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Applicant
1 |
Applicant
2 |
| Surname |
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| Forename(s) |
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| Home Telephone No. |
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| Work Telephone No. |
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| Mobile Telephone No. |
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| email Address |
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| Maiden/Previous/Alias Names |
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| Date of Birth (dd/mm/yyyy) |
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| Current Address |
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| Current Postcode |
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| No of years at current address |
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| Previous Address |
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| Previous Postcode |
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| No of years at previous address |
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| MORTGAGE/RENT
DETAILS |
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Applicant 1 |
Applicant 2 |
| Current Lender or Landlord |
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| Current Mortgage Balance |
£
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£
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| Current Mortgage/Rent Payment (mth) |
£
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£
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| Have you received housing
benefit in the last 12 months? |
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| If yes, please provide
full details including amount and date received |
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| Current Amount of Arrears |
£
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£
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| No. of months missed in last 12 months |
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| Highest Arrears in last 12 months |
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Reason for arrears
(Please include date of last payment missed) |
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LOAN/CREDIT
CARD ARREARS |
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Applicant 1 |
Applicant 2 |
| Current Amount of Arrears |
£
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£
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| No. of months missed in last 12 months |
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| Explanation for arrears |
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| CCJ's/DEFAULTS |
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Applicant 1 |
Applicant 2 |
| Amount |
£
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£
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| Date Registered/Satisfied |
Registered
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Registered
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Satisfied
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Satisfied
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| Amount |
£
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£
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| Date Registered/Satisfied |
Registered
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Registered
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Satisfied
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Satisfied
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| Amount |
£
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£
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| Date Registered/Satisfied |
Registered
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Registered
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Satisfied
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Satisfied
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| Explanation for CCJ’s/Defaults
(detailing any additional CCJ’s/Defaults) |
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| BANKRUPTCY |
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Applicant 1 |
Applicant 2 |
| Date registered/discharged |
Registered
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Registered
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Discharged
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Discharged
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| Details of any arrangements
entered into relating to IVA |
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| OTHER |
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Applicant 1 |
Applicant 2 |
| Details of any other credit
commitments (include monthly payments and outstanding
balances) |
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| Have you ever had a property repossessed? |
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| If yes, when? |
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| Address of remortgaged
property |
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| Are there any outstanding liabilities? |
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| If Yes, please detail? |
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Applicant 1 |
Applicant 2 |
| Occupation |
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| Type of contract |
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| Income |
Basic £
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Basic £
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Overtime £
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Overtime £
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| Employer and length of time* |
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Time
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Time
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| *if less than 3 years, provide previous |
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Time
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Time
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| 5. SELF-EMPLOYMENT
DETAILS |
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Applicant 1 |
Applicant 2 |
| Occupation |
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| Net Profit |
£
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£
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| 3 years accounts available? |
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| Do you have an accountant? |
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BY
CLICKING THE APPLY BUTTON, YOU AGREE TO THE
FOLLOWING TERMS & CONDITIONS
I confirm that I have made the applicant(s) aware
that the information given in their mortgage enquiry
form will be given to a credit reference agency
which will keep a record of the search, and that
the information may be used by other lenders in
assessing applications from the applicant(s) or
other members of the applicants’ household
and for debt recovery, tracing and fraud prevention.
The applicant(s) understand(s) that the details
supplied may be held and made available to other
companies. Under the Data Potection Act 1998,
we have to inform the applicant(s) how their personal
information will be used. The information provided
on this form, including any sensitive personal
information, may be used by Murrays Financial Services Ltd and may also be shared with third
parties.
The applicant(s) consents(s) to the fact that
the details on this form will be passed to
Murrays Financial Services Ltd , who
will make contact regarding the provision of mortgage
services. |
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