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1 Step 1

Introducer Details

Name
Telephone

Loan Information

Loan Amount
Purpose of Loan
Term Required
Estimated Value of Property
Current Mortgage
Monthly Payment

Applicant Details

Applicant 1
Title
Forname(s)
Surname(s)
DOB
Nationality
Current Address
Postcode
Telephone Numbers
Date Moved to Current Address
Employment Status
Income
Employment Commenced
Employers/Business Name
Occupation
Contract Type
Which rate of tax do you pay:
Applicant 2
Tiltle
Forname(s)
Surname(s)
DOB
Nationality
Current Address
Postcode
Telephone Number
Date Moved to Current Address
Employment Status
Income
Employment Commenced
Employers/Business Name
Occupation
Contract Type
Which rate of tax do you pay:
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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