Online Application

What is your position?

What type of Mortgage do you require?
Variable	Fixed	Discount	Capped	Cash Back	Flexible

If purchase, is the deposit coming from your own resources without additional borrowing?

yes no

If NO, please provide full details

Is the property leasehold?

yes no

If yes, how many years remaining?

Other Borrowing:
Please provide details of all Personal Loans/Credit Cards/Hire Purchase/Maintenance Payments etc.

	First Applicant	Second Applicant
Have you ever been bankrupt?	Yes No	Yes No
Have you ever had any arrears?	Yes No	Yes No
Have you ever had any county court judgements?	Yes No	Yes No
Have you ever had a default?	Yes No	Yes No

If you have answered Yes to any of the above, please provide full details

First Applicant

Second Applicant

Occupation?

Length of Employment?

Is the position . . . .

Permanent

Temporary

Contract

Permanent

Temporary

Contract

Gross basic income

Guaranteed Allowances

Guaranteed Overtime/Bonuses

Regular Overtime/Commission

Total

	First Applicant	Second Applicant

Type of Business?
Are there 3 year accounts?	Yes No	Yes No
Net Profit for year 200-
Net Profit for year 200-
Net Profit for year 200-

If Re-mortgage or Right to Buy, please state purpose of the loan

I confirm that the details I have given are accurate to the best of my knowledge and can be used to source a mortgage on my behalf.