Personal Details
Title
First Names
Last Name
Address
Town
Post Code
Telephone - Daytime
Telephone - Evenings
Email Address
Date of Birth
Current Circumstances
Your Current Intention
Please select an option.
I want to purchase a property
I want to arrange a remortgage
I want to buy a property to Let
I want to buy my Council House
Your Current Status
Please select an option.
First Time Buyer
Existing Mortgaged Home Owner
Renting via a Recognised Letting Agent
Renting via a Private Landlord
Other option
Self Employed?
Please select an option.
Yes
No
Property Details
What is your
Purchase Price or
Estimated Value?
Amount you need
to Borrow?
Over how many years?
County Court Judgments
Please say how many
CCJ's you have.
Please select an option.
None
1
2
3
4
5
6 or more
Total value of CCJ's
(cleared or not)
Amount of CCJ's in the
last 12 months
Please select an option
None
Less than £2000
More than £2000
Individual Voluntary Arrangements and Bankruptcy
Please select an
IVA statement
Please select an option.
No IVA
IVA satisfied over 12 months ago
IVA satisfied recently
IVA conducted satisfactorily
Please select a
bankruptcy statement
Please select an option.
Never been declared bankrupt
Discharged Bankrupt over 12 months ago
Discharged in the last 12 months
Please give any other information
you think might help.
Please say how you found us?