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Do you have a Reference Number with us?

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Verification Details

Reference Number

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The Client gave Information for Different Applicants!

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Are you making a New Enquiry?

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Mortgage Type (Required)

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Client Matter Line Only

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Client Details

First Name

Surname

Mobile Number

Email Address

Door Number

Postcode

Postcode Lookup

Date of Birth

Notes

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Mobile Verification

6-Digit Code from Text Message    Next

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Mortgage Figure Provide Rate
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We have just sent a Text Message to the Client. The Text Message has a 6-Digit Code, which needs to be entered above.

Please ask who you are speaking to and select from the above names by clicking on the slider.

Income

How many Applicants are there?

1

2

3

4

Applicant A:

Select Employment Status

Employed

Self Employed

Retired

Other

£

.00

Applicant B:

Select Employment Status

Employed

Self Employed

Retired

Other

£

.00

Applicant C:

Select Employment Status

Employed

Self Employed

Retired

Other

£

.00

Applicant D:

Select Employment Status

Employed

Self Employed

Retired

Other

£

.00

Potential Maximum Mortgage Available

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Applicant B Details

First Name

Surname

Mobile Number

Email Address

Door Number

Postcode

Postcode Lookup

Date of Birth

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Rates

Rate	Period	LTV	Type	Interested In?

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These are Generic Rates, for more specific rates please continue this application and give us more details.

Basic Information

Residential Status:

Select Residential Status

Approximate Value of Property to be Mortgaged

Or

Amount Required

£

Deposit Amount

£

5%

10%

15%

20%

25%

30%

Click Here if you have no Deposit

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Adverse Questions

In the last 6 years, have you had any Debt Judgements, CCJs, or Defaults?

Yes

No

In the last 6 years, have you had any Failed Loan, Rental, or Mortgage Payments?

Yes

No

In the last 6 years, declared Bankruptcy, entered an IVA, or been Compounded?

Yes

No

Have you been refused a Mortgage?

Yes

No

In the last 6 years, had any Convictions (not including Driving Convictions)?

Yes

No

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CCJ Details

Who is the CCJ/Default registered to?

Is this a CCJ or Default

CCJ

Default

Date Registered

CCJ/Default Amount

Who is the CCJ/Default Registered with?

Has this CCJ/Default been Satisfied?

Yes

No

Date Satisfied

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Failed Payments Details

Who is the Failed Payment registered to?

Who is the Failed Payment Registered to?

Have you entered an Arrangement to Pay or Debt Management Plan?

Arrangement to Pay

Debt Management Plan

Date Started Arrangement to Pay

Date Ended Arrangement to Pay

Date Started Debt Management Plan

Date Ended Debt Management Plan

When was your last Missed Payment

Is this Missed Payment a Mortgage Payment?

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Bankruptcies Details

Who is this registered to?

Is this a:

Bankruptcy

Compounded

IVA

When did this start?

When did this end?

Details of this Bankruptcy/IVA/Compounded

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Refused Mortgages Details

Who is this registered to?

Details including: When, Why (in your opinion)

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Conviction Details

Who is this registered to?

Details of this Conviction

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Commitments

Do you have any Commitments? e.g. Credit Cards, Car Lease, Loan etc.

Yes

No

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Commitment Details

Who is this registered to?

Select Commitment Type

When did this start?

When did this end (if it has)?

Total Amount

Monthly Payment

Is this to be Redeemed Prior to, or on Completion of the New Mortgage?

Yes

No

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Details we need

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Shared Ownership

Housing Association Name

Click Here if Unknown

Full Property Value

This is the Property Value, not Share Value

Percentage of Shares Being Bought

Monthly Rental Amount

Is there a Seperate Management Charge?

If so, How Much?

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Remortgage

Who is your Lender?

Lender List

Years left on Mortgage?

Existing Full Mortgage Amount?

Reason for Extra Money

Approximately what Rate are you on?

Select Rate

Do you have a Redemption Penalty?

A Redemption Penalty is when the Lender will charge you for paying off the mortgage before the inital rate expires.

Approximately when will this end?

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