King George Chambers
1 St. James Square, Bacup
Lancashire OL13 9AA
Freephone
0800 214 926
Home
Service
Key Facts
Enquiries
Enquiries
Please fill out the following form and we will get back to you about your enquiry.
Full Name Client 1:
Mr
Mrs
Miss
Ms
Dr
Full Name Client 2:
Mr
Mrs
Miss
Ms
Dr
Date of Birth Client 1:
Date of Birth Client 2:
On Electoral Role:
Yes
No
Email Address:
Home Phone:
Work Phone Client 1:
Work Phone Client 2:
Mobile Phone Client 1:
Mobile Phone Client 2:
What is the best time for a Mortgage Professional to contact you to help sort out your Ideal Mortgage?
Please Choose...
Evening
Afternoon
Morning
Anytime
Preferred Time:
Who should they best Contact to discuss your Mortgage Requirements?
Client 1
Client 2
Resident UK Area:
Please Choose...
England
Scotland
Wales
N. Ireland
UK Home Address:
UK Postcode:
Mortgage Type Required:
Please Choose...
Re-Mortgage
New Purchase
Buy To Let
Equity Release
Other
Property Purchase/Valuation Price:
£
Mortgage Sum Required:
£
Mortgage Duration Required:
Please Choose...
5-10 Yrs
10-15 Yrs
15-20 Yrs
20-25 Yrs
25 Yrs Plus
Property Position:
Please Choose...
1st Time Buyer
Buy To Let
Property Sold
On Market & Under Offer
On Market & Not Under Offer
Not Yet On Market
Other
Mortgage Option Required:
Please Choose...
Variable Rate
Fixed Rate
Discount Rate
Capped Rate
Flexible Rate
Cashback Rate
Current Account
Other
How Soon Do You Need The Mortgage:
Please Choose...
0 - 2 Months
2 - 4 Months
Mortgage Redemption Penalty:
If yes, approximately how much:
Existing Mortgage Outstanding:
Please Choose...
First Time Buyer
Less Than 30k
30k - 50k
50k - 75k
75k - 100k
100k - 125k
125k - 150k
150k - 175k
175k - 200k
200k - 225k
225k - 250k
250k - 275k
275k - 300k
300k - 325k
325k - 350k
350k Plus
Current Mortgage Lender:
Credit Problems (eg CCJ's):
Satisfied?
Please Choose...
Yes
No
Please Choose...
Yes
No
Client 1 - Current Annual Gross Salary:
£
p/a. Employed:
Self Employed:
Client 2 - Current Annual Gross Salary:
£
p/a. Employed:
Self Employed:
Deposit Available:
Comments: