Re-Mortgage Enquiry Form

Applicant Details	First Applicant	Second Applicant
Title
Forname(s)
Surname(s)
Sex	Male Female	Male Female
Date of Birth
Marital Status	Married Single Divorced Separated	Married Single Divorced Separated
Current Address
Postcode
Time at this Address	Years Months	Years Months
Previous Addresses (if at present address less than 3 years)
Home Telephone
Work Telephone
Mobile
E-mail Address
Smoker Status	Yes No	Yes No
Current Occupation	Employed Self-Employed Director Retired Unemployed Student	Employed Self-Employed Director Retired Unemployed Student
Expected Retirement Age
Basic Annual Salary	£	£
Annual Bonus	£	£
Annual Commission	£	£
Annual Dividends	£	£
Annual Overtime	£	£
Other	£	£
Total Annual Income	£	£
Loans Outstanding	£	£
Credit Cards Outstanding	£	£
Monthly Commitments Debts	£	£
Other Monthly Commitments	£	£
Property Valuations		£
Current Mortgage Amount		£
Current Monthly Mortgage Payment		£
Existing Lender
Any Redemption Penalties		Yes No
Date Penalties End
RE-MORTGAGE AMOUNT		£
Reason for Re-mortgage
Mortgage Term Preferred
Repayment / Interest Only
Other Information or Comments

M6 Financial Ltd - Re-Mortgage Enquiry Form