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Mortgage Enquiry Form
Please complete using block capitals and tick where applicable.
FIRST APPLICANT SECOND APPLICANT
Name
Address
Date of birth
Passport/Resident Card No.
Nationality
Occupation
Marital Status
No. of Children/Ages
Years at current address
Type of property
Owned Rented With Family Other
Owned Rented With Family Other
Telephone numbers
(inc STD code)
E-mail address
LOAN DATA
Purchase Price Euros
Mortgage required Euros
Amount Total Term (Yrs) Interest only (Yrs) Capital & Repayment (Yrs)
New Resale Purchase Construction Improvements Transfer of Mortgage
EMPLOYMENT DETAILS
FIRST APPLICANT SECOND APPLICANT
Permanent Temporary Self-employed
Permanent Temporary Self-employed
Name and address of Company
Telephone number
VAT Registered Number ofEmployer or Company if selfemployed
Job Title
No. of Years Working
ANNUAL NET INCOME
INCOME/EXPENDITURE
First applicantSecond applicant
 Total Joint Income
Salaries - Gross per year
Net Income pm
Pension
Other Investment Income
MONTHLY OUTGOING
Mortgage Payments
Other Loan
Credit Cards - (not required if balance isrepaid each month)