1st Borrower

2nd Borrower (if any)

Mr   Mrs   Miss    Ms 

Mr    Mrs   Miss   Ms 

 Name:      

  Name:      

 Date of Birth :           

  Date of Birth :           

 Do you smoke :           yes   no

  Do you smoke :           yes   no

 Credit history :  Select Clear CCJ's IVP's Bankrupt Mortgage Arrears Other I don't know

 Credit history :  Select Clear CCJ's IVP's Bankrupt Mortgage Arrears Other I don't know

 Employed  insert gross annual income

 Self Employed  insert net profit   

                        £

 Employed  insert gross annual income

 Self Employed  insert net profit

                        £

Mortgage details

 Value of the property  

 £

 Amount of mortgage required  

 £

 Mortgage term required  

     years

 Type of mortgage  

     Repayment ISA / Pension Interest only Endowment I don't know

Are You  

     First Time Buyer Home Mover Remortgaging Buy to Let Let to Buy

Will you be liable for a penalty if you move from your current lender ?

  If yes, how much ?  

 £

Property details

Have you found a property ?

     yes   no

Have you sold your existing property ?

     yes   no

Contact details

Home telephone number * :

 Work telephone number :

 Mobile telephone number :

 Best time to call and which number to use:

 Email * :

 * required

Current address * :
* required

Postcode* :

 * required

Additional information (if any)

Please use the space below to list details of any Credit Card balances, Loans or credit agreements. Show the monthly payment, total balance and remaining term. Please also show if you intend to clear any of these commitments with the new mortgage.                                     You may also use this area for any questions or additional information :

I have read, understood and agree to the Data Protection Declaration

     yes   no

I agree to further contact as described below in Our Future Relationship

     yes   no

Data Protection Declaration

MortgageHunter2000 and Home of Choice Ltd will process all information in accordance with the Data Protection Act 1998 and it will be treated as private and confidential now and in the future. The only exceptions to this will be when the law requires us to disclose information or, with your consent, where disclosure is necessary when arranging or servicing your mortgage or protection contracts.

To fulfill our regulatory obligations, we will retain copies of your records for no longer than is necessary or for the duration of any contract you may enter into. You have the right to inspect these records at any time.

Our Future Relationship
Our ongoing business relationship with you is important and we would like to be able to contact you by telephone, post or email from time to time to review your mortgage and associated protection product arrangements and introduce other services that may be of interest to you from ourselves or our associated companies.