MORTGAGE_SECURED_UNSECURED LOANS REQUEST FORM

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By filling in this short form Harry Roper Associates will access the whole of market to find the best quote available that fits your own personal circumstances. Then send you an email with the findings.

Personal Assistance Available on 01909 773632 ..............................................................



Mortgage

Loan

  Purchase

Re-mortgage

Term Yrs

Retirement age

*Full Name Applicant 1:
*DOB

Full Name Applicant 2:
DOB

*Phone Number with code:
Mobile

*email:

*Current Address New Property Address:

*Property Value: £
*loan Required: £

Employed
Self Employed

* Income Applicant 1: £
Income Applicant 2: £

CCJ's in Last 6 Yrs
Total Value

Defaults
Total Value

Arrears
Total Value

ANY OTHER RELEVANT INFORMATION

HOW MUCH CAN YOU COMFORTABLY AFFORD EACH MONTH WITHOUT OVER STRETCHING YOURSELF.   (SEE AFFORDABILITY CALCULATOR)

Factors will by adjusted to try to achieve this amount.





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Your home is at risk if you fail to keep up payments on a secured loan.

Mortgage	Loan
Purchase	Re-mortgage
Term Yrs	Retirement age
*Full Name Applicant 1:	*DOB
Full Name Applicant 2:	DOB
*Phone Number with code:	Mobile
*email:
*Current Address	New Property Address:
*Property Value: £	*loan Required: £
Employed	Self Employed
* Income Applicant 1: £	Income Applicant 2: £
CCJ's in Last 6 Yrs	Total Value
Defaults	Total Value
Arrears	Total Value
ANY OTHER RELEVANT INFORMATION	HOW MUCH CAN YOU COMFORTABLY AFFORD EACH MONTH WITHOUT OVER STRETCHING YOURSELF. (SEE AFFORDABILITY CALCULATOR)	Factors will by adjusted to try to achieve this amount.