Full Name Client 1: *
Full Name Client 2: *
Date of Birth Client 1: *
Date of Birth Client 2: *
On Electoral Role: *
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?  Preferred Time:
Who should they best Contact to discuss your Mortgage Requirements? Client 1: Client 2:
Resident UK Area:
UK Home Address: *
UK Postcode: *
Mortgage Type Required:
Buy to Let mortgages are not regulated by the Financial Services Authority.
Property Purchase/Valuation Price: £
Mortgage Sum Required: £  
Mortgage Duration Required:  
Property Position:
Mortgage Option Required:
How Soon Do You Need The Mortgage:
Mortgage Redemption Penalty: Yes: No:

If ticked yes, approximately how much:
Existing Mortgage Outstanding:
Current Mortgage Lender:
Credit Problems (eg CCJ's):

Satisfied?
Yes: No:

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:
I Agree
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Buy to Let Mortgages are not regulated by the Financial Services Authority.

The contents of this website are intended for information only and do not constitute professional advice. For further advice and information please contact one of our experienced advisors on 0800 056 0 789

Independent Mortgages Online UK Ltd is an appointed representative of PM Independent Financial Services, and is authorized and regulated by the Financial Services Authority, Registration Number 447352. Buy to Let mortgages are not regulated by the Financial Services Authority

We will not charge you a fee for our advice.  We will be paid commission from your mortgage lender.  Should you submit an application and subsequently withdraw it, we reserve the right to charge you a fee of £250.00 plus VAT.  In some circumstances, a refundable deposit may be required before work commences on your case. In this instance you will be notified of this in writing, and your agreement obtained.

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The guidance and/or advice contained within this website is subject to the UK regulatory regime and is therefore primarily targeted at consumers based in the UK