Remortgage Application
- Remortgage & Existing Mortgage Details
Remortgage Amount *
Select
£20,000
£25,000
£30,000
£35,000
£40,000
£45,000
£50,000
£60,000
£70,000
£80,000
£90,000
£100,000
£110,000
£120,000
£130,000
£140,000
£150,000
£160,000
£170,000
£180,000
£190,000
£200,000
£225,000
£250,000
£275,000
£300,000
£325,000
£350,000
£375,000
£400,000
£425,000
£450,000
£475,000
£500,000
£525,000
£550,000
£575,000
£600,000
£625,000
£650,000
£675,000
£700,000
£725,000
£750,000
£775,000
£800,000
£825,000
£850,000
£875,000
£900,000
£925,000
£950,000
£975,000
£1,000,000
L oan Purpose*
Select
Remortgage
H omeowner*
Select
Yes
No
P roperty Value*
Select
£60,000.00
£65,000.00
£70,000.00
£75,000.00
£80,000.00
£85,000.00
£90,000.00
£95,000.00
£100,000.00
£105,000.00
£110,000.00
£115,000.00
£120,000.00
£125,000.00
£130,000.00
£135,000.00
£140,000.00
£145,000.00
£150,000.00
£155,000.00
£160,000.00
£165,000.00
£170,000.00
£175,000.00
£180,000.00
£185,000.00
£190,000.00
£195,000.00
£200,000.00
£205,000.00
£210,000.00
£215,000.00
£220,000.00
£225,000.00
£230,000.00
£235,000.00
£240,000.00
£245,000.00
£250,000.00
£255,000.00
£260,000.00
£265,000.00
£270,000.00
£275,000.00
£280,000.00
£285,000.00
£290,000.00
£295,000.00
£300,000.00
£305,000.00
£310,000.00
£315,000.00
£320,000.00
£325,000.00
£330,000.00
£335,000.00
£340,000.00
£345,000.00
£350,000.00
£355,000.00
£360,000.00
£365,000.00
£370,000.00
£375,000.00
£380,000.00
£385,000.00
£390,000.00
£395,000.00
£400,000.00
£405,000.00
£410,000.00
£415,000.00
£420,000.00
£425,000.00
£430,000.00
£435,000.00
£440,000.00
£445,000.00
£450,000.00
£455,000.00
£460,000.00
£465,000.00
£470,000.00
£475,000.00
£480,000.00
£485,000.00
£490,000.00
£495,000.00
£500,000.00
£600,000.00
£700,000.00
£800,000.00
£900,000.00
£1,000,000.00
P urchase price*
Select
£50,000
£60,000
£70,000
£80,000
£90,000
£100,000
£110,000
£120,000
£130,000
£140,000
£150,000
£160,000
£170,000
£180,000
£190,000
£200,000
£210,000
£220,000
£230,000
£240,000
£250,000
£260,000
£270,000
£280,000
£290,000
£300,000
£310,000
£320,000
£330,000
£340,000
£350,000
£360,000
£370,000
£380,000
£390,000
£400,000
£410,000
£420,000
£430,000
£440,000
£450,000
£460,000
£470,000
£480,000
£490,000
£500,000
£510,000
£520,000
£530,000
£540,000
£550,000
£560,000
£570,000
£580,000
£590,000
£600,000
£610,000
£620,000
£630,000
£640,000
£650,000
£660,000
£670,000
£680,000
£690,000
£700,000
£710,000
£720,000
£730,000
£740,000
£750,000
£760,000
£770,000
£780,000
£790,000
£800,000
£810,000
£820,000
£830,000
£840,000
£850,000
£860,000
£870,000
£880,000
£890,000
£900,000
£910,000
£920,000
£930,000
£940,000
£950,000
£960,000
£970,000
£980,000
£990,000
£1,000,000
P roperty Type*
Select
Bungalow - Detached
Bungalow - semi-detached
Bungalow - terraced
Care home
Detached
Detached link
End of terrace
Flat
Maisonette
Mid-terrace
Chalet/Dormer
Semi-detached
Terraced
Townhouse
E xisting Lender Name*
M ortgage Type*
Select
Repayment
Endowment
Interest Only
Deferred
Other
Interest & Repayment
M onthly Payment*
M ortgage term left*
Select
1 Yr
2 Yrs
3 Yrs
4 Yrs
5 Yrs
6 Yrs
7 Yrs
8 Yrs
9 Yrs
10 Yrs
11 Yrs
12 Yrs
13 Yrs
14 Yrs
15 Yrs
16 Yrs
17 Yrs
18 Yrs
19 Yrs
20 Yrs
21 Yrs
22 Yrs
23 Yrs
24 Yrs
25 Yrs
O utstanding Mortgage* (Including Secured Loans)
Select
£1,000.00
£5,000.00
£10,000.00
£15,000.00
£20,000.00
£25,000.00
£30,000.00
£35,000.00
£40,000.00
£45,000.00
£50,000.00
£60,000.00
£70,000.00
£80,000.00
£90,000.00
£100,000.00
£110,000.00
£120,000.00
£130,000.00
£140,000.00
£150,000.00
£160,000.00
£170,000.00
£180,000.00
£190,000.00
£200,000.00
£300,000.00
£400,000.00
£500,000.00
£600,000.00
£700,000.00
£800,000.00
£900,000.00
£1,000,000.00
Y ears at Address*
Select
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
P urchase Date*
month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
year
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
N umber of Bedrooms*
Select
1
2
3
4
5
6
7
8
9
10
- Credit & Mortgage Payment History
C redit Rating*
Select
Poor
OK
Good
Excellent
C CJs*
Select
No
Yes
A ny missed or late mortgage payments in the last 3 months*
Select
0
1
2
3
4
5
6
7
8
9
10
A ny missed or late mortgage payments in the last 12 months*
Select
0
1
2
3
4
5
6
7
8
9
10
- Personal & Contact Details
F irst Name*
S urname*
T itle*
Select
Mr
Mrs
Miss
Ms
M arital Status
Select
Single
Married
Co-habiting
Divorced
Widowed
D ate of Birth*
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
E mployment Type*
Select
Full Time
Part Time
Self Employed
Company Director
Unemployed
Student
O ccupation*
M onthly Combined Income*
(£)
H ouse Number*
S treet*
T own*
C ounty*
P ostcode*
C ontact Phone*
M obile Phone
E mail Address
B est Time To Call*
Select
ASAP
9am - 10am
10am - 11am
11am - 12pm
12pm - 1pm
1pm - 2pm
2pm - 3pm
3pm - 4pm
4pm - 5pm
5pm - 6pm
6pm - 7pm
7pm - 8pm
8pm - 9pm