Online Residential Enquiry


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Broker Information
Contact    
Company  

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Address  
   
   
   
   
Post Code  
FSA Number  
Email Address  
Telephone   (no spaces)
DA / AR / Network   (enter either DA, AR or the name of your Network/Club)
Client Details
  1st Applicant 2nd Applicant
Title    
Forename    
Middlename(s)    
Surname    
Previous Surname    
DOB   (dd/mm/yyyy)   (dd/mm/yyyy)
Nationality    
Marital Status    
Current Address
  1st Applicant 2nd Applicant - Same as 1st app Not same
Address    
     
     
     
     
Post Code    
Time at Address   (months)  (months)
Tenure    
Previous Address
  1st Applicant 2nd Applicant - Same as 1st app Not same
Address    
     
     
     
     
Post Code    
Time at Address   (months)  (months)
Current Loan Details
Balance   (£ - if no amount, enter '0')
Monthly Payment   (£ - if no amount, enter '0')
Lender   (If no Lender, enter n/a)
Required / New Loan Details
Loan Type   Repayment Method  
Property Value   (£) Property Type  
Amount Required   (£) Number of Floors   (0 - 7)
Term   (years) Ex Local Authority?  
Property Location   Housing benefit in last 12 months?  
Source of deposit (purchase only)   Deposit Amount (0 if repayment)   (£)
Employment Details
  1st Applicant 2nd Applicant
Status    
Job Title    
Time in Job   (months)   (months)
Annual Income   (£)   (£)
Arrears / Bankruptcy
Mortgage Arrears   (£ - in last 12 months - if no amount, enter '0')
Ever Bankrupt?  
Length Discharged   (years - if n/a, enter '0')
CCJs
Amount Date Registered (dd/mm/yyyy) Date Satisfied (dd/mm/yyyy)
  (£)    
  (£)    
  (£)    
  (£)    
  (£)    
  (£)    
Defaults
Amount Date Registered (dd/mm/yyyy) Date Satisfied (dd/mm/yyyy)
  (£)    
  (£)    
  (£)    
  (£)    
  (£)    
  (£)    
Current Financial Commitments
Company Purpose Balance Payment Repay? Secured?
      (£)   (£)
      (£)   (£)
      (£)   (£)
      (£)   (£)
      (£)   (£)
      (£)   (£)
      (£)   (£)
      (£)   (£)
Additional Notes
 
Data Protection & Eligibility
Do you have the applicant(s) verbal or signed authority in passing this information to us?  
Have you obtained the applicant(s) consent to perform a search in accordance with the Data Protection Statement below?  
Are the applicant(s) current UK tax payers?  
Data Protection Statement
By agreeing to this statement, you confirm that you are authorised to act for the applicant(s) in this mortgage enquiry and confirm that the applicant(s) have consented to Complete Mortgage & Loan Services (CMLS) instructing a panel lender to...
 
A carry out searches at the Credit Reference Agencies to verify any information and to asses the enquiry and understand that
  i) information held about them at the Credit Reference Agencies may be linked with the applicant(s) financial partner(s)i)
  ii) information given about another applicant is accurate and that all applicant(s) have consented to any other applicant(s) disclosing their personal data for the purposes set out therein
  iii) information about joint applicants will be linked at the Credit Reference Agencies
B verifying any information the applicant(s) have provided.  If false or inaccurate information is provided and fraud is identified, details will be passed to fraud prevention agencies to prevent fraud and money laundering
C taking up references
D recording any information provided for the purpose of processing the applicant(s) enquiry

Please ensure the following is read to the applicant(s)...

Information held about you by the Credit Reference Agencies may already be linked to records relating to one or more of your financial partners.  For the purpose of this application you may be treated as financially linked and your application will be assessed with reference to any associated records.

Please note...

Lenders may use a 'credit scoring' or other automated process in deciding whether to accept your application and during the life of your account, for example to review your secured debt and/or the interest rate and other charges on your account (all of which may be varied by the them).  This may involve searching your records again at Credit Reference Agencies (who will keep records of the lenders search) as well as using other information they hold about you.  If you are made aware that a Notice of Correction and/or Notice of Dispute has been filed with a Credit Reference Agency by or in relation to an applicant, please notify us immediately.  In order to comply with the Data Protection Act, all such applicants must be manually reviewed.

Any decision in principal give, will be subject to the lenders valuation restrictions.

I/We agree with the above Data Protection Statement

 
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