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Prudent Mortgages Enquiry Form
 
Please only complete this form if you are seeking mortgage advice and you are happy to be contacted by a qualified mortgage adviser. Once you have submitted the completed form a qualified mortgage adviser will review your details and contact you at a time convenient for yourself.
 
Applicant 1
 
*Title
*Full name (include middle names)
*Address Line 1:
Address Line 2
*Town/City
*County
*Postcode
*Time at current address (YY/MM)Years/Months
*Residential Status
Enter address history if less than 3 years
Time at current address (YY/MM)
*Residential Status
*Telephone number
*Mobile number
*Nationality
*Number of dependents (aged 17 and under)
*Your email addressEmail
*Date of Birthformatt dd/mm/yyyy
Planned retirement age
Marital Status
*Are you a UK resident?
Yes No 
Occupation
Company name
*Time with current employer (Years/Months)
*Employed Basic income
Employed Annual Bonus Income
Employed Annual Overtime Income
Employed Annual Commission Income
Self Employed Annual income (Latest years Net profit)If applicable
Self Employed Annual income (Previous years Net profit)If applicable
Self Employed Annual income (2nd Previous years Net profit)If applicable
*Work status
Enter any deductions from your income in boxes below.
Student Loan
Pension Contribution
Childcare Vouchers
Save As You Earn
Season Ticket Loan
Other deductions
*Bank / Building Society details
*Time with Bank/Building society
 
The following questions allow you to enter details of existing financial comittments.
 
*Existing residential mortgage?
*Existing Mortgage Lender
*Estimated Property Value
*Outstanding Mortgage Amount
When does the mortgage product expire?
*Current monthly mortgage payment
Do you have any other properties
*Mortgage Type
Monthly Rental Income
Existing Mortgage Lender
Outstanding Mortgage Balance
When does the mortgage product expire?
Current Monthly Mortgage Payment
*Estimated Property Value
Is this propertry let?
Monthly Rental Income
Tenancy type
*Do you have existing loans/credit cards
*Enter outstanding balance
*Enter monthly payment
*Enter lender name
*Enter existing finance type
*Add a second loan/credit card?
*Enter outstanding balance
*Enter monthly payment
*Enter lender name
*Enter existing finance type
*Add a third loan/credit card?
*Enter outstanding balance
*Enter monthly payment
*Enter lender name
*Enter existing finance type
*Add a fourth loan/credit card?
*Enter outstanding balance
*Enter monthly payment
*Enter lender name
*Enter existing finance type
*Do you have any CCJ’s, adverse credit -
Yes No 
*Have you ever been registered Bankrupt?
Yes No 
 
*Do you want to add a second applicant?
 
Applicant 2
 
*Title
*Full name (include middle names)
*Address Line 1:
Address Line 2
*Town/City
*County
*Postcode
*Time at current address (YY/MM)Years/Months
*Residential Status
Enter address history for last 3 years
Time at current address (YY/MM)
Residential Status
*Telephone number
*Mobile number
*Nationality
*Number of dependents (aged 17 and under)
*Your email addressEmail
*Date of Birthformatt dd/mm/yyyy
Planned retirement age
Marital Status
*Are you a UK resident?
Yes No 
Occupation
Company name
*Time with current employer (Years/Months)
*Employed Basic income
Employed Annual Bonus Income
Employed Annual Overtime Income
Employed Annual Commission Income
Self Employed Annual income (Latest years Net profit)If applicable
Self Employed Annual income (Previous years Net profit)If applicable
Self Employed Annual income (2nd Previous years Net profit)If applicable
*Work status
Enter any deductions from your income in boxes below.
Student Loan
Pension Contribution
Childcare Vouchers
Save As You Earn
Season Ticket Loan
Other Deductions
*Bank / Building Society details
*Time with Bank/Building society
*Enter details of any other properties (Buy To Let, Second Home)
 
The following questions allow you to enter details of existing financial comittments.
 
*Existing Residential Mortgage
*Existing Mortgage Lender
*Current monthly mortgage payment
When does the mortgage product expire?
*Do you have existing loans/credit cards?
*Enter outstanding balance
*Enter monthly payment
*Enter lender name
*Enter existing finance type
*Add a second loan / credit card?
*Enter outstanding balance
*Enter monthly payment
*Enter lender name
*Enter existing finance type
*Add a third loan / credit card?
*Enter outstanding balance
*Enter monthly payment
*Enter lender name
*Enter existing finance type
*Add a fourth loan /credit card?
*Enter outstanding balance
*Enter monthly payment
*Enter lender name
*Enter existing finance type
Existing financial commitments
*Do you have any CCJ`s or Defaults registered against you?
Yes No 
*Have you ever been registered Bankrupt?
Yes No 
Your Requirements
 
*I require
*Deposit/Equity available
*Property market value
*Loan amount required
*Monthly Mortgage Budget £
*What basis do you require loan on?
Interest only Repayment Part Int only/Part Rep Not sure 
*Rate preference
*Term (number of years)
*Initial deal period
Additional notes
If required, do you wish for Prudent Mortgage Solutions to provide you with a quote for conveyancing?
Require a Conveyancing Quote?
Do you require a pension review?
Require a Pension Review?
Do you have a Will?
Do you have a Will?
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Thank you for taking the time to complete our enquiry form. Your information will be reviewed by a qualified mortgage adviser and input into our professional mortgage sourcing software. An adviser will call you back at a convenient time to look at the options with you and offer general advice and guidance.
 
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