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First Name
Last Name
Address
Post Code
Email Address
Telephone No.
Mobile No.
Do you already own a home?
Home Owner
First Time Buyer
Reason For Mortgage
Purchase
Remortgage
Mortgage Debt Management
Shared Ownership
Right To Buy
Bridging Loan
BTL
Other
Property Address
Is This Your Primary Residence?
Yes, this is my primary residence
No - provide full details below
Price of the property being purchased
How much do you wish to borrow?
Current Employer
Occupation / Job Title
Employment Status
Employed
Self-employed
Retired
Other
If employed, on what basis?
Permanent
Temporary
Contract
How long have you been with your current employer?
How long is your probation period
If contract, please specify the term of the contract
Have you been with your current employer 2 years or more?
Anticipated Retirement Age
House Type
Detached
Semi-detached
Terraced
House
Bungalow
Flat Apartment
Other
Property Tenure
Freehold
Leasehold
If Leasehold, how long is left on the lease
Number of bedrooms
Floors in the building
What years was the property built
Is the property of a non-standard construction (ie. thatched roo)
Yes
No
Has the property been extended?
Yes
No
How did you find Us?
Google Ads
Search Engine Result
Instagram
Facebook
Word of mouth
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