About you
	First Applicant	Second Applicant
First name
Last name
Middle initial
Previous names If appropraite
Date of birth
Address Line 1
Address Line 2
City / Town
County
Post code
Length of time at this address
Details of previous address covering last 3 years	As above	As above
Work Phone
Home Phone
E-mail
Best contact time
Best contact number
Your Income
Employment status	Employed Self-employed	Employed Self-employed
Your occupation
Length of service
Length of contract
If self employed are accounts available ?	Yes No	Yes No
	If employed
Basic Income £
Guranteed overtime or commission £
Total Income £
	If self employed
SE Income 98-99 £
SE Income 97-98 £
SE Income 96-97 £
Your credit history
Any CCJ's made against you ?	Yes No	Yes No
If so give full details and when satisfied	Not applicable
Have you ever been made bankrupt or I.V.A?	Yes No	Yes No
Give full details of any arrears or defaults against mortgage or loans if any.	Not applicable
Your loans and credit cards
Existing mortgage lender
Balance outstanding on current mortgage and penalties £
Is property being sold ?	Yes No	Yes No
Any other oustanding loans ?
Total Balances outstanding £
Payments per month £
Expiry date
List your credit cards	None
Balance outstanding £
The Mortgage you need
Purchase price/valuation of property £
Amount of mortgage required £
Reason for mortgage application	New Purchase Remortgage Buy to Let Council Right to Buy
Have you found a property to buy ?	Yes No
Please enter any other relevant information	None
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