Remortgage Form

Your Details :
  First Owner Second Owner (if applicable)
Date of Birth:
Address of property to be remortgaged:
Address Line 1 :
Address Line 2 :
Address Line 3 :
Address Line 4 :
Post Code :
Your Contact Details:
Home Phone Number :
Mobile Phone Number :
Email Address :
Other Over 18s:
Over 18s Full names:

Existing Lender:
Lenders Details :
Mortgage Account Number :
Are there further mortgages or loans secured on your property?
If yes, please give the Name and Address of lender :
Approximately how much is outstanding these mortgage?
New Mortgage:
Name of Building Society or Bank from whom you are obtaining new loan :
a) Is the new loan to be an endowment loan or a repayment loan
b) If an endowment loan, where are the life policies assigned?
c) If there are new policies, please give full details of the Insurance Company dealing with them?
Other Details:
Name, Address and telephone number of any Financial Advisor who is arranging the remortgage
a) Have you altered the property in any way since your purchase?
b) If yes, please give full details.
It would help us to advise properly if you would please state the reason why you are remortgaging
Special Comments:
Comments :
I have read and accept the terms of business.