Drummonds Mortgage Brokers: Application Form

Application Form


Personal
1.	What would you like to apply for:	Mortgage Re-Mortgage Loan
2.	Name: Partners Name:
3.	Address:
4.	Telephone No.:
5.	Mobile No.:
6.	Fax:
7.	Email:

8.	How long have you been at this address:	years months
9.	If under 3 years, what is your previous address:

Employment (the following to be filled in if employed)
10.	Occupation:
11.	Name of Employer:
12.	Annual Gross (before tax) salary:
13.	Additional income (rental properties, shares etc):
14.	Partners Income :
15.	Occupation:
16.	Name of Employer:
17.	How long have you worked for the above:	years months
18.	Annual Gross (before tax) salary:
19.	Additional income (rental properties, shares etc):

20.	Self Employed:	YES NO
21.	How long Self Employed:
22.	How many years accounts:

Mortgage Details
23.	Name of Lender:
24.	Mortgage Balance:
25.	Monthly Repayments:
26.	Current Arrears if any:
27.	Highest figure in last 12 months:
28.	Second charge	YES NO
29.	Amount Borrowed:
30.	Any arrears:
31.	Do you have any:	CCJ's Defaults
32.	House or Flat:
33.	Estimated property value: