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Address of Property to be Mortgaged:

Post Code:

Age/Description of Property:

Property Value: £

Finance Required: £

No of Years:

Type of mortgage required if known (Capital & Interest, Interest Only etc.):

Reason for buying or remortgaging:

Please use this space to give any additional relevant information, or to ask any questions:

Declaration:
These particulars are believed to be complete and correct and may be disclosed to appropriate parties in connection with prequalification of a mortgage. I/we agree that Kevin Sewell mortgages may take up any references considered necessary for the confirmation of all these particulars and for Credit Assessment.

Signed .......................................... (Applicant 1)        Name.................................................

Signed .......................................... (Applicant 2)        Name.................................................

Please Return this form to:
Kevin Sewell Mortgages
7A Bath Road Business Centre, Devizes, Wilts. SN10 1XA, U.K
Te: +44 (0)1380 739198          Fax: +44 (0)1380 723249

Updated: March 2005
by: Systems Technician