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About You
About Your Partner
Name
Date of birth
Smoker
Yes
No
Yes
No
Current Address
Postcode
Owner
(with mortgage / no mortgage)
Tenant (landlord / monthly rent)
Parental Home
Time at current address
Previous Address
(if less than 3 years)
Daytime telephone
Evening telephone
Mobile telephone
What is your occupation?
The Mortgage
Reason for new mortgage
Buy-to-let
Buying a second property
Equity release
First time buyer
Mover
Right-to-buy
Shared ownership
Remortgaging
yes no
Are you registered on
the Electoral Roll?
yes no
If remortgaging,
are you raising capital?
If 'yes' please state amount £
and reason
Purchase price £
How much do you
want to borrow? £
Term in years
If selling property,
what is the sale price? £
If you have a deposit,
please state amount £
and source
Who will the borrower(s) be?
We would like to contact you from time to time by telephone to discuss your mortgage arrangements. This will enable us to ensure your mortgage is suitable for you at all times, remind you when any special introductory rates you may have are due to end and to check you are happy with your mortgage. In order for us to do this, we need to obtain permission from you. By ticking this document you understand you are giving your permission for us to contact you by telephone when we deem necessary regarding your mortgage arrangements over the next 5 years.
Agree
