Hurst and Partners Llp Is an Appointed Representative of Intrinsic Mortgage Services Which

Hurst and Partners llp is an appointed representative of intrinsic mortgage Services which is authorised and regulated by the Financial Services Authority.

10 Marchmont Gate

Boundary Way

Hemel Hempstead

Hertfordshire

HP2 7BF

t: 0203 640 7600

Details

Applicant One

Applicant Two

Full Name (as on passport including all middle names)
Nationality (if not British then details of visa for residency)
Date of Birth:
Current Address:
Living Situation: / Owner /Renting/With Family / Owner /Renting/With Family
Length of time at Current address:
Date moved in:
Telephone Numbers: / Home:
Work:
Mob: / Home:
Work:
Mob:
Previous Address:
(if current less than 3 years)
Living Situation: / Owner /Renting/With Family / Owner /Renting/With Family
Length of time at Previous address:
Date moved in:
Self Employed Y/N
Occupation and Employer details
Length of time with Employer:
Basic Salary/Last 3 years net profit
Overtime & Bonus:
Any Loans/ Credit Card balances outstanding
Mortgage details
Buy to let income
(Loan amount and monthly payment)
Purchase Price
Loan Requested

This questionnaire is designed to provide a mortgage adviser with information

required by the Financial Services and Markets act 2000. With your permission it may be used to obtain an agreement in principle from a potential mortgage lender.

Any agreement obtained will be for guidance only and does not constitute a guarantee that a full application will be accepted. The lender may record any search carried out on your credit report.

By completing the above you are confirming that you are granting us your “express permission” to contact you by phone to discuss your mortgage requirements.

To ensure that suitable advice is provided and recommendations are based on sound information, it is important that the questions are answered as fully as possible.

You can choose how we are paid for mortgages: We can accept commission from the lender in which no fee is payable. However if you wish to pay for our services by fee only then a fee of 0.5% of the loan amount will apply.

Your home may be repossessed if you do not keep up repayments on your mortgage.

Hurst and Partners llp is an appointed representative of Intrinsic Mortgage Planning Ltd which is authorised and regulated by the Financial Conduct Authority. Hurst Partners is a trading style of Hurst and Partners LLP

Company Registration Number OC400178

Registered address: 131 Edgware Road, London W2 2AP.