Independent Mortgage Advisor in Essex
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Mortgage Online Application

If you want to apply for a mortgage and know the details of the lender and the mortgage product you would like then you can complete the form below and we will take care of the rest for you.

Mortgage Application Form
Name of Lender
(if known)
Product Required
Product Type
Product Term
Joint or Single Application
Full Names
(including titles)
Date(s) of Birth (dd/mm/yyyy)
Telephone Number
Email address
Current Address
Time at address
If less than 3 years at your current address please provide your previous address
here:
Time at previous address
Current residential status
Applicant 1
Employment status
Employers Name
Employers (work) Address:
Time in current employment
Household income
Credit Commitments

..continued
Do you have a secured loan?
If the answer above is yes please provide details below:
Name of Company
Outstanding Balance
Monthly Payment
If you have current mortgage arrangements please provide details below:
Name of Company
Outstanding Balance
Monthly Payment
Type of Mortgage
Address of property to be mortgaged
Type of Mortgage
Amount Required
Value of Property
Term of Mortgage (years)
Repayment or Interest Only
Please provide your banking details for credit scoring purposes and monthly direct debit:
Bank Name
Bank Sort Code
Bank Account No.
Date for Repayments
National Insurance Number(s)
Are you a smoker?
Are you on electoral role at your current property?
Current Mortgage Account Number
Please provide details of any current mortgage protection or house insurance policies

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Your name
Your Tel. No.
Choose Time:

Mortgage Calculator

CAUTION: This is a rough guide only. Please contact us for an official quote.

Amount required:
Interest rate (%):
Repayment term(Yrs):
Repayment Mortgage:
Interest Only:

Mortgage rates can go up as well as down.




Your property may be repossessed if you do not keep up repayments on a mortgage or any other debt secured on it.

For mortgages and loans we can be paid a commission from the lender, or a fee, usually 0.4% of the loan amount or a combination of both.

© 2008 - Sapphire Mortgages, Harlow, Essex

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