Mortgage Specialist
Blades Enterprise Centre
Bramall Lane
Sheffield S2 4SU
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Premises within Sheffield United Football Club Business Centre
Mortgages: Enquiry Form For Intermediary Use Only
Intermediary Details
Intermediary Name:
Telephone:
Company:
Fax:
Postcode:
FSA Number:
1st Applicant Details
2nd Applicant Details
Forenames:
Forenames:
Surname:
Surname:
Previous Surname:
Previous Surname:
Date Changed:
Date Changed:
Date of Birth:
Date of Birth:
Nationality:
Nationality:
Maritial Status:
Married
Single
Divorced
Separated
Maritial Status:
Married
Single
Divorced
Separated
No. of Dependents:
No. of Dependents:
Residential Status:
Mortgage Holder
Mortgage Free
Living with Family/Friends
Renting: Council
Renting: Housing Assoc.
Renting: Private
Residential Status:
Mortgage Holder
Mortgage Free
Living with Family/Friends
Renting: Council
Renting: Housing Assoc.
Renting: Private
Address:
Address:
Previous Address:
Previous Address:
If Employed:
If Employed:
Start Date:
Start Date:
Employer:
Employer:
Tel No.:
Tel No.:
Occupation
Occupation
If SelfEmployed:
If SelfEmployed:
Start Date:
Start Date:
Business:
Business:
Company Name:
Company Name:
Tel No.:
Tel No.:
% Shareholding
% Shareholding
Annual Income:
Annual Income:
Full Status/Self- Cert:
Full Status
Self Cert
Full Status/Self-Cert
Full Status
Self Cert
Provide Details of any commitments:
Provide Details of any commitments:
Provide Details of any adverse credit/arrears:
Provide Details of any adverse credit/arrears:
Type of Mortgage
First Time Buyer:
Yes
No
Remortgage:
Yes
No
Buy to Let:
Yes
No
Let to Buy:
Yes
No
Purchase
Purchase Price /£:
Amount Required /£:
Term (Years):
Remortgage
Value of Property /£:
Amount Required /£:
Term (Years):
Purpose:
Current Residential Mortgage
Amount /£:
Monthly Payment /£:
Lender:
Date Started:
Property to be Mortgaged
House:
Yes
No
Flat:
Yes
No
Number of flats in block:
ExCouncil:
Yes
No
Standard Construction:
Yes
No
If no, supply details:
Property Portfolio:
Mortgage Product
Preferred Lender:
Product Code:
Type (e.g. Fixed):
Interest Only/Repayment:
Deposit
Own Sources:
Yes
No
Provide details of any builders deposit or incentives:
Provide full details if this is an under value transaction:
General
Would you like us to arrange the following:
General Insurance:
Yes
No
Solicitor:
Yes
No
Will Writing:
Yes
No
Other information:
Our client is aware that a credit search may be undertaken as part of this enquiry.
You must agree to the terms