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Mortgage Enquiry Form
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To obtain a list of suitable products and lenders for your clients, please complete the form below ensuring all fields have been answered. Our Mortgage Enquiry desk will contact you and discuss the products available.

Please note that this not a lender decision in principle, and will not reserve any funds or rates on the lender requested. This should be seen as a guideline to the products available to you. If you require any further assistance please contact the Mortgage Enquiry Helpdesk on 020 7907 7500 (option 2).

Please ensure you complete your contact details on this form including telephone and Email address.

Tel: 020 7907 7500 Fax: 020 7149 9951

WE ARE NO LONGER ABLE TO PROVIDE CREDIT SEARCHES

Member ID Company Name* :  
Broker Name* :  

Tel. Number
Email Address     Fax Number
New Business Team* : AIP Reference
Type of Enquiry
Loan Type* :  
Purchase LTB
Re-Mortgage FTB
RTB S-CERT
BTL Not FTB

Mortgage Type
Preferred mortgage type* :   Ideal benefit period (years)* :  
Personal Details

FIRST APPLICANT
Title
Mr / Mrs / Ms / Other* :    
First Name* :    
Surname* :    
Other Name :

Date of Birth* :                 
Marital Status* :  

 
CURRENT ADDRESS
Address* :    
Town :
County:
Post Code* :

 

  
PREVIOUS ADDRESS
Address :
Town :
County :
Post Code :  
  
Is the property a Flat If yes Number of Storeys
Above Commercial: If yes what is the nature of the below commercial premises e.g. barber shop:

 

 Is the property ex Council or Local:
Loan Details
Product Required:
Purchase price* :  
 Loan Required* :  
Value if RTB: LTV:
Current Mortgage Balance: Purpose of Further borrowing:
Last 2 years net profits - First Applicant Last 2 years net profits - Second Applicant
Applicant 1 Applicant 2
Year 1 Year 1
Year 2 Year 2
Joint Income S / Cert Income
Is the Proposed Security: Flat Storeys
Other Existing Debts
Lender Amount To be re-paid
on Completion		 (If Not) Monthly
Repayments		 Bal O/S (£) End Date
Challenge toOvercome: Missed payments
Defaults CCJs
IVA Bankruptcy

Provide full details of above including Dates, Amounts, When registered and if satisfied.
Declaration (Please Read)
Do you agree to accept our terms and conditions?
Life Times, Advice Times, General Times and Mortgage Times are all divisions of The Mortgage Times Group Limited, 279 Tottenham Court Road, London, W1T 7RJ. Registered in England number 4961796. Authorised and regulated by the Financial Services Authority (303007).
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