Initial customer application

1. Full Name
2. Date of birth		(day/month/year, eg 23/11/1956)
3. Contact details
Telephone number
email address
4. Are you purchasing a property?		Yes No
If yes...
... What is the purchase price of the property you are looking for?		£
If no...
... What is the value of your existing property?		£
5. Do you have an existing mortgage?		Yes No
If yes...
- How much is this?		£
- Who is the current lender?
6. How much do you want to borrow?		£
7. Income details:		Employed Self Employed
Total household income		£
Other income		£
8. Is this mortgage a buy-to-let?		Yes No
... if yes, what is the rental income?		£
9. Other assets
10. Other liabilities