Residential Enquiry Form - Active Investments

Is this a purchase, or re-mortgage? *

Purchase Remortgage

Loan Type *

Interest Only Repayment

Type *

Residential Right to Buy Shared Ownership Buy to Let

Amount of Advance *

Mortgage Term *

years

Purchase Price *

Valuation Amount *

Date Moved to Current Address *

Previous Address if occupied current address less than 3 years

Date Moved to Previous Address

Are you a: *

FTB Existing Borrower Prev. Owner

Current Residential Status *

Private Tenant Council Tenant
Owner Living with Parents
Other (please specify)

Marital Status *

Single Married Divorced
Seperated Widowed Common Law

Number of Dependants

Employment Status *

Employed Self-Employed Retired

Employment Commenced *

Employers/Business Name

Contract Type *

Permanent Fixed Casual

Which rate of tax do you pay: *

Basic Rate Higher Rate
Additional Rate

Have you ever had rent/mortgage arrears? *

Yes No

Number of missed rent/mortgage payments in last 12 months? *

Have you ever been bankrupt, had a judgement or default for debt registered against you? *

Yes No

Have you ever been in a debt management plan? *

Yes No

Have you ever had a Pay-Day Loan? *

Yes No

Date Moved to Current Address

Previous Address if occupied current address less than 3 years

Date Moved to Previous Address

Are you a:

FTB Existing Borrower Prev. Owner

Current Residential Status

Private Tenant Council Tenant
Owner Living with Parents
Other (please specify)

Marital Status

Single Married Divorced
Seperated Widowed Common Law

Number of Dependants

Employment Status

Employed Self-Employed Retired

Employment Commenced

Employers/Business Name

Contract Type

Permanent Fixed Casual

Which rate of tax do you pay: *

Basic Rate Higher Rate
Additional Rate

Have you ever had rent/mortgage arrears?

Yes No

Number of missed rent/mortgage payments in last 12 months?

Have you ever been bankrupt, had a judgement or default for debt registered against you?

Yes No

Have you ever been in a debt management plan?

Yes No

Have you ever had a Pay-Day Loan?

Yes No

Description of Property

Is the property of traditional construction *

Yes No

If no please give details? *

Please indicate number of rooms as follows

Type of Property? *

Detached House Semi-detached House Terraced House Bungalow Maisonette Flat

Balcony Access *

Yes No

Rental Income (if BTL)

Has the local authority, Ministry of Defence or Housing Association previously owned the property? *

Yes No

Age of Property (approx)

years

Additional Information

Additional Information in Support of Application (Existing Residential Mortgage Details)

Original purchase date

Original purchase price

Balance Outstanding

Will current mortgage be redeemed?

Yes No

Purpose of remortgage

Refinance Only Home Improvements Business Debt Consolidation Other

Please state the reason here

I am authorised to act on behalf of the applicant(s) named above in this mortgage application. I confirm that I am acting within my authority and that you or any of Active Investments (Reading) Ltd lender partners may:

Obtain Credit Reference Searches, which will be recorded and disclosed on any other credit search
Take up references to verify the information given
Hold the information on our computer system
Release information relating to this application to me

I confirm that the applicant(s) has/have agreed that the information may be used by you or any of your associated companies, to offer products to the applicant(s) unless the applicant(s) inform you or any relevant company otherwise in writing.

I confirm that I have obtained the valid authority of the applicant(s) to process the personal data in this application and confirm that this information has been obtained fairly and the applicant(s) is/are aware that this information will be disclosed to you.

I confirm that we are GDPR compliant and have issued a copy of our Privacy Notice to the customer.

In addition, I have forwarded a copy of Active Investments (Reading) Ltd Terms of Business and Privacy Notice to the customer.

I am also fully aware that all Lender Privacy Notices are available to download from here and have been forwarded to the customer where applicable.

IMPORTANT NOTE ABOUT THIS ENQUIRY FORM, FUTURE CONTACT & MARKETING

We would like to maintain a record of your express consent for us to contact you by post, telephone, SMS, email and instant messaging for marketing our products or services that we think you may be of interest to you.

*Please ensure you indicate your consent to us contacting you by ticking the box below.

Failure to do this will mean we cannot process this enquiry

I accept these Terms and Conditions and give my consent