Enter Your Details

*Title:

*Forename:

*Surname:

*Present Address
and Postcode:

*Time At This Address:

*Date Of Birth:

*Marital Status:

Select... Married Single Divorced Separated Cohabiting Widowed

If less than 3 years
Previous Address:

Time At This Address:

*Residential Status:

Select... Renting With Family/Friends Homeowner Cohabiting Other

*Email Address:

*Daytime Telephone:

*Evening Telephone:

Mobile:

*Employment Status:

*Occupation:

*Time with current employer:

*Is your enquiry:

Select... First Time Buyer Remortgage Mover Right To Buy Buy To Let Equity Release Commercial Debt Consolidation Credit Problems

Current Lender:

Time with current lender:

Amount of loan outstanding:

£

Approx Valuation:

£

Repayment Method:

Select... Capital & Interest Interest Only Part & Part

Current Interest Rate:

%

Monthly Payment:

£

Interest Rate Type:

Select... Variable Fixed Discounted Tracker Capped

When does rate end?

Are there any penalties on your mortgage?

*Have you ever had any credit problems in the past?

Further Information:

*When can we contact you?

PLEASE READ CAREFULLY These pages are for people who are resident or ordinarily resident in the UK who are aged 18 or over and should not be regarded as an offer or invitation to sell financial products outside the UK. We may monitor and record telephone calls to help give a high level of service. DATA PROTECTION ACT: Any information you provide will be held by Mortgagemotorway.com. We may use it to inform you by letter, telephone, e-mail, or otherwise, about any products and services offered by Mortgagemotorway.com and selected third parties, unless you have asked us not to do so. By applying online or signing a declaration, you agree that we can use your information in the ways described. So that we can deal with your enquiry, you have to make the following declaration: Most lenders will undertake credit enquiries to determine your suitability for mortgage finance. They may also supply information about your mortgage to a Credit Reference Agency. We will treat all your information as private and confidential (even when you are no longer a client), except where we are permitted by law, required for audit purposes or where disclosure is received on your written instruction. Under the Data Protection Acts of 1984 & 1998 you have access to your personal records that we hold on file or computer. I/We agree that the information have given is true to the best of my/our knowledge. I/We confirm that the personal and confidential information provided by me/us can be disclosed by Mortgagemotorway.com for the purposes of arranging a mortgage on my/our behalf and that I/We have read this completed enquiry form before submitting this form online. This will include The Mortgage & Property Shop Ltd carrying out a credit search with a lender. I have authority from the other party/parties named on the enquiry form to agree to a search on them of the files of a credit reference agency. I agree to notify Mortgagemotorway.com of any change in circumstances relating to my purchase or mortgage before it is entered into. The Mortgagemotorway.com will retain records for a period of at least 6 years. I have read, understood and agree to the above Terms and Conditions. I also allow Mortgagemotorway.com to contact me regarding my application.