Mortgage Quotation

Basic information

This is the minimum information we require.

Title: *

Name: *

Address: *

Postcode

Daytime Tel: *

Evening Tel

Mobile Tel

Email: *

What time of day would be most convenient?

Morning
Afternoon
Evening
Other

Advice On

Mortgages
Remortgage
Personal Loan
Other

Additional information

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

Name of joint applicant (if applicable)

APPLICANT 1

Marital Status Please Select Single Married Cohabiting

Gender Male Female

Date of Birth

Employment Please Select Employed Self-employed Contract worker Homemaker Unemployed Retired

Occupation

Annual Income (Gross)

Do you smoke? Yes No

APPLICANT 2

Marital Status Please Select Single Married Cohabiting

Gender Male Female

Date of Birth

Employment Please Select Employed Self-employed Contract worker Homemaker Unemployed Retired

Occupation

Annual Income (Gross)

Do you smoke? Yes No

Estimated value of property to be purchased/remortgaged

Preferred Product Type Please Select Variable rate Fixed rate Tracker rate Discounted rate Capped rate

Preferred Loan

Term (Years)

Purpose of loan Purchase (to live in)
Buy to let
Re-mortgage

First Time Buyer Yes No

Other Information

Security code: * Refresh

Please enter the code exactly as you see it above (Case Sensitive)

Click below to submit your confidential mortgage enquiry without obligation. Upon submission all the information is sent directly to the Mortgage Advice Shop.

The information above will be used solely to contact you to discuss the areas you have expressed an interest in. It will not be retained or used for any other marketing purposes.

Your home may be repossessed if you do not keep up repayment on your mortgage.

We do not charge fees for arranging your mortgage as we are paid by the lender. However, if you prefer, you can pay us a broker fee of up to 1.5% of the mortgage amount and receive the lender’s fee yourself.

For insurance business we arrange exclusively policies from Legal & General.
Not all buy to let mortgages are regulated by the Financial Services Authority.