First Name / Surname:
Mother's Maiden Name:
Do You Have Permanent Rights To Reside In The UK?
Yes
No
Date Of Birth:
dd
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
mm
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
yyyy
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
Employment Status:
- Select -
Full Time
Part Time
Disabled
Housewife
Househusband
Retired
Self-Employed
Student
Unemployed
Other
Proof Of Income If Self-Employed:
- Select -
2 yrs Cert/Chartered Accts
Self Certification
Accountants Letter
Occupation:
Time In Present Job:
- Years -
< 1 year
1 year
2 years
3 years
4 years
5 years
6 years
7 years
8 years
9 years
10 years
11 years
12 years
13 years
14 years
15 years
16 years
17 years
18 years
19 years
20 years
21 years
22 years
23 years
24 years
25 years
26 years
27 years
28 years
29 years
30 years
31 years
32 years
33 years
34 years
35 years
36 years
37 years
38 years
39 years
40 years
41 years
42 years
43 years
44 years
45 years
46 years
47 years
48 years
49 years
50 years
- Months -
1 month
2 months
3 months
4 months
5 months
6 months
7 months
8 months
9 months
10 months
11 months
12 months
Annual Income Before Tax:
- Select -
£1,000
£2,000
£3,000
£4,000
£5,000
£6,000
£7,000
£8,000
£9,000
£10,000
£11,000
£12,000
£13,000
£14,000
£15,000
£16,000
£17,000
£18,000
£19,000
£20,000
£21,000
£22,000
£23,000
£24,000
£25,000
£26,000
£27,000
£28,000
£29,000
£30,000
£31,000
£32,000
£33,000
£34,000
£35,000
£36,000
£37,000
£38,000
£39,000
£40,000
£41,000
£42,000
£43,000
£44,000
£45,000
£46,000
£47,000
£48,000
£49,000
£50,000
£51,000
£52,000
£53,000
£54,000
£55,000
£56,000
£57,000
£58,000
£59,000
£60,000
£61,000
£62,000
£63,000
£64,000
£65,000
£66,000
£67,000
£68,000
£69,000
£70,000
£71,000
£72,000
£73,000
£74,000
£75,000
£76,000
£77,000
£78,000
£79,000
£80,000
£81,000
£82,000
£83,000
£84,000
£85,000
£86,000
£87,000
£88,000
£89,000
£90,000
£91,000
£92,000
£93,000
£94,000
£95,000
£96,000
£97,000
£98,000
£99,000
£100,000
Do You Have Any Additional Income?:
Years With Your Bank
- Select -
1 year
2 years
3 years
4 years
5 years
6 years
7 years
8 years
9 years
10 years or more
Marital Status:
Single
Married
Divorced
Widow
Widower
Separated
Living with Partner
Other
Property Value:
- Select -
£50,000
£60,000
£70,000
£80,000
£90,000
£100,000
£110,000
£120,000
£130,000
£140,000
£150,000
£160,000
£170,000
£180,000
£190,000
£200,000
£210,000
£220,000
£230,000
£240,000
£250,000
£260,000
£270,000
£280,000
£290,000
£300,000
£310,000
£320,000
£330,000
£340,000
£350,000
£360,000
£370,000
£380,000
£390,000
£400,000
£410,000
£420,000
£430,000
£440,000
£450,000
£460,000
£470,000
£480,000
£490,000
£500,000
£510,000
£520,000
£530,000
£540,000
£550,000
£560,000
£570,000
£580,000
£590,000
£600,000
£610,000
£620,000
£630,000
£640,000
£650,000
£660,000
£670,000
£680,000
£690,000
£700,000
£710,000
£720,000
£730,000
£740,000
£750,000
£760,000
£770,000
£780,000
£790,000
£800,000
£810,000
£820,000
£830,000
£840,000
£850,000
£860,000
£870,000
£880,000
£890,000
£900,000
£910,000
£920,000
£930,000
£940,000
£950,000
£960,000
£970,000
£980,000
£990,000
£1,000,000
Mortgage Balance:
- Select -
None
£1,000
£2,000
£3,000
£4,000
£5,000
£6,000
£7,000
£8,000
£9,000
£10,000
£15,000
£20,000
£25,000
£30,000
£35,000
£40,000
£45,000
£50,000
£60,000
£70,000
£80,000
£90,000
£100,000
£110,000
£120,000
£130,000
£140,000
£150,000
£160,000
£170,000
£180,000
£190,000
£200,000
£225,000
£250,000
£275,000
£300,000
£325,000
£350,000
£375,000
£400,000
£425,000
£450,000
£475,000
£500,000
£525,000
£550,000
£575,000
£600,000
£625,000
£650,000
£675,000
£700,000
£725,000
£750,000
£775,000
£800,000
£825,000
£850,000
£875,000
£900,000
£925,000
£950,000
£975,000
£1,000,000
Purchase Price:
- Select -
£50,000
£60,000
£70,000
£80,000
£90,000
£100,000
£110,000
£120,000
£130,000
£140,000
£150,000
£160,000
£170,000
£180,000
£190,000
£200,000
£210,000
£220,000
£230,000
£240,000
£250,000
£260,000
£270,000
£280,000
£290,000
£300,000
£310,000
£320,000
£330,000
£340,000
£350,000
£360,000
£370,000
£380,000
£390,000
£400,000
£410,000
£420,000
£430,000
£440,000
£450,000
£460,000
£470,000
£480,000
£490,000
£500,000
£510,000
£520,000
£530,000
£540,000
£550,000
£560,000
£570,000
£580,000
£590,000
£600,000
£610,000
£620,000
£630,000
£640,000
£650,000
£660,000
£670,000
£680,000
£690,000
£700,000
£710,000
£720,000
£730,000
£740,000
£750,000
£760,000
£770,000
£780,000
£790,000
£800,000
£810,000
£820,000
£830,000
£840,000
£850,000
£860,000
£870,000
£880,000
£890,000
£900,000
£910,000
£920,000
£930,000
£940,000
£950,000
£960,000
£970,000
£980,000
£990,000
£1,000,000
Monthly Mortgage Payment:
- Select -
None
£50
£100
£150
£200
£250
£300
£350
£400
£450
£500
£550
£600
£650
£700
£750
£800
£850
£900
£950
£1,000
£1,100
£1,200
£1,300
£1,400
£1,500
£1,600
£1,700
£1,800
£1,900
£2,000
£2,100
£2,200
£2,300
£2,400
£2,500
£2,600
£2,700
£2,800
£2,900
£3,000
£3,500
£4,000
£4,500
£5,000
£5,500
£6,000
£6,500
£7,000
£7,500
£8,000
Date Of Purchased:
dd
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
mm
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
yyyy
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
Had a Previous Mortgage?
No
Yes
If Yes To The Above, For How Many Years?
- Select -
< 1 year
1 year
2 years
3 years
4 years
5 years
6 years
7 years
8 years
9 years
10 years
11 years
12 years
13 years
14 years
15 years
16 years
17 years
18 years
19 years
20 years
21 years
22 years
23 years
24 years
25 years
26 years
27 years
28 years
29 years
30 years
Property Type:
- Select -
Bungalow - Detached
Bungalow - semi-detached
Bungalow - terraced
Care home
Detached
Detached link
End of terrace
Flat
Maisonette
Mid-terrace
Chalet/Dormer
Semi-detached
Terraced
Townhouse
If a Flat, How Many Storeys?:
- Select -
1
2
3
4
5
6
7
8
9
10
Mortgage Type:
- Select -
Repayment
Endowment
Interest Only
Deferred
Flexible
ISA
Low Start
Pension
No Mortgage
Bedrooms:
Years Left In Mortgage:
- Years -
1 year
2 years
3 years
4 years
5 years
6 years
7 years
8 years
9 years
10 years
11 year
12 years
13 years
14 years
15 years
16 years
17 years
18 years
19 years
20 years
21 year
22 years
23 years
24 years
25 years
26 years
27 years
28 years
29 years
30 years
31 year
32 years
33 years
34 years
35 years
36 years
37 years
38 years
39 years
40 years
- Months -
1 month
2 months
3 months
4 months
5 months
6 months
7 months
8 months
9 months
10 months
11 months
12 months
Mortgage Company:
Ex-Council Property?
No
Yes
Do You Have Any Arrears?
No
Yes
Existing Secured Loans?
No
Yes
COUNCIL PROPERTY
Did you purchase as a sitting tenant?
- Select -
No
Yes
What discount did you received from council?
- Select -
£0
£1,000
£2,000
£3,000
£4,000
£5,000
£6,000
£7,000
£8,000
£9,000
£10,000
£11,000
£12,000
£13,000
£14,000
£15,000
£16,000
£17,000
£18,000
£19,000
£20,000
£21,000
£22,000
£23,000
£24,000
£25,000
£26,000
£27,000
£28,000
£29,000
£30,000
£31,000
£32,000
£33,000
£34,000
£35,000
£36,000
£37,000
£38,000
£39,000
£40,000
£41,000
£42,000
£43,000
£44,000
£45,000
£46,000
£47,000
£48,000
£49,000
£50,000
£55,000
£60,000
£65,000
£70,000
£75,000
£80,000
£85,000
£90,000
£95,000
£100,000
£110,000
£120,000
£130,000
£140,000
£150,000
£160,000
£170,000
£180,000
£190,000
£200,000
£200,000+
What did the council value the property at the time of purchase?
- Select -
£0
£1,000
£2,000
£3,000
£4,000
£5,000
£6,000
£7,000
£8,000
£9,000
£10,000
£11,000
£12,000
£13,000
£14,000
£15,000
£16,000
£17,000
£18,000
£19,000
£20,000
£21,000
£22,000
£23,000
£24,000
£25,000
£26,000
£27,000
£28,000
£29,000
£30,000
£31,000
£32,000
£33,000
£34,000
£35,000
£36,000
£37,000
£38,000
£39,000
£40,000
£41,000
£42,000
£43,000
£44,000
£45,000
£46,000
£47,000
£48,000
£49,000
£50,000
£55,000
£60,000
£65,000
£70,000
£75,000
£80,000
£85,000
£90,000
£95,000
£100,000
£110,000
£120,000
£130,000
£140,000
£150,000
£160,000
£170,000
£180,000
£190,000
£200,000
£200,000+
