Key Contacts

Details submitted through this form are confidential and will be used for the purpose of providing background information only. We offer a full advice & recommendation service in all cases in order that we can make an informed decision with you about the choice of your new mortgage.

To enquire simply complete the brief questionnaire below and click the 'Submit' button.

Would you like advice on:

Mortgages		Remortgage		Secured Loan*		Buy to Let*
Other

Basic information:
This is the minimum information we require

Title

Surname

Forenames

Address

Post Code

Daytime tel

Evening tel

Mobile

E-mail

What time of day would be most convenient:

Morning

Afternoon

Evening

Other

Additional information:
By completing this section your advisor will be better prepared when giving advice.

Name of joint applicant (if applicable)

APPLICANT 1

Single/Joint application

Gender

Male

Female

DOB

Employment

Occupation

Annual income (Gross)

Have you had any CCJs

Yes

Have you had any arrears

Yes

Can't prove enough income

Yes

Discharged bankrupt

Yes

Current IVA/
trust deed

Yes

APPLICANT 2

Gender

Male

Female

DOB

Employment

Occupation

Annual income (Gross)

Have you had any CCJs

Yes

Have you had any arrears

Yes

Can't prove enough income

Yes

Discharged bankrupt

Yes

Current IVA/
trust deed

Yes

Estimated value of property
to be purchased/remortgaged

Loan required

Term (Years)

Purpose of your mortgage

Purchase (to live in)

Buy to let*

Re-mortgage

First time buyer

Yes

Other info

Click below to submit your confidential mortgage enquiry without obligation

Click here to view our Initial Disclosure Document

*The Financial Services do not regulate all Secured Loans and Buy to Let Mortgages

Think carefully before securing other debts against your home.
Your home may be repossessed if you do not keep up repayments on your mortgage.

Key Contacts Mortgage Brokers Ltd is an Appointed Representative of Summerside Independent Limited which is authorised and regulated by the Financial Services Authority. Summerside Independent Limited's FSA Registered number is 446821