INITIAL ENQUIRY FORM FOR MORTGAGES,
INSURANCE AND PROTECTION
Client name:
Adviser name:
Date:
Brief description of requirements:
Section 1: Applicant Details
Applicant 1 Applicant 1
Title: Mr
Forename: George
Middle name: Andrew
Surname: Zenios
Maiden / previous name:
Date of name change:
Date of birth: 31st October 1974
Home tel. no:
Work tel. no: +447537102489
Mobile no:
Email address: georgezenios@gmail.com
Who do you bank with? Revolut
Time with bank: 10 years
Marital status: single
No. of dependents
Dependents names and DOB:
Anticipated retirement age:
State retirement age:
Are you a smoker? no
Gender: M
Nationality: British
Date of arrival in the UK:
Visa details:
National Insurance Number: JD513117B
Country of birth: England
If application is made in Limited Company name:
Limited company name:
Is the company established as a Special Purpose (SPV)
Company registration number:
Trade / business type:
Number of director / shareholders:
Full Name Percentage Share Role
Section 2: Applicant Address Details
Applicant 1 Applicant 2
Current residential
47 Belsize Park
address:
Town: London
County:
Postcode: Nw3 4EE
Country: UK
Date moved in: 2007
Current residential
status:
If you have been at your current address for less than 3 years, please provide
your previous residential address below
Previous Address Details
Applicant 1 Applicant 2
Previous address:
Town:
County:
Postcode:
Country:
Date moved in:
Previous residential
status:
Previous Address Details
Applicant 1 Applicant 2
Previous address:
Town:
County:
Postcode:
Country:
Date moved in:
Previous residential
status:
Section 3: Current Employment Details
Applicant 1 Applicant 2
Job title / occupation:
Employment status:
Employers name:
Employment address:
Town:
County:
Postcode:
Country:
Gross annual income:
Bonus amount:
Bonus guaranteed:
Bonus frequency:
Overtime amount:
Overtime guaranteed:
Overtime frequency:
Allowance amount
Allowance guaranteed:
Allowance frequency:
Section 3: Employed Details
Applicant 1 Applicant 2
Commenced date:
Employment type:
Are you on probation?
Probation details:
Contact for references:
Email for references:
Phone number for
references:
Foreign Currency Details:
Applicant 1 Applicant 2
Is any income paid in
foreign currency?
If yes, please provide
details:
Self Employed Details
Applicant 1 Applicant 2
Years self-employed:
Company type:
Company name:
Percentage of business
owned:
Salary: £ £
Dividends: £ £
Turnover: £ £
Net profit year 1 £ £
Net profit year 2 £ £
Net profit year 3 £ £
Are accounts
available?
Accountant name:
Accountant
qualification:
Other Income:
Applicant 1 Applicant 2
Income:
Income source:
Income start date:
Contractor Income:
Applicant 1 Applicant 2
Contract start date:
Contract end date:
Time contracting:
Day rate: £ £
Additional Income:
Applicant 1 Applicant 2
Other income: £ £
Other income source:
Other income: £ £
Other income source:
Other income: £ £
Other income source:
Income Notes:
Applicant 1 Applicant 2
Section 4: Current Mortgage Details
Applicant 1 Applicant 2
Current lender:
Property value: £ £
Account number:
Outstanding balance: £ £
Monthly payment: £ £
Remaining term:
Mortgage type:
Repayment type:
Current interest rate:
Interest rate type:
Mortgage start date:
Are there ERC’s?
ERC amount: £ £
ERC end date:
Is the mortgage
portable?
Is the mortgage being
redeemed?
Section 5: Credit Commitments
Please provide details of all ongoing debts i.e., secured loans, unsecured loans, hire purchase, overdrafts, credit cards, store cards, mail orders etc.
Applicant Commitment type Lender /Creditor Remaining Current Is this court Balance Monthly payment To be repaid?
term rate ordered
If Applicable %
%
%
%
%
%
%
%
%
%
%
%
%
How has the unsecured credit built up?
Applicant 1 Applicant 2
If this mortgage involves consolidating credit commitments I have:
• Made my customer aware that whilst this may reduce their monthly outgoings in the short term, the total amount repayable is likely to be greater due to the longer
term
• Fully discussed with our customer the implications and risks inherent in securing credit, which was previously unsecured, against their home.
We do not offer any advice on debt management, IVA or bankruptcy.
We refer clients needing such advice over to the Citizens Advice Bureau
Section 6: Credit History Details
Have you ever had any credit issues? Either currently, in the recent past or historically? This includes:
• any defaults or CCJS registered in the last 6 years
• any missed payments on commitments in the last 5 years
• If you have ever; had a property repossessed, been made bankrupt, entered into an IVA or a DMP, taken
out a payday loan.
If you are unsure of the details of any credit issues you may have/had, then we highly recommend you obtain a
copy of your credit file.
Applicant 1 Applicant 2
Have you ever had any defaults in the last Have you ever had any defaults in the
N
6 year? last 6 year?
Date Date Date Date
Company Amount Registered Satisfied Company Amount Registered Satisfied
£ £
£ £
£ £
£ £
Applicant 1 Applicant 2
Have you ever had any CCJ in the last 6 Have you ever had any CCJ in the last 6
N
year? year?
Date Date Date Date
Company Amount Registered Satisfied Company Amount Registered Satisfied
£ £
£ £
£ £
£ £
Applicant 1 Applicant 2
Have you any missed payments on Have you any missed payments on
commitments in the last 5 years? commitments in the last 5 years?
Missed Payments in Missed Payments
Commitment Date last (months) Commitment Date in last (months)
Type Company Cleared 3 12 24 36 Type Company Cleared 3 12 24 36
Applicant 1 Applicant 2
Have you had a property repossessed? N Have you had a property repossessed?
Company Date Registered Date Satisfied Company Date Registered Date Registered
Applicant 1 Applicant 2
Have you ever been Bankrupt? N Have you ever been Bankrupt?
Date of Discharge Date of Discharge
Applicant 1 Applicant 2
Have you ever entered into an IVA? N Have you ever entered into an IVA?
Outstanding Outstanding
Date Registered Balance Satisfied Date Date Registered Balance Satisfied Date
£ £
£ £
Applicant 1 Applicant 2
Have you ever entered into an DMP? N Have you ever entered into an DMP?
Direct
Direct or or via
via 3rd Outstanding Date Loan Satisfied 3rd Outstanding Date Loan Satisfied
Party? Balance Registered Company Date Party? Balance Registered Company Date
£ £
£ £
Applicant 1 Applicant 2
Have you ever taken out a payday loan? N Have you ever taken out a payday loan?
Loan Amount Lender Date Taken Loan Amount Lender Date Taken
£ £
£ £
£ £
£ £
Notes about adverse credit
Applicant 1 Applicant 2
Section 7: Pensions, Investment and Savings
Applicant 1 Applicant 2
Assets: £ £
Total savings: £ £
Total investments: £ £
Total remaining after completion: £ £
Member of company pension scheme?
Any old paid-up pensions?
Would you like a free review of these arrangements?
Section 8: Your Existing Property Portfolio
Please provide details of any existing residential mortgages or buy to let properties
Security address: Lender Account Current value Outstanding Rental Monthly Repayment Applican ERC End HMO Repaid
number mortgage income payment Type t or SPV date
£ £ £ £
If Applicable
£ £ £ £
£ £ £ £
£ £ £ £
£ £ £ £
£ £ £ £
£ £ £ £
£ £ £ £
£ £ £ £
Notes about your property portfolio
Section 9: Mortgaged Property Details
House name or number:
Street:
City:
County:
Postcode:
Country:
Tenure: If Leasehold – years remaining:
Property type: Year built:
House type: Storeys in building:
Flat type: Charge type:
Ground rent: £ Service charge: £
Accommodation Details
Bedrooms: Reception rooms:
If flat / maisonette:
Floors in block: Units in block:
Floor of property: Is there a lift?
Construction Type:
Standard construction: New-build?
Ex-local authority: Annexe?
If non-standard
Construction:
Is the property on the market?
Is property near commercial premises?
If yes, what type of commercial premises?
Is this property being purchased from the council with this application?
Will the property be owner occupied?
If no, please provide details:
Is the property rented out/to be rented out?
Will the rental income be paid in sterling?
Are the assets from which the mortgage will be paid held in sterling?
Will the property be lived in by a family member?
Please provide further details
BTL Details
Monthly Gross Rental Monthly Net Rental
Tenancy Type No. of ASTs
Term of Tenancy (Months)
Will the rental income be paid in sterling?
Are the assets from which the mortgage will be paid held
in sterling?
Will the property be lived in by a family member?
Please provide further details:
Relationship to applicant?
Is the loan to fund the purchase of the property?
Do all of the applicants currently own Buy to Lets other
than the property?
Has any applicant or 'immediate family member' ever
lived in the property?
Did any of you inherit the property?
Is the property rented to DSS tenants?
Please provide details of any other occupiers over the age of 17, not on this application
Name: Age: Relationship:
Name: Age: Relationship:
Name: Age: Relationship:
Name: Age: Relationship:
Valuation / Access Details
Valuation type:
Contact for Access:
Contacts Name:
Daytime Telephone Number:
Mobile Telephone Number:
Notes, including; direct debit details for mortgage payments and insurance plan payments
Section 10: Mortgage Fees and Costs
Equity deposit: £ Source of deposit:
Equity deposit 2: £ Source of deposit:
Stamp duty: £ Mortgage amount £
Estate agent fees £ Purchase price / £
valuation
Solicitor fees: £ Term years
Total £ Approx mortgage fees £
(can be paid upfront or
added to loan)
Section 11: Solicitor Details
Solicitor name:
Building name or number:
Street:
City:
County:
Postcode:
Country:
Phone number: Fax number:
DX number: No. of partners in
firm:
Contact name: Email address:
Section 12: Accountant Details
Accountants name:
Building name or number:
Street:
City:
County:
Postcode:
Country:
Phone number: Fax number:
Qualifications:
Section 13: Budget Planner
Household Income
Applicant 1 net £ Applicant 2 net £
Monthly income: monthly income:
Part time income: £ Jobseekers £
allowance:
Child benefit: £ Tax credits: £
Working tax £ Maintenance £
credits: income:
Pension income: £ Other benefits: £
Total income: £
Debt Repayments (Monthly)
Mortgage repayment on stress rate (SVR) £
Second mortgage £
Shared ownership rental £
Unsecured Borrowing
Credit cards £
Loans £
Overdrafts £
Store cards £
Student loans £
Other borrowing £
Total debt repayments £
Living Costs (Monthly)
Electricity £
Gas £
Water £
Landline / mobile phone £
TV licence £
Council tax £
Ground rent / service charge £
Mortgage payment protection £
Endowment £
Pension contribution £
Childcare costs £
Maintenance £
Food £
Car maintenance £
Anticipated commuting expenses (Fuel at 20p/mile or public transport £
/ season ticket costs.)
TV broadband £
Recreation / holidays / discretionary spend £
Clothing £
Anticipated saving / investment spend (ISA’s, etc.) £
Other living costs £
Insurance Costs (Monthly)
Motor insurance £
Health insurance £
Payment protection £
Life insurance £
Dental insurance £
Buildings and contents £
Other insurance £
Total living costs £
Total household income £
Total debt repayments £
Total living costs £
Available income: £
Affordability
Is at least 10% of clients’ income remaining after deductions from total outgoings?
If no, please provide justification for affordability:
Do you anticipate any changes to your income or expenditure in the next 5 years?
Please provide reason for this:
Mortgage and Protection Budget
Mortgage repayment on selected scheme £
Life assurance and protection budget £
Home insurance budget £
Total £
Section 14: Lending into Retirement
Does the term requested take your mortgage past the state retirement age?
If yes, would you prefer to reduce the term to avoid paying the mortgage after you retire?
Reasons why:
Where your mortgage term extends beyond state retirement age,
we would always recommend reducing the term
How do you intend to continue paying the mortgage after this date?
Can you provide evidence of these?
Section 15: Pension Provisions
If borrowing beyond expected retirement age, what pension provisions do you currently have in place?
Section 16: Your Needs
Repayment Types
Repayment: You make a single payment each month. The payment covers both the interest on the loan and
repays part of the original amount borrowed.
Interest Only: The monthly payment covers only the interest charged on the loan and does not include any
capital repayment. The capital will need to be repaid at the end of the term. This is usually achieved by having
some sort of external investment in place.
Repayment Preferences
Which of the following repayment method best describes your attitude to risk?
You prefer certainty of repayment. You want to guarantee repayment of your mortgage at
the end of the term (Low)
You prefer a mixture of repayment & interest only. You want to guarantee part repayment LOW / MEDIUM /
Medium
of your mortgage at the end of the term (Medium) HIGH
You don’t need certainty of repayment and can risk interest only. You are comfortable
taking a risk your mortgage may not be repaid at the end of the term (High)
Interest Rate Types
Please select the statements which most closely reflects your views:
Would you like the certainty of knowing the monthly payment for an agreed period?
(Fixed)
Interest rate charges are guaranteed to stay the same for an agreed period, offering
protection from the risk of interest rate increases, but will not benefit from rate
No Y/N
decreases. There may be an early repayment charge if the mortgage is redeemed during
the fixed rate period.
If yes, please advise over what period and why?
Would you like monthly payments that are linked to an external rate, such as bank base
rate? (Tracker)
Interest rates are variable and will rise and fall directly in line with the movements of the No Y/N
external benchmark. There is likely to be an early repayment charge if the mortgage is
redeemed during the tracker period.
If yes, please advise over what period and why?
Would you like to minimise monthly mortgage payments for an agreed period?
(Discounted)
Initial interest charges receive a discount from the variable rate and will benefit from
further interest rate falls. However, there is no guard against the risk of upward No Y/N
movement in interest rate. At the end of the discount period, payments will revert to the
variable rate. There is likely to be an early repayment charge if the mortgage is
redeemed during the discounted rate period.
If yes, please advise over what period and why?
Would you like the certainty of knowing the maximum monthly payment for an agreed
No Y/N
period, but still benefiting from rate decreases? (Capped)
Interest rate charges are guaranteed not to rise above an agreed ceiling. Payments are
protected from increases above this level during the period of the cap, but will also
No
reduce if interest rates fall. There is likely to be an early repayment charge if the
mortgage is redeemed during the capped rate period.
If after completion on your new mortgage you will still have significant savings, would
you like to consider offsetting these against your new mortgage interest? Or if self-
employed would you like to use some of your business savings to offset your mortgage?
Nb. You need to seek accountancy advice on the tax implications of this. (Current No Y/N
Account / Offset)
A mortgage that will allow you to offset certain credit bank balances against your
mortgage interest.
Would you like to adapt mortgage repayments to suit your lifestyle? (Flexible / No ERC)
A mortgage, often a variable rate, which has a range of features that may include No Y/N
unlimited overpayments, underpayments, draw downs and payment holidays
Do you intend to make Early Repayments or Overpayments? No
How much and when?
Do you require a mortgage with no early repayment charges? No
Do you intend to move or sell the property in the foreseeable future? No
If yes, please provide details:
Do you require a Lender who can process this mortgage as quickly as possible? No
Other mortgage requirements:
Please provide a reason for the term length requested:
How would it affect your household if your monthly payments increased significantly?
Would you prefer the lender fees to be paid upfront or add them to the loan? Added
Do you understand you will pay interest on this sum over the full mortgage term? Yes
Are you consolidating other debts within this mortgage? No
Do you understand this could increase the overall amount you pay back in the long term No
(with respect to the debts being consolidated within this mortgage)?
Do you understand the implications of securing previously unsecured debts against your
No
property?
Do you understand the potential for future interest changes? No
Are you looking to reduce your monthly repayments by opting for an interest only
repayment method or a longer mortgage term?
Longer Term
Do you have an ideal budget in mind for your monthly repayments? No
Details:
Are you likely to receive a lump sum enabling you to pay off capital at all? No
Are you planning on clearing the loan early? No
How are you planning to do so?
Do you want the ability to vary your repayments or take a repayment holiday?
No
Other requirements (specify)
Section 17: Will Provisions
Do you have a will in place? No
Would you like to be referred to a will writing specialist? No
We recommend anyone that has not reviewed their will in the last 5 years should do so.
NOTES
I am applying for an inheritance advance. The property is worth £1million and has no debt or
charge against it. I have inherited one-sixth of this property and now it is empty will be lightly
refurbished and then sold for best price.
