If you cannot see the enquiry form please click here.
Would you like to raise extra cash?
Approx minimum mortgage amount needed
Approx maximum mortgage amount required(*)
Current mortgage balance (if applicable)
What is the current value of your home?
Original cost of property (if applicable)
Date property purchased (if applicable)
Do you need self-certification of income?
No Yes
Are you/partner a homeowner or mortgage payer?
Yes No
Who is your current mortgage lender?
Other lender, if not listed above
Remember that enquiries with a poor credit history are welcomed by brokers and nowadays are not necessarily considered to be a problem. Do you have any of the following problems?
Problem proving income
Poor credit rating
CCJ's
Defaults
Mortgage arrears
Late or missed payments
Repossession pending
Previously turned down
Trust Deed
Any comments?
Nearly there...
Reason for mortgaging
Any other reason?
Please list any other reasons for mortgage
Do you have redemption penalties?
No Yes Not sure
Approx value of secured loan(s) (if applicable)
Who is your secured loan lender?
Approx total other loans and debts
Permission for a credit check?
Is this a joint or single enquiry?
Joint Single
Date of birth: (dd/mm/yy)
Employment Status
Your gross income
2nd enquirer's date of birth
2nd enquirer's employment
2nd enquirer income (before tax)
Thank you for your information so far. Please continue for quote. Please note:Postcode details are necessary for quotes and credit checks are carried out using phone number area codes…
Title
First Name(*)
Last Name(*)
Address
Postcode(*)
Email address
Evening Phone
Daytime Phone
Mobile Phone
What is the best time to contact you
Daytime Evening Weekend
Would you like an assessment of your life insurance payments? (you are probably paying too much):
Privacy and Terms
Please note fields marked (*) are required to be entered
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