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					                           W&B Mortgage Solutions Enquiry Form
                          For a quick response please fully complete and fax to   01628 663866

Introducer Details:                                          Date: DD / MM / YY
Introducer Name: ……………………….………………………………… Introducing company: ……….……………………………………………
Tel: ………………………………………………………………………………… Fax: …………………………………………………………………………………
Email address: ……………………………………………………………….. FSA Registration number:…………………………………………………


Applicant 1 Personal Details:
Title: ……………               Surname: ……………………..……………….....……... Forename: …………..…………………...………………
Middle Name ……………………………………... Previous Name(s): …..…………………………………………… D.O.B: DD / MM / YY
Address: ……………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………..                      Post code      ………………………..               How Long: YY / MM
Residential Status: ………………………………………….
Previous Address (3yr history required, please complete any other previous address in extra comments):
……………………………………………………………………………………………………………………………………………………………………………………
……………………………………………………..………………..                     Post code      ………………………..               How Long: YY / MM
Residential Status: ………………..…………….…


Applicant 2 Personal Details:
Title: ……………               Surname: ……………………..……………….....……... Forename: …………..…………………...………………
Middle Name ……………………………………... Previous Name(s): …..…………………………………………… D.O.B: DD / MM / YY
Address: ……………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………..                      Post code      ………………………..               How Long: YY / MM
Residential Status: ………………………………………….
Previous Address (3yr history required, please complete any other previous address in extra comments):
……………………………………………………………………………………………………………………………………………………………………………………
……………………………………………………..………………..                     Post code      ………………………..               How Long: YY / MM
Residential Status: ………………..…………….…


Applicant 1 Employment Details:
Employed / Self Employed                 How long: YY / MM        Occupation: ……………….………….……………………
Basic: £……………….…………………………                Bonus/Overtime: £……………..…….…… Other: £…………………….……….
Income referencing available:
Payslip & P60 / Full Status Reference / Self Cert Reference / True Self Cert - no accountant or inland revenue
docs (please delete as appropriate)

Applicant 2 Employment Details:
Employed / Self Employed                 How long: YY / MM        Occupation: ……………….………….……………………
Basic: £……………….…………………………                Bonus/Overtime: £……………..…….…… Other: £…………………….……….
Income referencing available:
Payslip & P60 / Full Status Reference / Self Cert Reference / True Self Cert - no accountant or inland revenue
docs (please delete as appropriate)
Credit History:
Please provide details of any:
IVA / Bankruptcy / Repossession / Defaults / CCJs: …………………………………………………….……………………………………………
………………………………………………………………………………………………………………………………………………………………………………………
Mortgage / Secured Loan / Rent Arrears (in the last 12 months — please detail when they occurred): ………………….
……………………………………..……………………………………………………………………………………………………………………………………………...

I would like W&B Mortgage Solutions to carry out a credit search on the applicant(s): YES/NO (Please delete as
appropriate)


Current Financial Commitments:
Lender: …………………… Commitment type: ………………… Amount Outstanding: £…………… Monthly Payment: £ ……………
Lender: …………………… Commitment type: ………………… Amount Outstanding: £…………… Monthly Payment: £ ……………
Lender: …………………… Commitment type: ………………… Amount Outstanding: £…………… Monthly Payment: £ ……………
Lender: …………………… Commitment type: ………………… Amount Outstanding: £…………… Monthly Payment: £ ……………

Loan Details:
Purchase Price: £……………………….. Open Market Value: £……………...…… Loan Required: £……………..………
Council Value (if RTB): £…………….... Repayment/Interest Only                 Loan term……………………………..
Property Type: House / Flat / Maisonette / Bungalow                          Ex local authority: Yes / No
Standard Construction: Yes /No (If no please give details) ………...………………………………………………………………………….
Is the property a new build? If yes please give details of incentives: YES/NO (Please delete as appropriate) ………………..
………………………………………………………………………………………………………………………………………………………………………………………
First Time Buyer / Home Mover / Remortgage / Right To Buy / Buy To Let / Let To Buy / Other …………………………


Extra Information: ………………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………………………………………………


Please tick this box if you would like us to forward a copy of our sourcing research
to help you demonstrate your own research for compliance purposes

Declaration: I have advised the applicant(s) that a formal credit search may be carried out in their name(s) with
Credit Reference Agencies who will record details of the search and may create a financial association with those
with whom they are linked financially. The client(s) have/has given authority to my company to instruct W & B
Mortgage Solutions to carry out a formal credit search or to instruct others to do so.

Name: ………………………………………                 Signature: …………………………………..……….                    Date: DD/MM/YY

				
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posted:1/18/2011
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