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EQUITY ON-LINE MORTGAGE / LOAN APPLICATION FORM
Please complete the form below and remember to fill in all *required fields.
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Loan details
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Purchase price/valuation (£)
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Loan required (£)
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Existing lender (if applicable)
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Balance of existing mortgage (£)
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Type of purchase
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Click any of the above buttons to return to any stage.
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Personal information
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Title
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* First name
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* Surname
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Maiden/other name
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Date of birth (dd/mm/yy)
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Marital status
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Address
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Town/City
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County
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Postcode
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* Telephone
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Mobile
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Email
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Click any of the above buttons to return to any stage.
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Income details
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Job title
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Employed/Self-employed
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Income/Profit (£)
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Click any of the above buttons to return to any stage.
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Credit commitments / Credit History
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Balance of other loans
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Mortgage arrears (last 12 mths)
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Rent arrears (Last 12 mths)
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Mortgage/rent DSS assisted (Last 12 mths)
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Bankruptcy or IVA
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Property ever repossessed
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If yes to any of the above
please provide details
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Click any of the above buttons to return to any stage.
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Type of application
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Single/joint application
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If Joint application
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Second applicant’s First name
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Second applicant’s Surname
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If you do not wish to be contacted for
marketing purposes please tick this box
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Don’t forget, check to see if you have completed the * required fields in Stage 2 !!
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Thank you for your application.
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