Complete Mortgage & Loan Services Ltd

Online Enquiry

Please complete the online enquiry form as fully as possible, mandatory fields are marked with an asterisk (*). Once finished press 'Send to COMPLETE NOW!'.

ONLINE ENQUIRY FORM

Source Of Introduction		*
Regulatory Status		*
If you are an Appointed Representative which Network do you belong to:		*

Broker Details

Broker Name:	*	Company:	*
Email:	*	FSA No :	*
Tel:	*

Client Details

	Applicant 1	Applicant 2
Title:
Full Name:	*
Maiden/Other Name:	*
Age/D.O.B:	*

Current Address:	*
	*
	*

Post Code:	*
Previous Address:
(If under 3 years)


Post Code:

Mortgage Details

Mortgage Type :	*
Mortgage Scheme :	*
Borrower Type :	*
Loan Required: £	*
Value of Property: £	*
Existing Mortgage Balance: £	*
Current payment : £	*
Term required:	years *
Repayment Method :	*
Current lender:	*
Expected Rental (Month): £

Property Details

Property Type:
Ex-Local Authority:
Number of Floors:

Employment

	Applicant 1	Applicant 2
Employment Status:	*
Job Titile:	*
Time in Job/Trading:	*
Income	*
Self Cert:	*

Credit History

No of CCJ's
Total Amount of CCJ's £
Highest amount of Mortgage Arrears in last 12 Months
Has either Applicant ever been declared bankrupt
If Yes, How many years discharged
Please provide details

Current Financial Commitments

Company:	Purpose:	Balance:	Payment	To be repaid:	Secured:
		£	£
		£	£
		£	£
		£	£

Additional Comments

Additional comments:

Data Protection Statement

I/we consent to: • you disclosing any of the information given on this form to the operators of the National Hunter System, the Credit Industry Fraud Avoidance System and other collective mortgage data checking systems, who may make the information available to other lenders or subscribers to their system where this is done in the interest of fraud prevention; • you requesting a credit reference (which will include information that you may use for an automated credit assessment) from one or more credit reference agencies and to you disclosing any of the information given on this form to any such agencies. I/we understand that this information will then be made available to others requesting credit references against me/us and may be used, for example, in relation to future lending decisions, fraud prevention, debtor tracing, etc. I/We further understand that any credit reference agencies who you contact will keep a record of the references you request about me/us; • you making any other enquiries that you consider necessary in connection with this application and to you disclosing any of the information given on this form in order to make those enquires; • you disclosing the results of any (or all) of the enquires you make about me/us to the introducer of my/our application to the Lender who is named on the front of this form.

I (the undersigned) have read the above Data Protection statement to the applicant/s who have confirmed that they understand it fully and authorise a credit check * (Broker Name) Current turnaround time is upto 6 hours.