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Full Name Client 1:
Mr
Mrs
Miss
Ms
Dr
*
Full Name Client 2:
Mr
Mrs
Miss
Ms
Dr
*
Date of Birth Client 1:
*
Date of Birth Client 2:
*
On Electoral Role:
Yes
No
*
Email Address:
*
Home Phone:
*
Work Phone Client 1:
Work Phone Client 2:
Mobile Phone Client 1:
Mobile Phone Client 2:
What is the best time for a Mortgage Professional to contact you to help sort out your Ideal Mortgage?
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Evening
Afternoon
Morning
Anytime
Preferred Time:
Who should they best Contact to discuss your Mortgage Requirements?
Client 1:
Client 2:
Resident UK Area:
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England
Scotland
Wales
N. Ireland
UK Home Address:
*
UK Postcode:
*
How long have you lived at this address?
Mortgage Type Required:
Please Choose...
Re-Mortgage
New Purchase
Buy To Let
Equity Release
Other
Buy to Let mortgages are not regulated by the Financial Services Authority.
Property Purchase/Valuation Price:
£
Mortgage Sum Required:
£
Mortgage Duration Required:
Please Choose...
5-10 Yrs
10-15 Yrs
15-20 Yrs
20-25 Yrs
25 Yrs Plus
Property Position:
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1st Time Buyer
Buy To Let
Property Sold
On Market & Under Offer
On Market & Not Under Offer
Not Yet On Market
Other
Mortgage Option Required:
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Variable Rate
Fixed Rate
Discount Rate
Capped Rate
Flexible Rate
Cashback Rate
Current Account
Other
How Soon Do You Need The Mortgage:
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0 - 2 Months
2 - 4 Months
Mortgage Redemption Penalty:
Yes:
No:
If ticked yes, approximately how much:
Existing Mortgage Outstanding:
Please Choose...
First Time Buyer
Less Than 30k
30k - 50k
50k - 75k
75k - 100k
100k - 125k
125k - 150k
150k - 175k
175k - 200k
200k - 225k
225k - 250k
250k - 275k
275k - 300k
300k - 325k
325k - 350k
350k Plus
Current Mortgage Lender:
Credit Problems (eg CCJ's):
Satisfied?
Yes:
No:
Yes:
No:
Client 1 - Current Annual Gross Salary:
£
p/a. Employed:
Self Employed:
*
Client 2 - Current Annual Gross Salary:
£
p/a. Employed:
Self Employed:
*
Deposit Available:
Comments:
By submitting this application form/mortgage enquiry I/We agree that:-The information provided is true and accurate and I/We understand that we will be contacted by a member/broker of Positive Solutions.
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