Fill out the form below Submit form for our advisors to assess Await callback or email Applying for a mortgage has never been so easy, follow our instructions and hear back from one of our advisors within 2 days. If you wish to hear sooner, please contact us on 07711 300796 . Before We Start Please select the type of mortgage you require* ---Buy to LetConcessionary PurchasesFirst Time BuyerHelp to BuyHouse MoversRemortgagesSelf BuildShared Equity Application Type* ---SingleJoint Section 1 - Personal Details About You Title* Name* Have you been known as any other name? Sex* ---MaleFemale Date of Birth* Marital Status* ---MarriedSingleDivorcedCo-HabitingSeperatedWidow(er)Civil PartnershipOther Contact Details Telephone Numbers* Email* Preferred Contact Method* ---Home TelephoneWork TelephoneMobile TelephoneEmail Dependants I have dependant(s) Number Over 18* 012345 Number Under 18* 012345 Section 2 - Current Address Details Your Current Address* How long have you lived at your current address* Are You?* ---OwnerTenantLodgerLiving with relatives/friends Section 3 - Your Finances Employment status* ---Employed - Full TimeEmployed - Part TimeSelf EmployedUn-EmployedRetired Income before tax* Is this your income annual, monthly or weekly? ---AnnualMonthlyWeekly Section 4 - Your Credit Information Have you ever personally or as a company director been bankrupt or insolvent? YesNo Have you ever failed to keep up payments under a mortgage or other loan? YesNo Have you ever had a county court judgement or court decree registered against you? YesNo Have you ever made arrangements with creditors? YesNo Have you ever been refused a loan? YesNo Have you ever defaulted on credit accounts? YesNo Please provide full details for answering yes above Section 5 - Your Loan Requirements LOAN REQUIREMENTS FOR HOUSE PURCHASE Purchase price Cost of proposed improvements Total cost Personal stake Source of deposit Loan Amount Required Repayment Term (years) LOAN REQUIREMENTS FOR RE-MORTGAGE OF EXISTING PROPERTY Current Balance Additional Amount Required Reason for Additional Borrowing Estimated Valuation Loan Amount REquired Loan Amount Required Repayment Term (years) Section 1 - Personal Details About You Title* Name* Have you been known as any other name? Sex* ---MaleFemale Date of Birth* Relationship to the other applicant and marital status* ---MarriedSingleDivorcedCo-HabitingSeperatedWidow(er)Civil PartnershipOther Contact Details Telephone Numbers* Email* Preferred Contact Method* ---Home TelephoneWork TelephoneMobile TelephoneEmail About Joint Applicant Title* Name* Have they been known as any other name? Sex* ---MaleFemale Date of Birth* Relationship to the other applicant and marital status* ---MarriedSingleDivorcedCo-HabitingSeperatedWidow(er)Civil PartnershipOther Dependants We have dependant(s) Number Over 18* 012345 Number Under 18* 012345 Section 2 - Current Address Details Your Current Address* How long have you lived at your current address* Are You?* ---OwnerTenantLodgerLiving with relatives/friends Does the joint applicant live at the same address?* YesNo Their Current Address* How long have they lived at your current address* Are they?* ---OwnerTenantLodgerLiving with relatives/friends Section 3 - Finances About Your Finances Employment status* ---Employed - Full TimeEmployed - Part TimeSelf EmployedUn-EmployedRetired Income before tax* Is this your income annual, monthly or weekly? ---AnnualMonthlyWeekly About Joint Finances Employment status* ---Employed - Full TimeEmployed - Part TimeSelf EmployedUn-EmployedRetired Income before tax* Is this your income annual, monthly or weekly? ---AnnualMonthlyWeekly Section 4 - Your Credit Information First Applicant Second Applicant Have you ever personally or as a company director been bankrupt or insolvent? YesNo YesNo Have you ever failed to keep up payments under a mortgage or other loan? YesNo YesNo Have you ever had a county court judgement or court decree registered against you? YesNo YesNo Have you ever made arrangements with creditors? YesNo YesNo Have you ever been refused a loan? YesNo YesNo Have you ever defaulted on credit accounts? YesNo YesNo Please provide full details for answering yes above Section 5 - Your Loan Requirements LOAN REQUIREMENTS FOR HOUSE PURCHASE Purchase price Cost of proposed improvements Total cost Personal stake Source of deposit Loan Amount Required Repayment Term (years) LOAN REQUIREMENTS FOR RE-MORTGAGE OF EXISTING PROPERTY Current Balance Additional Amount Required Reason for Additional Borrowing Estimated Valuation Loan Amount REquired Loan Amount Required Repayment Term (years)