UK & Overseas Finance
Pre-Qualification Form
Pivate & Confidential
Applicant 1
Name:  
Date of Birth:  
Current Address:  
Postal Code:  
Country:  
Telephone:  
Mobile:  
Fax:  
Email:  
How long at this address:  
Owner / Tenant / Other:  
Previous Address:  
Postal Code:  
Occupation:  
Employed:   Yes No
Self Employed:   Yes No
If Employed are you more than a 20% Shareholder:   Yes No
Employer/ Business Name & Address:  
How long Employed / Established:  
Full Name & Address of Accountant (Chartered/Certified):  
Telephone / Fax Numbers:  
Previous Employer / Business Name & Address::  
How Long:  
Name & Address of Current Lender / Landlord:  
Mortgage / Rent per month:  
Account Number:  
Existing Mortgage - Balance outstanding:  
Term of Loan Remaining:  
Type of Loan:  
Name & Address of Bank / Building Society:  
Account Number:  
Assets & Income
Bank / Building Society Accounts
(Name & Type):		  
Property (Location & Value):  
Life Assurance (Cash Value):  
Stocks & Shares:  
Other Assets:  
Total Assets:  
Annual Salary / Income:  
Overtime / Commission:  
Other Income:  
Total Income:  
Country Court Judgements:   Yes No
Liabilities
 
Monthly
Balance
Bank Loans:  
Mortgages & Lenders:  
Car Loans:  
Other Loans:  
Credit Cards:  
Maintenance (Alimony):  
Rent:  
Other Debts:  
Total Liabilites:  
Defaults:   Yes No
Application   Single Joint
   

 
Pre-Qualification
Forms
Applicant 1
Applicant 2
Property Details