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Introducer Details

Name
Telephone

Loan Information

What are you going to be using the funds for?
What is the minimum amount required
Term of the Loan
How will the loan be repayed?

Applicant Details

Applicant 1
Title
Ful Name
Address
Postcode
If the Applicant owns his/her house what is the value?
Marital Status
DOB
date_range
Annual Income
Applicant 2
Tiltle
Ful Name
Address
Postcode
If the Applicant owns his/her house what is the value?
Marital Status
Annual Income
DOB
date_range
Property being used as security for the loan
Full Address of Property
0 /
Owned Status
Postcode
Purchase Price / Price Paid
Estimated Value f the Property
If the Property is tenanted, what is the monthly income?
Property Description
Floor No.
No. of Storeys
No. of Bedrooms
Year Built
Who will live in the property
What is their relationship to the applicant(s)
Outstanding Mortgage(s) on Property (if already owned). Total amount currently owed

I am authorised to act on behalf of the applicant(s) named above in this mortgage application. I confirm that I am acting within my authority and that you or any of Funding11 lender partners may:


1. Obtain Credit Reference Searches, which will be recorded and disclosed on any other credit search

2. Take up references to verify the information given 

3. Hold the information on our computer system 


4. Release information relating to this application to me 

I confirm that I have obtained the valid authority of the applicant(s) to process the personal data in this application and confirm that this information has been obtained fairly and the applicant(s) is/are aware that this information will be disclosed to you.

I confirm that we are GDPR compliant and have issued a copy of our Privacy Notice to the customer.


IMPORTANT NOTE ABOUT THIS ENQUIRY FORM, FUTURE CONTACT & MARKETING
We would like to maintain a record of your express consent for us to contact you by post, telephone, SMS, email and instant messaging for marketing our products or services that we think you may be of interest to you.

Please ensure you indicate your consent to us contacting you by ticking the box below. Failure to do this will mean we cannot process this enquiry
 
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