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Online Enquiry Forms

MORTGAGE ENQUIRY FORM

 1. About You
Are you applying for a single or joint mortgage?
Single Joint
First Applicant
Title
First Name   
Middle Name (If Applicable)  
Surname   
Date of Birth   
Gender
Address
Postcode   
City   
Time at this address   
Address If under three years
Address
Postcode
City
Time at this address
Second Applicant
Title
First Name   
Middle Name (If Applicable)  
Surname   
Date of Birth   
Gender
Address
Postcode   
City
Time at this address   
Address If under three years
Address
Postcode
City
Time at this address
 2. Mortgage Details
What is the purpose of your mortgage Enquiry request Remortgage      Purchase of Property (First or next time buyer)
I. DETAILS REQUIRED FOR PURCHASE (IF APPLYING FOR A REMORTGAGE MOVE TO SECTION II)
Purchase Price of Property
Cost of improvements you intend to make
Source of deposit
Bank or Building Society Account Salary Sale of Property
Inheritance Family Gift
Other/Multiple sources, please state
II. DETAILS REQUIRED FOR REMORTGAGE
Original purchase price
Year of original purchase
Lender
If capital raising please provide a full breakdown of all remortgage funds
Amount to be used for debt consolidation
Estimated current value
Please provide details of any improvements you have made, or intend to make, to the property (including estimated costs).
Outstanding Mortgage Amount
III. LOAN REQUIRED (PURCHASE AND REMORTGAGE)
Amount of loan required
Repayment Period in years
 3. Personal / Contact Details
First Applicant
Marital Status
Number of children or other people who are
financially dependent on you
Main Nationality
Second Nationality (If applicable)
Any other name you have been, or are, known by (If applicable)
Do you have a driving license ? Yes   No
Email address (optional)
Home Tel
    Who is your landline provider (i.e. BT, NTL…etc.)?
    
Work Tel
    Who is your landline provider (i.e. BT, NTL…etc.)?
    
Mobile
    Is your mobile phone pay as you go or contract ?
   Contract   Pay As You Go
Best time to call
Preferred method of contact
(Are you smoker ?) Yes   No
Second Enquiry
Marital Status
Number of children or other people who are
financially dependent on you
Main Nationality
Second Nationality (If applicable)
Any other name you have been, or are, known by (If applicable)
Do you have a driving license ? Yes   No
Email address (optional)
Home Tel
    Who is your landline provider (i.e. BT, NTL…etc.)?
    
Work Tel
    Who is your landline provider (i.e. BT, NTL…etc.)?
    
Mobile
    Is your mobile phone pay as you go or contract ?
   Contract   Pay As You Go
Best time to call
Preferred method of contact
(Are you smoker ?) Yes   No
First Enquiry Only
If you have a partner/spouse who is living with you at your current address please tell us their details.
Partner / spouse's first name
Partner / spouse's last name
Partner / spouse's date of birth
 4. Occupation
First Applicant
Occupation
Employment type
If self employed, please specify following details
Registration Number
Accountant's Company Name
Accountant's address
Accountant's phone number
What sector do you work in?
Name of company
Your Position
Business email
Address
Post Code
City
Time with employer/self employed
Years
Numbers of hours worked in a week
How is your salary paid?
National insurance number
Second Applicant
Occupation
Employment type
If self employed, please specify following details
Registration Number
Accountant's Company Name
Accountant's address
Accountant's phone number
What sector do you work in?
Name of company
Your Position
Business email
Address
Post Code
City
Time with employer/self employed
Years
Numbers of hours worked in a week
How is your salary paid?
National insurance number
 5. Your Finances
First Applicant
Yearly gross income
Do you have other income such a a benefit or pension ?
Yes    No
If you do have other income please specify
Source Income
Total yearly income
Monthly outgoings
(dont include items that you want to pay off with your loan)
Purpose Cost
Total 
Balance available for loan repayment
Second Applicant
Yearly gross income
Do you have other income such a a benefit or pension ?
Yes    No
If you do have other income please specify
Source Income
Total yearly income
Monthly outgoings
(dont include items that you want to pay off with your loan)
Purpose Cost
Total 
Balance available for loan repayment
Details of your existing Loans (first applicant only)
Lender Loan type Loan Amount (£) Monthly Payment (£) Pay off with a Loan ?
Loan 1
Loan 2
Loan 3
 6. Your Financial Relationships
First Applicant Only
Please provide details of your main bank account
Sort Code Your account number
Is this a joint account ?
Yes    No
How long have you held this account?
Years
Have you been bankrupt ?
Yes    No
    If you have CCJ's, please enter their value ?
    
    If you have defaults, please enter their value ?
    
Please tell us about your residential status
Owner occupier with mortgage
    If its homeowner, the name of the lender ?
    
    Mortgage outstanding ?
    
    Monthly repayments ?
    
    Current value of the property ?
    
Owner occupier without mortgage/owned outright
Tenant
    If its private tenant, the name of the landlord ?
    
    If its council tenant, the name of the council ?
    
Living with parents
Living with friends or relatives
Hall of residence
Others
What type of property do you currently live in ? e.g. house, flat, bungalow etc.
 7. Card Details
First Applicant
Details of your existing credit and debit cards
Issuer / lender (e.g. Barclaycard) Card type (e.g. Visa) Credit limit (£) Outstanding (£) Pay off with Loan ?
Card 1
Card 2
Card 3
Card 4
Second Applicant
Issuer / lender (e.g. Barclaycard) Card type (e.g. Visa) Credit limit (£) Outstanding (£) Pay off with Loan ?
Card 1
Card 2
Card 3
Card 4
 8. Property Details
Address of property to be mortgaged/remortgaged
Postcode
Approx Year Built
Number of Bedrooms
Construction of Walls
Brick Stone Timber frame -durable outer leaf Concrete
Roof Construction
Slate tile Concrete tile Flat Felt Thatch Other
If the property is a flat or maisonette is it purpose built?
Yes No
Number of floorsin the block
Number of flats in the block
Number of lifts in the block
Is it above or adjacent to commercial premises?
Yes No
Is the property balcony access?
Yes No
Type of property (please tick one box only)
Detached House Semi-detached House Terraced House
Bungalow
Flat/Maisonette
If other please specify 
Property tenure
Freehold Leasehold Feudal
(scotland only)
Commonhold
If leasehold, number of years remaining on lease
What is the current value of the property?
Do you/will you let this property?
Yes No
If yes, what will be the monthly rental income?
 9. Data Protection Statement
(Where there are two or more of you, this decleration is made by each of you separately)
I confirm that I am aged 18 years or over, that my details in this Agreement are true and accurate.

Whether or not I become a customer, all the information I give to you Yusuf Cicek Limited or you hold on me including transactional data, may be shared with and used by Yusuf Cicek Limited, your associated companies, service providers or agents who may be located in other countries. I understand that you will ensure that my information is only used in accordance with your instructions and your own strict internal confidentiality policies. If you transfer my information to another country, you will also ensure that it is giventhe same levels of protection as required under the UK Data Protection Act.

I agree that my information may be used in this way for administration purposes and to:

  • Provide and run the account or service I have applied for and develop and improve your products and services.

  • Identify and advise me by post, telephone or electronic media of products or services which the Yusuf Cicek Limited and its associated companies think may interest me. (When deciding whether to provideme with details of a credit product you may search the files of credit reference agencies. A record of this search will not be made available to other lenders who search my file.)

  • Invite me to take part in market research surveys.

    If I give you false or inaccurate information and you suspect fraud, you will record this.You and other organizations may use and search these records to:

  • help make decisions about credit and credit related services and insurance including motor, household, credit, life and other insurance proposals and claims for me and members of my household;

  • Trace debtors, recover debt, prevent money laundering and fraud and for statistical purposes.
    Please note: Yusuf Cicek Consultancy Ltd. is a financial broker not a Lender.And it's aim is to search lending market to find out the best possible loan for you, based on the information you provide us. In order to get the most suitable lending for you we will share these information with our associated companies and/or lender we are working with.We will pass you any outcome of these search for your decision, in order to go ahead for loan agreement to be settled.Your decision is final to accept the offer or not.
    I have read and understand the Data Protection Statement   
     10. Signatures
    Please do not sign this form untill you have read the above Data Protection Statement)
    First Applicant
    Thick the box to validate your
    Enquiry for email submission
    Signature  
    Date         
    Second Applicant
    Thick the box to validate your
    Enquiry for email submission
    Signature  
    Date         


    Date: 11.12.2017
    Amount of Loan Requested: £

    Period: Up to years

    Interest Rate Expected: % over Bank Base Rate
    (Please note that this is down to the discretion of the lender)

    Fees: The Lender will charge an arrangement/lending fee of around £ or % although this is usually added to the loan, and you will also be liable for any valuation and legal fees*. Our brokerage fee/commission will be £ usually payable on offer.

    The above are in principle terms only and are of course subject to normal approval.

    As mentioned above our fees in connection with this work will be £ . This fee will normally become payable on production of an Offer Letter that meets your requirements. If you choose not to accept the Offer Letter despite it matching your requirements Yusuf Cicek Consultancy Limited reserve the right to keep any amount paid in advance and requests the balance due as of the fee payable on offer.

    I/We* the undersigned, confirm that I/we* wish Yusuf Cicek Consultancy Limited to act on my/our behalf to obtain the loan facilities mentioned on the loan/mortgage Enquiry form.

    I/We* undertake to pay all fees involved as outlined above. I/we* also agree that all information that I/we* have or will supply will be to the best of my/our knowledge accurate. We confirm that you may pass on our details and any information we supply to Yusuf Cicek Consultancy Limited to any third party if it is deemed beneficial to assist you to arrange funds on our behalf.

    I/We* agree that Yusuf Cicek Consultancy Limited or any associated company acting on our behalf may take up any references it considers necessary for the confirmation of all these particulars and for Credit Assessment, and that representatives of Yusuf Cicek Consultancy Limited can discuss all relevant information with potential lenders, and/or their agents.

    Please note that if after negotiation any lender to whom you have been introduced by Yusuf Cicek Consultancy Limited (or any of its' associated or affiliated companies of firms) makes an offer to you, the terms of which, whilst different from the above summary are still acceptable to you, it will be deemed that you have agreed a variance to the above expected terms and that these revised terms become the Agreed Terms and our fees will still become due.
    First Applicant
    Signature  
    Date         
    Second Applicant
    (If applicable)
    Signature  
    Date         
    * delete as appropriated
      I agree YUSUF CICEK CONSULTANCY LTD's "FEE/COMMISSION AGREEMENT & INSTRUCTIONS TO ACT" agreement
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