Mortgage Information

Please Fill in the Form Below.

Purpose	New Property Purchase:
	Equity Release:

Loan	Amount:
	Valuation:
Remortgage Amount Outstanding:

Remortgage:
Construction:
Term:		LTV:
Interest Only:
Construction Staged Payments:

Primary Applicant

Secondary Applicant


Client Name:
Client Address:

Email Address:
Date of Birth:		Status:
Contact No's:
No of Dependents:		Ages:


Client Name:
Client Address:

Email Address:
Date of Birth:		Status:
Contact No's:
No of Dependents:		Ages:

Employment Details

Employed

Occupation:

Employer:

Time with Employer:

Self Employed

Business Activity:

Year Established:

Financial Details:
Year End 2007

Turnover		Gross Profit		Net Profit

Previous Year:

Employed

Occupation:

Employer:

Time with Employer:

Self Employed

Business Activity:

Year Established:

Financial Details:
Year End 2007

Turnover		Gross Profit		Net Profit

Previous Year:

Income

Gross Annual Salary:
Bonus/Commission:
Other Income:
TOTAL:

Gross Annual Salary:
Bonus/Commission:
Other Income:
TOTAL:

Outgoings

Mortgage Outstanding:
Monthly Repayments:
Hire Purchase / Leasing:
Personal Loans:
Other:
Monthly Expenditure:
Assets
Property Value:
Bank Balances:
Investments:
Stocks/Shares:
Other:
TOTAL:

Mortgage Outstanding:
Monthly Repayments:
Hire Purchase / Leasing:
Personal Loans:
Other:
Monthly Expenditure:
Assets
Property Value:
Bank Balances:
Investments:
Stocks/Shares:
Other:
TOTAL:

Are you intending to borrow for any part of the deposit:

Property to be Mortgaged


Address:
Purchase Price:	Age of the Property:
Property Type:	If new date of Completion:
Property Description:
If re-mortgage - Details of existing Mortgage Lender:		Current Balance:
If Equity release, reason for release:
If construction, details of company to be used:

Arrangements for Inspection


Name & Contact number of selling agent:

Company Structure


Company Name:		Domicile:
Company No:		Please include registration documents

Management Company:
Accountant Details:
Lawyer Details:

For Internal Use Only
Debt to Income
Total Monthly Borrowing:		Total Monthly Net Income:
Proposed New Mortgage Payment:
TOTAL:		%

Rua Sacadura Cabral Edificio Golfe 1a, 8135/144, Almancil, Algarve, Portugal
Tel: +351 289 358 512, Fax: + 351 289 358 513, UK: 0845 021 2370
www.premfx.com info@premfx.com