Mortgage Enquiry Form

* Full Name Client 1

* Date of Birth

Full Name Client 2

Date of Birth

* Number of financially dependent children

* Current Address

* Property Status

* Length of time here

* Phone Number

* Email Address

Please list all previous addresses in last 3 years. Please include dates and occupancy status for each property.

Smoking Status

Client 1

Client 2

* Client 1 Job Title

* Client 1 Employer

* Length of time with employer

* Basic Income Per Annum

* Overtime and Bonus

Client 2 Job Title

Client 2 Employer

Length of time with employer

Basic Income Per Annum

Overtime and Bonus

Please detail any other income such as working families tax credit, child benefit or rental income.

* Outstanding Credit Card Balances

* Monthly Loan Payments

* Monthly Maintenance Payment

* Have you had any credit problems in the past ?

No

I have missed payments recently

I have had CCJ's in the past

I have had defaults in the past

I have had problems in the past but am OK now

* Who do you bank with ?

Current Mortgage Lender

Property Value / Sale Price

Outstanding Mortgage Balance

Current Monthly Mortgage Payment

Interest rate Charged

Mortgage Type

Are you tied in ?

Early Repayment Charge Amount

Repayment Method

Term Remaining

New Mortgage Preferences

* New Mortgage Type Required

* Purchase Price / Valuation

* New Mortgage Amount Required

* Preferred Repayment Method

* Preferred Product Type

Fixed Rate

Tracker

Flexible

Offset

Not Sure

I would like to compare fixed and tracker rates

Any deal with no early repayment charges

* Preferred Product Length

* Preferred Term of New Mortgage

* Budget for New Mortgage

Addtional Preferences / Notes / Comments / Deposit Available (for first time buyers)

Please indicate any other areas you may wish to discuss with Welcome Mortgage Solutions Ltd

Protecting My Mortgage

Protecting My Income

Help with finding a solicitor

Help making a Will

* Indicates Response Required