MORTGAGE ENQUIRY

Title:

Forename or initials:

Surname:

Date of birth (dd/mm/yyyy):

Address:

Marital status:

Length of time at above address:

yearsmonths

yearsmonths

On electoral register?

Residential status:

Contact telephone:

E-Mail:

*

Fax:

YOUR CIRCUMSTANCES

Employment status:*

Please select: Employed Self employed Not employed Retired

Please select: Employed Self employed Not employed Retired

Employed gross basic annual earnings:

*£

£

Have you ever been in arrears or failed to
keep up repayments on a loan/mortgage?

yes no

yes no

Have you ever been refused a loan or mortgage?

yes no

yes no

Have you ever had a County Court Judgement?

yes no

yes no

Have you ever defaulted on a loan or mortgage:

yes no

yes no

Loans/credit cards outstanding (excluding current mortgage if to be cleared):

£

£

Monthly repayments on the above:

£

£

REASON FOR ENQUIRY

* Please select: First time buyer Moving house Remortgage Further advance Equity release Buy to let Let to buy Commercial property

PROPERTY TO BE BOUGHT/REMORTGAGED

Purchase price/approximate value:

*£

MORTGAGE REQUIRED

Amountand type:

*£

* Please select: Repayment Interest Only Pension linked Endowment Combination Not sure

Term and rate preferred

* years

* Please select: Variable Rate Fixed Rate Capped Rate For Life Not sure

Existing mortgage lender, if any

I authorize you to use this information to acknowledge receipt of my information,to communicate with me regarding my enquiry, and to send me relevant information and offers from your company.
(If you do not want to receive information please untick box)

Advice on Money

8a Richfield Avenue
Reading
Berkshire
RG1 8EQ

tel: 0118 958 6421
fax: 0118 958 8431
e-mail: quotes@adviceonmoney-ifa.co.uk

Principal:
Keith Hargraves

Advice on Money is an Appointed Representative of Sesame Ltd who are authorised and regulated by the Financial Services Authority

Sesame is entered on the FSA register under reference 150427

The FSA do not regulate some forms of mortgages.