Mortgage Enquiry Form

Please only complete this form if you are seeking mortgage advice and you are happy to be contacted by a qualified mortgage adviser. Once you have submitted the completed form a qualified mortgage adviser will review your details and contact you at a time convenient for yourself. Alternatively, please click here to send us a message.

Applicant 1
*Full name  
*Address Line 1:  
Address Line 2  
*Town/City  
*County  
*Postcode  
*Telephone number  
*Best time to call  
*Your email address   Email
*Date of Birth   format dd/mm/yyyy
*Planned retirement age  
*Are you a UK resident?
Yes No 
*Occupation  
*Annual income (£)  
*Work status  
*Do you have payslips/accounts
Yes No 
The following questions allow you to enter details of existing financial comittments.
*Total outstanding on loans   If none enter 0
*Total outstanding on credit cards   If none enter 0
*Monthly credit card/loan payments   If none enter 0
*Do you have any CCJ`s or Defaults registered against you?
Yes No 
*Have you ever been registered Bankrupt?
Yes No 
Applicant 2 (only if applicable)
Full name  
Date of Birth   required if name entered
Planned retirement age   required if name entered
Are you a UK resident
Yes No 
Occupation   required if name entered
Annual income (£)   required if name entered
Work status   required if name entered
Do you have payslips/accounts
Yes No 
The following questions allow you to enter details of existing financial comittments.
Total outstanding on loans   required if name entered
Total outstanding on credit cards   required if name entered
Monthly credit card/loan payments   required if name entered
Do you have any CCJ`s or Defaults registered against you?
Yes No 
Have you ever been registered Bankrupt?
Yes No 
Affordability
*Household monthly income (net £)  
Enter monthly spend on the following (Not including any loans entered above)
*Gas/Elec/Phone  
*Insurance ie Life policies   If none enter 0
*House insurance  
*Food shopping  
*Transport/Car   If none enter 0
*Savings plans   If none enter 0
*Leisure/Eating out etc   If none enter 0
Other  
Your Requirements
*I require  
*Deposit/Equity available (£)  
*Property market value (£)  
*Loan amount required (£)  
*On what basis do you require the loan?  
*Rate preference  
*Term (number of years)  
*Initial deal period  
Additional notes  
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Thank you for taking the time to complete our enquiry form. Your information will be reviewed by a qualified mortgage adviser and input into our professional mortgage sourcing software. An adviser will call you back at a convenient time to look at the options with you and offer general advice and guidance.

 


PKS is authorised and regulated by the Financial Services Authority in respect of mortgage and general insurance business only.
Registered address: 10 Addison Gardens, Odiham, Nr Basingstoke, Hants RG29 1AS
Your home may be repossessed if you fail to keep up repayments on your mortgage.
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