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Gem mortgages
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
*Full name
*Address Line 1:
Address Line 2
*Town/City
*County
*Postcode
*Telephone number
*Your email address
Email
*Date of Birth
formatt dd/mm/yyyy
*Planned retirement age
Select
40
41
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*Are you a UK resident?
Yes
No
*Occupation
*Annual income
*Work status
Select status
Employed
Self employed
Houseperson
Other
*Do you have payslips/accounts?
Select option
Yes
No
Not applicable
The following questions allow you to enter details of existing financial comittments.
*Total outstanding on loans
If none enter 0
*Total outstanding on credit cards
If none enter 0
*Monthly credit card/loan payments
If none enter 0
*Do you have any CCJ`s or Defaults registered against you?
Yes
No
*Have you ever been registered Bankrupt?
Yes
No
Applicant 2 (only if applicable)
Full name
Date of Birth
formatt dd/mm/yyyy
*Planned retirement age
Select
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
Are you a UK resident
Yes
No
*Occupation
Annual income
Work status
Select status
Employed
Self employed
Houseperson
Other
Do you have payslips/accounts
Select option
Yes
No
Not applicable
The following questions allow you to enter details of existing financial comittments.
Total outstanding on loans
If none enter 0
Total outstanding on credit cards
If none enter 0
Monthly credit card/loan payments
If none enter 0
Do you have any CCJ`s or Defaults registered against you?
Yes
No
Have you ever been registered Bankrupt?
Yes
No
Affordability
*Household monthly income (net)
Enter monthly spend on the following (Not including any loans entered above)
*Gas/Elec/Phone
*Insurance ie Life policies
If none enter 0
*House insurance
*Food shopping
*Transport/Car
If none enter 0
*Savings plans
If none enter 0
*Leisure/Eating out etc
If none enter 0
Other
Your Requirements
*I require
Select requirement
Remortgage
Home Mover purchase
First Time Buyer purchase
Buy-to-Let (Purchase)
Buy-to-Let (Remortgage)
Shared ownership purchase
*Deposit/Equity available
*Property market value
*Loan amount required
*What basis do you require loan on?
Interest only
Repayment
Part Int only/Part Rep
Not sure
*Rate preference
Select one
Fixed
Tracker
Discount
Variable
No preference
*Term (number of years)
Not sure
5
6
7
8
9
10
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40
*Initial deal period
Select one
2/3 years
5 years
10 years
Term of mortgage
No preference
I need advice
Additional notes
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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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