Residential status (MUST be Homeowner)
Loan Amount (£)
Repayment Period
Purpose of Loan
Years with your bank
Date of birth
Marital Status
Employment Status
Years in present job
Occupation
Annual income before tax
Do you have any additional income? Yes  No 
Title
Forename
Middlename
Surname
Maiden Name
Mothers Maiden Name
Address line 1
Address line 2
Town/City
County
Postcode
Home Tel
Mobile Phone No
E-mail address
When to contact
Best time of day to call
Is the property jointly owned? Yes  No 
2nd Applicant Title
2nd Applicant Forename
2nd Applicant Middle Name
2nd Applicant Surname
2nd Applicant Maiden Name
2nd Applicant Date of birth
2nd Applicant Marital Status
2nd Applicant Home Tel
2nd Applicant Mobile Phone No
2nd Applicant Email
2nd Applicant Best time to call
2nd Applicant Years with bank
2nd Applicant Years with employer
2nd Applicant Annual Income
2nd Applicant Employment Status
2nd Applicant Address line 1
2nd Applicant Address line 2
2nd Applicant Town/City
2nd Applicant County
2nd Applicant Postcode
Number of years you have lived in your home
Previous address line 1
Previous address line 2
Town/City
County
Postcode
Property Value
Number of bedrooms
Purchase date
Purchase price
Property type
Type of walls
Was the property previously owned by the council? Yes  No 
Have you ever previously had a mortgage?
What are the present arrears on your mortgage?
What is the highest your arrears have been in the last 12 months?
Have you made your last 3 payments on time? Yes  No 
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