Mortgage Prequalification Form
Please complete details for each Applicant on a Seperate From.
PRIVATE & CONFIDENTIAL
Page 1 of 2

Name of Applicant:

Income

£

Annual Salary

Overtime / Commission

Rental Income

Other Income

Total Income

Assets

£

On Deposit

Bank Accounts (name & type)

Property (location & market value)

Life Assurance (cash value)

Bonds & Stocks (market value)

Other Assets

Total Assets

Liabilities

Balance (£)

Monthly Payment(£)

Bank Loans

Mortgage/s

Car Loans

Other Loans

Life Assurance End Value

Credit Cards

Family Maintenance

Rent

Other Debts

Total Liabilities

County Court Judgements

Yes/No

Please give dates and details:

Home Address:

Post Code:

Marital Status:

Home Tel No:

Work Tel No:

Mobile:

E-mail:

Owner/Tenant/Other:

If less than 3 years at current address,
previous address:

Nationality:

Date of Birth:

Smoker/Non-smoker:

Occupation:

Employer Name & Address:

Length of time with this employer:

If less than 2 years with current employer,
Name & Address of Previous Employer:

If self-employed, how long established:

Name & Address of Current Lender/Landlord:

Amount of existing mortgage: £.

Length of Loan:

Monthly Payment: £

Type of Loan:

Name & Address of current Bank:

Signed ................................................

Date: ......./......../20.......

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