Applicant
1
Applicant
2
Surname
Forename(s)
Home Telephone No.
Work Telephone No.
Mobile Telephone No.
email Address
Maiden/Previous/Alias Names
Date of Birth (dd/mm/yyyy)
Current Address
Current Postcode
No of years at current address
Previous Address
Previous Postcode
No of years at previous address
MORTGAGE/RENT
DETAILS
Applicant 1
Applicant 2
Current Lender or Landlord
Current Mortgage Balance
£
£
Current Mortgage/Rent Payment (mth)
£
£
Have you received housing
benefit in the last 12 months?
Yes
No
Yes
No
If yes, please provide
full details including amount and date received
Current Amount of Arrears
£
£
No. of months missed in last 12 months
0
1
2
3
4
more
0
1
2
3
4
more
Highest Arrears in last 12 months
0
1
2
3
4
more
0
1
2
3
4
more
Reason for arrears
(Please include date of last payment missed)
LOAN/CREDIT
CARD ARREARS
Applicant 1
Applicant 2
Current Amount of Arrears
£
£
No. of months missed in last 12 months
0
1
2
3
4
more
0
1
2
3
4
more
Explanation for arrears
CCJ's/DEFAULTS
Applicant 1
Applicant 2
Amount
£
£
Date Registered/Satisfied
Registered
Registered
Satisfied
Satisfied
Amount
£
£
Date Registered/Satisfied
Registered
Registered
Satisfied
Satisfied
Amount
£
£
Date Registered/Satisfied
Registered
Registered
Satisfied
Satisfied
Explanation for CCJ’s/Defaults
(detailing any additional CCJ’s/Defaults)
BANKRUPTCY
Applicant 1
Applicant 2
Date registered/discharged
Registered
Registered
Discharged
Discharged
Details of any arrangements
entered into relating to IVA
OTHER
Applicant 1
Applicant 2
Details of any other credit
commitments (include monthly payments and outstanding
balances)
Have you ever had a property repossessed?
Yes
No
Yes
No
If yes, when?
Address of remortgaged
property
Are there any outstanding liabilities?
Yes
No
Yes
No
If Yes, please detail?
Applicant 1
Applicant 2
Occupation
Type of contract
Please select
Permanent
Temporary
Fixed
Please select
Permanent
Temporary
Fixed
Income
Basic £
Basic £
Overtime £
Overtime £
Employer and length of time*
Time
Time
*if less than 3 years, provide previous
Time
Time
5. SELF-EMPLOYMENT
DETAILS
Applicant 1
Applicant 2
Occupation
Net Profit
£
£
3 years accounts available
Yes
No
Yes
No
Do you have an accountant?
Yes
No
Yes
No
BY
CLICKING THE APPLY BUTTON, YOU AGREE TO THE
FOLLOWING TERMS & CONDITIONS
I confirm that I the applicant(s) are aware
that the information given in their mortgage enquiry
form will be given to a credit reference agency
which will keep a record of the search, and that
the information may be used by other lenders in
assessing applications from the applicant(s) or
other members of the applicants’ household
and for debt recovery, tracing and fraud prevention.
The applicant(s) understand(s) that the details
supplied may be held and made available to other
companies. Under the Data Potection Act 1998,
we have to inform the applicant(s) how their personal
information will be used. The information provided
on this form, including any sensitive personal
information, may be used by Trustguard Credit
Services Limited and may also be shared with third
parties.
The applicant(s) consents(s) to the fact that
the details on this form will be passed to
Trustguard Credit Services Limited, who
will make contact regarding the provision of mortgage
services.THINK CAREFULLY BEFORE SECURING OTHER DEBTS AGAINST YOUR HOME.
YOUR HOME MAY BE REPOSSESSED IF YOU DO NOT KEEP UP REPAYMENTS ON YOUR MORTGAGE.
TRUSTGUARD CREDIT SERVICES LIMITED IS AUTHORISED AND REGULATED BY
THE FINANCIAL SERVICES AUTHORITY (AUTHORISATION NUMBER 300021).