www.chelseamortgage.co.uk

 
 info@chelseamortgage.co.uk

 

top
 
Chelsea Office
Unit 2,
28 Old Brompton Road
London
SW7 3SS

Tel: 0800 321 3110


Wapping Office
(now open)
121 Wapping High Street
Wapping
London
E1W 2NX

Tel: 0207 702 3262
bottom

 

 
PART 1 - BASIC INFORMATION
Please make sure you complete as much of the form as possible so that we can provide an accurate quote.
Title:
First Name:
Surname:
Email:
Telephone:
Best time to call:
PART 2 - ADDITIONAL INFORMATION
  Applicant 1 Applicant 2
Date of Birth:
UK Resident:
Yes No Yes No
Annual Income:

Are you able to verify your income by way of payslips:
(if employed)

Yes No Yes No
Accountant's letter:
(if self employed)
 Yes No Yes No
Do you have a clean credit history?:
 Yes No Yes No
If no to the above please provide further details:
Do you have a residential mortgage?:
 Yes No Yes No
Do you have a Buy-to-Let Mortgage?:
 Yes No Yes No
PART 3 - THE PROPERTY
Is this transaction a purchase/remortgage:
 Purchase Remortgage
If remortgage please state name of any existing lender:
What is the purchase price (for purchase) or value (for remortgage) of the property?:
Amount of loan required:
Term of Loan required:
Mortgage Type:
Please indicate the type of mortgage you require
(fixed, capped, discount, flexible or other)
Payment Method:
Interest Only Repayment
Is the property a self contained dwelling of standard construction?:
 Yes No
If not, please specify:
IF A BUY TO LET mortgage - What is the anticipated rental income from this property per month?
Please include below any further comments which may assist us with providing you with the best quotation for your mortgage requirements:
 
IMPORTANT - We treat all the information provided by you with the utmost care and security. Please see our privacy policy for further details about our obligations concerning such information.
 
 
  Chelsea Mortgage Shop is authorised and regulated by the Financial Services Authority. Our FSA registered number is 301722. Your home is at risk if you do not keep up repayments on a mortgage or other loan secured on it. Written quotation available on request. Some loans require assignment of life assurance. Chelsea Mortgage Shop does not charge fees for arranging mortgages.