1

Personal details

(if applicable)
(if applicable)
Applicant 2

2

Personal Background

(please complete full 3 year history)
(please complete full 3 year history)

3

Mortgage details

4

Employment

(gross annual figure)
(If more than 25% complete self emp questions)
(what goes into your bank, as per your latest payslip)
Payslip deductions per month
Payslip deductions per month
(do you receive any other income, child benefit / tax credits / DLA / maintenance etc)
(gross annual figure)
(If more than 25% complete self emp questions)
(what goes into your bank, as per your latest payslip)
Payslip deductions per month
Payslip deductions per month
(do you receive any other income, child benefit / tax credits / DLA / maintenance etc)

5

Financial Details
(IVA / DMP)
Applicant 2
(IVA / DMP)

6

Current Mortgage Lender
(fixed / tracker / variable)
(months)
(months)
Please complete the Property Schedule form, downloadable here.
Type: eg loan/credit card Total outstanding: Cost p/m: End date:

7

Client Declaration

Or call us on 029 2076 6565 between 9am and 5pm, Monday to Friday