Agreement in Principle       Enter the details of your client and some information about yourself, then just click submit. You will then receive a confirmation email and be contacted by a member of our sales team.         How many applicants?   12       Client 1 Details Title   Please Select Dr Mr Mrs Ms Miss First Name Surname Previous Surname Status Please Select Single Married Parted Divorced Widowed D.O.B (dd/mm/yyyy) Right to Reside? YesNo Any Dependants? YesNo Employment Type   Please Select Permanent Self-Emp Contract Position Held Occupation Start Date (dd/mm/yyyy) Employment Status Self  Employed Salary Overtime/Commission Guaranteed Bonuses   Client 1 Current Address Address Line 1   Postcode   Time at address years months Residential Status Please Select Living With Friends Living With Relatives Owner Private Tenant Corporate Tenant Other       Case Details     Current Lender Loan Amount Required Value of Property to be Mortgaged House Name Number/Street District Town County Postcode Age of Property Buy to Let YesNo Ex local YesNo Let to Buy YesNo Right to Buy YesNo Shared Ownership YesNo Mortgage Term   Current Balance Repayment Type Please Select Interest Only Repayment Split No. of Bedrooms No. of Kitchens No. of Bathrooms Tenure Please Select Freehold Leasehold Commonhold Type of Property Please Select House Flat Maisonette Bungalow Other Additional Details Please Select Detached Semi-Detached Terraced Purpose Built Converted End of Terrace Standard Construction Please Select Yes No Mortgage Type Purchase Re-Mortgage Application Status Self Cert Full Status       Additional Financial Details         Has the applicant ever been bankrupt or had a judgement against them? Pick No Yes Has the applicant ever had rent/mortgage arrears? Pick No Yes Are these arrears now cleared? Pick No Yes The total number of missed rent/mortgage payments in the last 12 months? Pick 0 1 2 3 4 5 6 7 8 9 10 11 12 The total number of housing benefits/DSS/DWP in the last 12 months? Pick 0 1 2 3 4 5 6 7 8 9 10 11 12       Commitment Type Company / Details Mthly Payment O/S Balance To Repay? Applies To Please Select Second Charge Credit Card Overdraft Hire Purchase Car Loan Bank Loan Other Pick Yes No Pick App1 App2 Please Select Second Charge Credit Card Overdraft Hire Purchase Car Loan Bank Loan Other Pick Yes No Pick App1 App2 If the client has any more commitments, please put in the "Other Details" section below.                 Broker Details       Name   Company Network Email FSA No   Telephone Mobile               Other Details       Please enter any other relevant details, such as: Ex-council, flat and floor, client adverse, above commercial premises, property type, etc.             Please enter the text in the image :       Please confirm your client has agreed to a credit search being carried out on them and they consent to their personal data being held by us?   YesNo

©2008 c2-financial.com This website is for Professional Intermediaries Only c2-financial is a trading style of County Mortgage Services Ltd Terms & Conditions Registered office 1st Floor, 3700 Parkway, Solent Business Park, Whiteley, Fareham, Hampshire, PO15 7AW. Registered in England number: 2948322. *Up to £300,000. Over £300,000 net val fee applies.