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ALL FIELDS OMS ENQUIRY FORM (clone)

"*" indicates required fields

EnquiryType*

Mortgage

Bridging

IntroductionType

NetworkMember

Introduced

Packaged

Loan Type

MortgageType

Hidden

FinanceType

OustandingBalance

Where mortgage or finance doesn't = Purchase

CurrentMonthlyPayment

Where mortgage or finance doesn't = Purchase

PurchasePrice

LoanAmount

Term

Mortgage=Years / Bridging=Months

ApplicationSubType

Regulated

Non-regulated

LimitedCompanyName

ExistingPropertiesOwned

Please enter a number from 0 to 4.

Is Adverse?

Yes

Ticked = true, unticked = false

Description of adverse issues

APPLICANT 1:

ABOUT:

Title*

Firstname*

Middlename

Lastname*

Email

Mobile Phone

Home Phone

Date of Birth

INCOME:

Employed Income

Self Employed Income

Rental Income

Other Income

ADDRESS:

House Number/Name

Street

Town/City

County

Country

Postcode

APPLICANT 2:

ABOUT:

Title

Firstname

Middlename

Lastname

CONTACT:

Mobile Phone

Home Phone

Email Address

Date of Birth

INCOME:

Employed Income

Self Employed

Rental Income

Other Income

ADDRESS:

House Number/Name

Street

Town/City

County

Country

Postcode

IN ASSOCIATION WITH:

This site is intended for the use by intermediaries only. For mortgages and other related services please visit our main site at: connectmortgages.co.uk

Connect for Intermediaries is a trading style of Connect IFA Ltd which is authorised and regulated by the Financial Conduct Authority and is entered on the Financial Services Register under reference 441505. The FCA do not regulate all products we offer. Privacy Policy