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Personal Details                  
Title: Mr. Mrs. Miss Ms  
 
First name:  
  Middle name:    
  Surname:    
  Postal address - line 1:    
  Postal address - line 2:    
  Town:    
  County:    
  Postcode:    
  Home telephone no:    
  Work telephone no:    
  Mobile telephone no:    
  E-mail address:    
  Is the address of the property you are remortgaging
your current address?
  Yes:    
  No:    
  The address is:    
  Address line - 2:    
  Town:    
  County:    
  Post code:    
  Is the property freehold or leasehold?
  Freehold:    
  Leasehold:    
  Remortgage Amount
  £    
  Do you own the property with anyone else?
  Yes:    
  Their first name is:    
  Their middle name is:    
  Their surname is:    
         
  No:    
  Do you currently have a mortgage?
  Yes:    
  Lenders name is:    
  My account number is:    
 
  No. You are holding the deeds to the property.    
  No. I understand I must arrange to send the deeds to your office.    
  Do you have another mortgage?
  Yes:    
  Lenders name:    
  My account number is:    
         
  No:    
  Is your new mortgage being arranged by a broker?
  Yes:    
  The brokers name is:    
  Name of brokers company is:    
  Brokers telephone no is:    
  My new mortgage will be with:    
         
  No:    
  My new mortgage
will be with:
   
       
 
 


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