Brief Application

Please fill in as much information as possible to help us process your application.

Are you applying for :	Mortgage Remortgage Buy To Let ?
Purchase price / valuation (if known)	£
How much are you looking to borrow ?	£
Maximum deposit available	£
	Applicant 1	Applicant 2
Full name
Date of birth
Telephone number
Current address
Time at address
Previous address (if less than 3 years at current address)
Employment	Employed Self Employed	Employed Self Employed
Salary	£ PA PCM	£ PA PCM
Overtime / Bonus	£ PA PCM	£ PA PCM
Other income	£ PA PCM	£ PA PCM
Occupation
Time in this employment	Years Months	Years Months
Do you have a current mortgage?	Yes No	Yes No
If Yes, who is the lender ?
Amount outstanding	£	£
Arrears in last 12 months ?	Yes No	Yes No
If Yes, current amount	£	£
Do you have any other loans / credit cards etc ?	Yes No	Yes No
If Yes, total outstanding	£	£
Total monthly payments	£	£
If remortgaging, will you be paying these off ?	Yes No	Yes No
Do you have any CCJs, defaults or IVAs ? If so, please give details of amounts, dates registered and if satisfied

In order to process and approve your application, we may perform a credit search using a credit reference agency. Please tick the box to confirm that you agree to this