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Section 1: Introducer
Company Name: Contact:
Telephone: FSA No.
Fax: Email:
Network:      
Section 2: Client Personal Details
Applicant1: Full Name (inc, middle names): Applicant2: Full Name (inc, middle names):
   
Date of Birth Martital Status Any Dependants Date of Birth Marital Status Any Dependants
Current Address:   Current Address:  
   
Postcode:   Postcode:  
Time at Address: years Time at Address: years
Telephone:   Telephone:  
Section 3: Income
Applicant 1 Employment Status:      
Applicant 2 Employment Status:      
Section 4: Outgoings
  Secured/Unsecured Loans
£
Monthly Payment
£
Redeemed Credit/Store Cards
£
Maintenance
£
Applicant 1
Applicant 2
Section 5: Adverse Credit (eg defaults CCJs loans arrears bankruptcy IVA)
IF YES SEE SECTION 9   Do we have authority to credit search?  
No
 
No
 
       
Section 6: Present Housing
Owner    Renting    Living & Parents    Other    
Owner        
Est Value of Prop £ Current Balance £
Monthly Payment £ Additional Secured Borrowing
No
Year Purchased
  
  Any Mortgage Arrears?
No
Current Lender
  
     
Section 7: Client Requirements
Product Type: Mortgage Type
Purchase/
Remortgage
Purchase Remortgage If Purchased, state agreed price £ *
Shared Ownership   Term      *
Property Price £   Property Type
Amount
Requested
£   Total Number of Floors *
Is the Security ex local council
No
  Is this property a flat is there a balcony access
No
Is the property of Non Standard Construction
No
     
Property to Mortgage:
Section 8: Adverse Credit Information
If there are mortgage/rent arrears in the last 12 months please indicate below:  
How many months
in the last 12      
How many months
in the last 6      
   
Applicant 1
Applicant 2
Has the client ever had ccj/default
No
No
Has the client ever been declared bankrupt/repossessed
No
No
Section 9: Additional Comments
   
Section 10: Brokers Declaration

Terms and Conditions – Declaration:
I the introducer/broker/packager am authorised to act for and on behalf of the applicant(s) named above in this mortgage application. I the introducer/broker/packager confirm that I am acting within my authority and that you may:

· Obtain credit reference searches, which will be recorded and disclosed on any other credit search
· Take up references to verify the information given
· Hold the information on your computer system
· Release information relating to this application to me

I the introducer/broker/packager confirm that the applicant(s) have agreed that the information may be used by you to offer products to the applicant(s) unless the applicant(s) inform you otherwise in writing.

I the introducer/broker/packager confirm that I have obtained the valid authority of the applicant(s) to process the personal data in this form. I the introducer/broker/packager understand that the resulting Decision in Principle does not constitute a formal mortgage offer. An application submitted to a lender may be subject to that institutions credit search / score, lending criteria and policies. They also reserve the right to request further information as necessary.
       
 
 

Touchdown Mortgages Ltd
T. 029 20680900
F. 029 20759653
E. enquiries@touchdown-mortgages.co.uk
 

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