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Introducer Details

Name
Telephone

Loan Information

Loan Amount
Purchase Price / Valuation
Mortgage Term
Security Postcode
Security Address
Description of Property
0 /

Applicant Details

Applicant 1
Name
DOB
date_range
Address
Postcode
Telephone Numbers
Date Moved in
Marital Status
Previous Address if occupied current address less than 3 years
Employment Status
Job Tilte
Time in Employment
date_range
Income or Net Profit
Additional income
Which rate of tax do you pay:
Applicant 2
Name
DOB
date_range
Address
Postcode
Telephone Numbers
Date Moved in
Marital Status
Previous Address if occupied current address less than 3 years
Employment Status
Job Tilte
Time in Employment
date_range
Income or Net Profit
Additional income
Which rate of tax do you pay:
Credit History
Mortgage Arreas in the last 12 months?
Any CCJ's in the last 2 years?
Any Default's in the last 2 years?
Additional Information
0 /

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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