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Introducer Details

Name
Contact No
Address
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Loan information
Is this a purchase, or re-mortgage?
Loan Type
Type
Amount of Advance
Mortgage Term
Purchase Price
Valuation Amount

Applicant Details

Applicant 1
Name
Forname(s)
Surname(s)
DOB
date_range
Nationality
Current Address
Postcode
Telephone Numbers
Telephone Numbers
Date Moved to Current Address
Previous Address if occupied current address less than 3 years
Postcode
Date Moved to Previous Address
Are you a:
Current Residential Status
Marital Status
Number of Dependants
Employment Status
Income
Employment Commenced
Employers/Business Name
Occupation
Contract Type
Which rate of tax do you pay:
Have you ever had rent/mortgage arrears?
Have you ever been bankrupt, had a judgement or default for debt registered against you?
Have you ever been in a debt management plan?
Have you ever had a Pay-Day Loan?
Applicant 2
Name
Forname(s)
Surname(s)
DOB
date_range
Nationality
Current Address
Postcode
Telephone Number
Telephone Number
Date Moved to Current Address
Previous Address if occupied current address less than 3 years
Postcode
Date Moved to Previous Address
Are you a:
Current Residential Status
Marital Statuspick one!
Number of Dependants
Employment status
Income
Employment Commenced
Employers/Business Name
Occupation
Contract Type
Which rate of tax do you pay:
Have you ever had rent/mortgage arrears?
Have you ever been bankrupt, had a judgement or default for debt registered against you?
Have you ever been in a debt management plan?
Have you ever had a Pay-Day Loan?
Description of Property
Is the property of traditional construction
Please indicate number of rooms as follows
Please indicate number of Kitchens as follows
Rental Income
Has the local authority, Ministry of Defence or Housing Association previously owned the property?
Has the local authority, Ministry of Defence or Housing Association previously owned the property?
Additional Information
0 /
Additional Information in Support of Application (Existing Residential Mortgage Details)
Original purchase date
date_range
Lenders Name
Balance Outstanding
Will current mortgage be redeemed?
Monthly Payment
Purpose of remortgage

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 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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