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Is this a joint application? *

Yes No

First Applicant

Title

Surname *

	Second Applicant
Title
Surname

Postcode *

Alternatively you may enter your address manaually


House name or number
Street *
Town *
County *

Home Telephone Number *
Mobile Telephone Number
Work Telephone Number
Email Address *
Confirm Email Address *
What is your gross monthly income? (before tax) *

What is the mortgage amount you require? *
What is the current value of your home? *
What is the name of your current mortgage lender? *
Approximately how much do you still owe on this mortgage? *
Approximately, what was the start date of this mortgage?

Do you have any other

loans secured on your home? *

Yes No

	Second Mortgage
Lender name?
	Third Mortgage
Lender name?
What is the outstanding balance?

What was the start date of this mortgage?
What was the start date of this mortgage?

Have you had any CCJ's in the last 2 years?
Have you ever had an IVA (Individual voluntary agreement)? *	Yes No
Have you ever been declared bankrupt? *	Yes No
Have you missed any mortgage payments in the last 12 months?
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I have read and understand the important information below.*

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Important information
Think carefully before securing other debts against your home. Your home may be repossessed if you do not keep up repayments on a mortgage or any other debt secured on it.

The overall cost for comparison is 8.8% APR. The actual rate available will depend upon your circumstances. Ask for a personalised illustration. If consolidating debt, initial savings may be achieved by the re-arrangement of existing loans which may result in increasing the term of the loan and in turn increase the total cost in some circumstances.

With Mortgages plc there are no upfront fees. However an arrangement fee of 2.15% is chargeable on completion of the loan and other charges may apply. These charges may include a mortgage completion fee, an early repayment charge and/or a buildings insurance fee (should you purchase insurance elsewhere). Please note that Mortgages plc staff are not authorised to give advice and any information provided is on a non-advised basis.

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Third Mortgage