In relation to your Mortgage query/application, can you please fill in this form below...
Are you a first time buyer?
Yes
No
How much of a mortgage do you require?
€
Do you have a property in mind?
Yes
No
If yes, is it a new build?
Yes
No
Do you have savings accumulated to cover the deposit?
Yes
No
If so, how much have you accumulated in savings?
€
Are you saving regularly?
Yes
No
How much are you saving consistently per month?
€
Have you recently applied for a mortgage with any Mortgage Lender/Bank ? If so, which bank ?
Personal Information
Please fill in the below personal information..
Full Name
*
Phone Number
*
Email Address
*
Occupation
Length of time with current employer:
Are you employed on a permanent or contract basis?
Permanent
Contract
Do you have children?
Yes
No
If Yes, Please enter the number of kids that are under 18 years of age
Are two people applying for cover? ( You and your partner )
Yes
No
Second Applicant Details
Please fill in the second applicant information below..
Second Person Full Name
*
Second Person Date Of Birth
Second Person Occupation
Second person What is your gross salary per annum?
Second Person Length of time with current employer
Are you employed on a permanent or contract basis?
Permanent
Contract
Financial Details
Can you please fill in some basic financial information which is required for your mortgage application?
Do you have an existing mortgage?
Yes
No
What is the balance outstanding on your existing mortgage?
€
What is the remaining term on your existing mortgage?
How much are you paying in monthly repayments on your existing mortgage?
€
What is the interest rate on your existing mortgage?
Is this a fixed or a variable rate?
Fixed
Variable
What is the estimated market value of the premises?
€
Are you currently renting?
Yes
No
How much is your monthly rent payment?
€
Have you missed any loan repayments or any other obligations in the last 5 years that would effect your credit rating?
Yes
No
Other Outgoings
Are you currently contributing into a pension or AVC?
Are you currently contributing into a pension or AVC?
Yes
No
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If so what is your monthly contribution?
Have you pensions from previous employments?
Yes
No
If so, what is the estimated value of this previous pension?
Additional comment
Do you currently have income protection?
Yes
No
Do you currently have mortgage protection/life insurance?
Yes
No
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