E-Mail:clivemiers@miersmortgages.co.uk Tel: 01274 583608  Thomas Duggan House, Well Croft, Shipley, West Yorkshire. BD18 3QH


MORTGAGE SERVICES
MORTGAGE SCHEMES
REPAYMENT METHODS
BUYING A HOME
REMORTGAGING
MORTGAGE PITFALLS
MORTGAGE & DIVORCE
HISTORIC MORTGAGE RATES
HOUSE PRICES
COMMON MORTGAGE TERMS
OTHER SERVICES
MORTGAGE CALCULATOR
MORTGAGE ENQUIRY    FORM













 










 

 

 

 



Your Details
Applicant 1
Applicant 2
     
Full Name
D.O.B
Present Address including postcode:
Length of time at address
Home Tel Number
Work Tel Number
Preferred time of contact:

Home Work

Home Work
   
Preferred means of contact

E-mail       Telephone        Post
E-mail address  
     
Income & Expenditure
Applicant 1
Applicant 2
Gross Basic Annual Earnings
Gross Annual Overtime
Gross Annual Commission
Will income increase with Annual Rate of Inflation
Promotion
Change of Employment
 Annual Rate of Inflation
Promotion
Change of Employment
Loan 1
Monthly Payments

     exp date

      exp date

Loan 2
Monthly Payments

     exp date

      exp date

Loan 3
Monthly Payments

     exp date

      exp date

Credit Card No 1
Monthly Payment          

Balance outstanding    
Monthly Payment           

Balance Outstanding     
Credit Card No 2
Monthly Payment          

Balance Outstanding   

Monthly Payment           

Balance Outstanding     
Store Card No 1
Monthly Payment          

Balance Outstanding   

Monthly Payment           

Balance Outstanding     
Store Card No 2
Monthly Payment          

Balance Outstanding   

Monthly Payment           

Balance Outstanding     
 

Property Details
Purchase Price/Approximate Valuation         Please select one:

Mortgage Required		         Please select one:
Term

Existing Lender if moving home or remortgaging


     
       
Balance Outstanding             

Amount of any penalty      

Type of mortgage required     Please select one:
Will you accept redemption penalties for the period of the reduced rate?
 
Other Details

In order that we can advise you fully are there any circumstances that you can foresee such as job move, lump sum, to pay off the mortgage etc. Please detail:
We are also able to quote competitively for life cover. Do you require this?

Yes        No

If so, please complete the additional information below:
Smoker? No              Yes No              Yes
Type of cover required