Joint or single enquiry

Joint Single

Your date of birth

Your approx. annual income before tax

Employment status:

2nd enquirer's date of birth

2nd enquirer gross annual income (£):
(if applicable)

Have you received your right to buy valuation form from your council/landlord yet?

No
Yes

Have you asked a solicitor to act on your behalf for your right to buy purchase?

No
Yes

Is your property of standard construction?
(brick built and tiled/slate roof)

Yes
No
Not sure

What is the type of your property?

Council valuation of property (if known)

Discounted right to buy price (if known)

Mortgage amount required:(*)

Mortgage term required (years):

Approximate total of debts and other loans:
(include credit/store cards etc)

May a broker perform a credit check?

Do you have any credit problems:

No Yes

What Credit problems do you have:
(if applicable}

None
Late/missed loan payments
Defaults
Arrears
CCJs
IVA
Bankruptcy
More than one or other‚ please record below

Brief details of credit issues or any comments you feel may affect your enquiry

Title:

First Name:

Last Name:

Address:

Postcode:

Please note it is not always possible to process enquiries based solely on the information contained in this form. Each case is unique and it may be necessary to speak to you to be able to assess your own particular circumstances to help find the most appropriate course of action. Please supply at least one phone number.

Home phone:

Work phone:

Mobile:

When can you be contacted?

 Daytime  Evening  Weekend

Email address:

Terms and Privacy

Think carefully before securing other debts against your home. Your home may be repossessed if you do not keep up repayments on your mortgage.