Mortgage Information

1. Client 1 Name *This question is required.

2. Date of Birth *This question is required.

3. Are you a smoker or non smoker?

4. Current Address & Date Moved in (need at least 3 years address history) *This question is required.

5. Occupation *This question is required.

6. Annual Salary *This question is required.

7. Do you have any other income apart from your employment such as tax credits/ buy to let income/ pension income? If Yes then please state the payment and monthly amount please?

8. How are you employed? *This question is required.

9. How long have you been in your current employment? *This question is required.

10. Have you had any missed payments/ defaults /CCJ's in the last 5 years? *This question is required.

Please enter an 'other' value for this selection.

11. Do you have any liabilities such as loans/ credit cards/ hire purchase/ student loans or do you pay any childcare costs? (Please confirm name of company, monthly payment, amount outstanding and term remaining if possible please)

Space Cell	Company Name	Type of Liability (eg.credit card)	Monthly Payment	Amount Outstanding	Term Remaining
Liability 1	Company Name	Type of Liability (eg.credit card)	Monthly Payment	Amount Outstanding	Term Remaining
Liability 2	Company Name	Type of Liability (eg.credit card)	Monthly Payment	Amount Outstanding	Term Remaining
Liability 3	Company Name	Type of Liability (eg.credit card)	Monthly Payment	Amount Outstanding	Term Remaining
Liability 4	Company Name	Type of Liability (eg.credit card)	Monthly Payment	Amount Outstanding	Term Remaining
Liability 5	Company Name	Type of Liability (eg.credit card)	Monthly Payment	Amount Outstanding	Term Remaining

12. Is this mortgage application just in your name or is it in joint names? ( We will ask for client 2 Information if it is a joint application) *This question is required.

Mortgage Information

Personal Information for Client 1