Thank you for getting in touch. In order to process a Mortgage Questionnaire we require the following information. Please complete this form in as much detail as possible. All information provided will be treated in strict confidence, held on computer, and covered by the provisions of the Data Protection Act 1998.

Before completing your details below, please review this webpage before submitting to ensure you have all the information. Your information will not be saved from input

  • Purpose
  • Applicant 1
  • Applicant 2
  • Other info

Please select the purpose of this questionnaire

Reason

Information on applicant 1

Title

Full name

Previous last name

Date of birth

Smoker / Non smoker

Phone

Email address

Dependents name and DOB

Marital status

If non uk national please give details of any visa and length of time you have been in the uk

Do you have a will?

National insurance number

Address History

Street Address

Post Code

Date from address

Owned/Rented/Living with family

Please list all previous addresses over the past 3 years including date and status

Employment history

Status

Employment

If self employed

If self employed how many years

Occupation

Start date of current occupation

Basic Salary per annum if PAYE

Basic Salary per annum if self employed

Employers address

City

Post Code

Existing Mortgage (If Applicable)

Lender

Mortgage balance

Monthly payment and term remaining

Property Value

Interest only/ repayment

Early repayment charges applicable

Future Mortgage details

First time buyer

Property type

Deposit available

Term of mortgage

Any additional information

Information on applicant 2

Title

Full name

Previous last name

Date of birth

Smoker / Non smoker

Phone

Email address

Dependents name and DOB

Marital status

Nationality

If non uk national please give details of any visa and length of time you have been in the uk

Do you have a will

National insurance number

Address History

Street Address

City

Post Code

Date from address

Owned/Rented/Living with family

Please list all previous addresses over the past 3 years including date and status

Employment history

Status

Employment basis

If self-employed

If self employed how many years

Occupation

Start date of current occupation

Basic Salary per annum if PAYE

Basic Salary per annum if self employed

Street Address

City

Post Code

Existing Mortgage (If Applicable)

Lender

Mortgage balance

Monthly payment and term remaining

Property Value

Interest only / repayment

Early repayment charges applicable

Future Mortgage details

First time buyer

Property type

Deposit available

Term of mortgage

Any additional information

LOANS, CREDIT CARDS, OTHER MORTGAGES, ETC

Lender

In Name of

Type of loan, e.g. Mortgage, personal loan, hire purchase

Mortgage type (if applicable) Repayment or Interest Only

Monthly Payment

Start date and end date

Amount Outstanding

Will this loan be paid before completion?

Property Value (if applicable)

I agree to further contact as described above *

I have read, understood and agree to the Data Protection Declaration *

Other information
If you have any additional loans, credit cards etc, please send a separate e mail with all the details to us to office@crawfordmulholland.com