UKIPS: UK Investment Property Services.

Mortgage Enquiry Form


Client Details:
	First Applicant		Second Applicant (if making a joint application)
Title:(Mr/Mrs/Miss/Ms/Dr/Other):
Forename(s):
Surname:
Date Of Birth:
Gender:	Male	Female	Male	Female
Marital Status:	Married	Single	Married	Single
	Separated	Divorced	Separated	Divorced
	Widowed		Widowed
Nationality:
Country of Permanent Residence:
Current Address:

City:
Country:
Post Code:
Tel Off:
Tel Res:
Mobile:
Fax:
E-mail:

Employment Details:
Employer's Name:
Type Of Employment:	Employed	Self Employed	Employed	Self Employed
Start Date Of Employment:

Income Details:
Annual Salary Before Tax:
Guaranteed Salary Bonus:
Guaranteed Income From Any Other Source:
Total Annual Income:

Bank Details:
Do you have a Bank Account in UK:	Yes	No	Yes	No
Name Of The Bank:
Type Of Bank Account:
Time With The Bank:

Property Details:
Do you own a property in UK :	Yes	No	Yes	No
Estimated Value Of The Property:
Amount Of Mortgage Secured Against the Property:

This Application is For :	New Mortgage	Remortgage
Type Of Mortgage Required:	Repayment	Interest Only
What Is The Anticipated Use Of Your New Property? Tick The Boxes That Apply To You, You May Tick More Than One Box:
Long Term Investment: Short Term Investment: Buy to Let: Personal Occupation:
What is the anticipated purchase price of the property?
How much would you need to borrow?