2
City
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Applicant 2: Approximate Date You Moved In
Applicant 2: Have you lived at your current address for 3 years or longer?
*
Yes
No
Applicant 2: Landlord/Letting Agent Details
*
Landlord or Letting Agent: Name, Address and Contact Telephone Number
Applicant 2: Previous Address
*
Street Address
Address Line 2
City
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
We require 3 years address history to process your application. Please give details of your previous address below.
Applicant 2: Approximate Date You Moved In To Previous Address
*
Dependants
How many dependants do you have?
*
None
1
2
3
4
5
5+
This includes both adult and child dependants. If not applicable, please enter '0' and do not leave blank.
Dependant 1: Name
*
First
Last
Dependant 1: DOB
*
Dependant 1: Relationship to Applicant(s)
*
Dependant 2: Name
*
First
Last
Dependant 2: DOB
*
Dependant 2: Relationship to Applicant(s)
*
Dependant 3: Name
*
First
Last
Dependant 3: DOB
*
Dependant 3: Relationship to Applicant(s)
*
Dependant 4: Name
*
First
Last
Dependant 4: DOB
*
Dependant 4: Relationship to Applicant(s)
*
Dependant 5: Name
*
First
Last
Dependant 5: DOB
*
Dependant 5: Relationship to Applicant(s)
*
Additional Dependants
*
Please provide Name, DOB and Relationship to Applicant(s) for all other depandants
Employment
Applicant 1: Occupation
*
Applicant 2: Occupation
*
Applicant 1: Employer Name
*
Applicant 2: Employer Name
*
Applicant 1: Employer Address
*
Street Address
Address Line 2
City
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Applicant 2: Employer Address
*
Street Address
Address Line 2
City
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Applicant 1: Employment Status
*
Employed
Self-Employed
Retired
Not Employed
House person
Unemployed
Applicant 2: Employment Status
*
Employed
Self-Employed
Retired
Not Employed
House person
Unemployed
Applicant 1: Self Employed - No of Years Accounts Available
*
0 years accounts
1 years accounts
2 years accounts
3 years accounts
If Self Employed No of Years Accounts Available
Applicant 2: Self Employed - No of Years Accounts Available
*
0 years accounts
1 years accounts
2 years accounts
3 years accounts
If Self Employed No of Years Accounts Available
Applicant 1: Employment Type
*
Full Time
Part Time
Contract
Temporary
Applicant 2: Employment Type
*
Full Time
Part Time
Contract
Temporary
Applicant 1: Start Date
*
Applicant 2: Start Date
*
Applicant 1: Have you changed employment within the last 12 months?
*
Yes
No
Applicant 2: Have you changed employment within the last 12 months?
*
Yes
No
Applicant 1: Previous Occupation
*
Applicant 2: Previous Occupation
*
Applicant 1: Previous Employer
*
Applicant 2: Previous Employer
*
Applicant 1: Previous Employer Address
*
Street Address
Address Line 2
City
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Applicant 2: Previous Employer Address
*
Street Address
Address Line 2
City
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Applicant 1: Previous Employment Start Date
*
Applicant 2: Previous Employment Start Date
*
Applicant 1: Continuous Employment (Years)
*
How Long Have You Been In Continuous Employment
N/A
0
1
2
3
3+
Applicant 2: Continuous Employment (Years)
*
How Long Have You Been In Continuous Employment
N/A
0
1
2
3
3+
Applicant 1: Annual Salary (Gross)
*
For self-employment, please add total salary + total dividends
Please enter a value between
0
and
1000000.00
.
Applicant 1: Net Monthly Salary
*
For self-employment, please add average total salary + total dividends
Please enter a value between
0
and
1000000.00
.
Applicant 2: Annual Salary (Gross)
*
For self-employment, please add total salary + total dividends
Please enter a value between
0
and
1000000.00
.
Applicant 2: Net Monthly Salary
*
For self-employment, please add average total salary + total dividends
Please enter a value between
0
and
1000000.00
.
Applicant 1: Last years Net profit
*
Year 1
Please enter a value between
0
and
1000000.00
.
Applicant 2: Last years Net profit
*
Year 1
Please enter a value between
0
and
1000000.00
.
Applicant 1: Previous years Net profit
*
Year 2
Please enter a value between
0
and
1000000.00
.
Applicant 2: Previous years Net profit
*
Year 2
Please enter a value between
0
and
1000000.00
.
Applicant 1: Previous years Net profit
*
Year 3
Please enter a value between
0
and
1000000.00
.
Applicant 2: Previous years Net profit
*
Year 3
Please enter a value between
0
and
1000000.00
.
Other Income
i.e. Child Benefit, Child Tax Credit, Disability Allowance, Maintenance et. Please state the type and annual amount for each
Details Of Any State Benefits / Tax Credits Received:
If not applicable, please leave bank.
Expenditure
Please provide estimates of your outgoings on a monthly basis. If this is a joint applicantion and you share the bills, please split the costs across both applicants.
Mortgage / Rent
*
Please enter a value between
0
and
1000000.00
.
Council Tax
*
Please enter a value between
0
and
1000000.00
.
Gas, Electric & Water
*
Please enter a value between
0
and
1000000.00
.
Telephone & Broadband
*
Please enter a value between
0
and
1000000.00
.
Food & Clothing
*
Please enter a value between
0
and
1000000.00
.
Childcare / Child Maintenance
*
Please enter a value between
0
and
1000000.00
.
Car / Travel Costs / Fuel
*
Please enter a value between
0
and
1000000.00
.
Please do not include loan payments/PCP payments for cars in this section. Please include monthly Tax, Insurance and Fuel.
Mobile Phone
*
Please enter a value between
0
and
1000000.00
.
Please include mobile phone bill(s) and data plans for all devices.
Entertainment
*
Please enter a value between
0
and
1000000.00
.
TV i.e. Sky
*
Please enter a value between
0
and
1000000.00
.
Gym / Club Membership
*
Please enter a value between
0
and
1000000.00
.
Current Property Details
If you both currently jointly own the properrty you are currently in, please only complete questions for Applicant 1.
Applicant 1: I am a...
*
Homeowner
First Time Buyer
Applicant 2: I am a...
*
Homeowner
First Time Buyer
Applicant 1: Current Property Value
*
Please enter a value between
0
and
1000000.00
.
Type of Property
*
Detached House
Semi-detached House
Terraced House
Bungalow
Apartment
Flat
Year Built
*
Is The Property Ex-Local Authority?
*
Yes
No
Do You Have A Mortgage Secured On The Property?
*
Yes
No
Do You Have Any Other Loans Secured Against The Property?
*
Yes
No
Do You Own Any Other Properties?
*
Yes
No
Have you found a property yet?
Yes
No
Purchase Property Address
*
Address of the property you are purchasing
Street Address
Address Line 2
City
County / State / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
Property Type
*
Detached
Semi Detached
Terraced
Flat
Detached Bungalow
Semi Detached Bungalow
Other
Property Type (Other)
*
Approx. Year Built
*
Number of Bedrooms
*
Number of Kitchens
*
Number of Bathrooms
*
Number of Separate Toilets
*
Current Mortgage Details:
Do you currently have a residential mortgage?
*
Yes
No
Current Lender
*
Account No
Mortgage Type
*
Repayment
Interest Only
Part & Part
Monthly Repayment
*
Please enter a value between
0
and
1000000.00
.
Monthly Interest Only Payment
*
Please enter a value between
0
and
1000000.00
.
Current Market Value
*
Mortgage Balance
*
Remaining Mortgage Term
*
Number of years remaining on your mortgage.
Mortgage Product Type
*
Fixed
Tracker
Capped
Discount
Variable
LIBOR
End Date for Fix Rate
*
Approx.
Is there any Early Repayment Charges?
*
Yes
No
Not Sure
Early Repayment Charges Amount (£)
*
Have You Ever Missed A Mortgage Payment?
*
Yes
No
Your new mortgage
Preferred Mortgage Type
*
Repayment
Interest Only
Part & Part
Purchase Price
*
Market Value of the property
Mortgage Amount
*
Source of Deposit
*
Savings
Sale of Property
Gifted
Loan
Preferred Mortgage Term
*
Number of years you would like your new mortgage to be.
Your maximum monthly budget for Mortgage Payments
*
Do you wish to reduce your mortgage term?
*
Yes
No
To reduce your term, how much are you willing to additionally contribute on a montly basis?
*
Do you wish to raise any additional capital?
*
Yes
No
How much additional capital would you like to raise?
*
Purpose for raising Additional Capital?
*
Debt Consolidation
Home Improvements
New Car
Purchase an additional property
Other
Future Payments
Applicant 1: Intended Retirement Age
*
Applicant 2: Intended Retirement Age
*
If Mortgage Extends Into Retirement What Will Your Anticipated Income Be?
Do you own any additional properties/buy-to-lets?
Yes
No
If yes, an adviser will call you to collect details of these and any additional mortgages you have on these properties.
Credit Cards
Please give detail of Credit Card(s) i.e. a credit card(s) which you don't pay off in full on a monthly basis. For joint applicants please select the applicant who is responsible for the credit.
Credit Card(s)
*
None
1
2
3
3+
How many Credit Cards do you hold that you do not fully repay on a monthly basis?
Card 1 Owner:
*
Applicant 1
Applicant 2
Joint
Card 1 Loan Company
*
Card 1 Monthly Repayment
*
Card 1 Start Date
*
Card 1 Balance
*
Card 1 Current Interest Rate
*
Card 1 Do you wish to consider consolidating this within your mortgage?
*
Yes
No
Card 2 Owner:
*
Applicant 1
Applicant 2
Joint
Card 2 Loan Company
*
Card 2 Monthly Repayment
*
Card 2 Start Date
*
Card 2 Balance
*
Card 2 Current Interest Rate
*
Card 2 Do you wish to consider consolidating this within your mortgage?
*
Yes
No
Card 3 Owner:
*
Applicant 1
Applicant 2
Joint
Card 3 Loan Company
*
Card 3 Monthly Repayment
*
Card 3 Start Date
*
Card 3 Balance
*
Card 3 Current Interest Rate
*
Card 3 Do you wish to consider consolidating this within your mortgage?
*
Yes
No
Further details
*
If you have 3+ Credit Cards, please give detail(s) of additional credit card(s) here.
Loans
Detail(s) of Loan(s) you currently hold. Please include any Car Finance, Home Improvement Loans, Leases and Hire Purchase Loans. For joint applicants please select the applicant who is responsible for the credit.
Loan(s)
*
None
1
2
3
3+
How many Loans do you currently have? Please include any Car Finance, Home Improvement Loans, Leases and Hire Purchase Loans.
Loan 1 Owner:
*
Applicant 1
Applicant 2
Joint
Loan 1 Purpose of Loan:
*
Car
Home Improvements
Consolidation of previous credit
Deposit for house purchase
Furniture and other household goods
Loan 1 Loan Company
*
Loan 1 Monthly Repayment
*
Loan 1 Balance
*
Loan 1 Start Date
*
Loan 1 End Date
*
Loan 1 Current Interest Rate
*
Loan 1 Do you wish to consider consolidating this within your mortgage?
*
Yes
No
Loan 2 Owner:
*
Applicant 1
Applicant 2
Joint
Loan 2 Purpose of Loan:
*
Car
Home Improvements
Consolidation of previous credit
Deposit for house purchase
Furniture and other household goods
Loan 2 Loan Company
*
Loan 2 Monthly Repayment
*
Loan 2 Balance
*
Loan 2 Start Date
*
Loan 2 End Date
*
Loan 2 Current Interest Rate
*
Loan 2 Do you wish to consider consolidating this within your mortgage?
*
Yes
No
Loan 3 Owner:
*
Applicant 1
Applicant 2
Joint
Loan 3 Purpose of Loan:
*
Car
Home Improvements
Consolidation of previous credit
Deposit for house purchase
Furniture and other household goods
Loan 3 Loan Company
*
Loan 3 Monthly Repayment
*
Loan 3 Balance
*
Loan 3 Start Date
*
Loan 3 End Date
*
Loan 3 Current Interest Rate
*
Loan 3 Do you wish to consider consolidating this within your mortgage?
*
Yes
No
Further details
*
If you have 3+ loans, please give detail(s) of additional loan(s) here.
Banking
Please give detail of your current Bank and Overdrafts facilities. For joint applicants please select the applicant who is responsible for the credit.
Applicant 1: Current Account Bank
*
Applicant 2: Current Account Bank
*
Bank Overdraft(s)
*
None
1
2
3
3+
How many bank account overdrafts do you utilise on a monthly basis?
Bank Overdraft 1 Owner:
*
Applicant 1
Applicant 2
Joint
Bank Overdraft 1 Bank or Building Society
*
Bank Overdraft 1 Balance
*
Overdraft 1 Monthly Repayment
*
Bank Overdraft 2 Owner:
*
Applicant 1
Applicant 2
Joint
Bank Overdraft 2 Bank or Building Society
*
Bank Overdraft 2 Balance
*
Overdraft 2 Monthly Repayment
*
Bank Overdraft 3 Owner:
*
Applicant 1
Applicant 2
Joint
Bank Overdraft 3 Bank or Building Society
*
Bank Overdraft 3 Balance
*
Overdraft 3 Monthly Repayment
*
Further details
*
If you have 3+ overdraft facilities, please give detail(s) of additional overdraft(s) here.
Will and Estate Planning
Applicant 1 Have you made a Will or Estate Plan?
*
Yes
No
Applicant 2 Have you made a Will or Estate Plan?
*
Yes
No
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