Application Form
Please complete the form below and click on the SUBMIT button at the bottom of the form to send application to us. If this is a joint application, main borrower should fill in the complete Application Form (pages 1-4), and joint borrower should only fill in page 5 with personal details /information not already given
Questions with an * are obligatory.
If this application is being made through an intermediary, please enter name

Project Details
Are you applying for a Mortgage, a Pre-Approval Certificate or a Quote?	Pre-Approval certificate Mortgage Application Quote
Is your need urgent (you need a mortgage offer in less than 48 hours)	YES I need a mortgage offer URGENTLY NO not an urgent case
Will this be part of a joint application?	Yes No
When are you planning to complete on the purchase of your property in France?	Within 3 months Between 3-6 months In over 6 months
Have you signed a Compromis de Vente (Preliminary agreement) to buy the property?	Yes No
Purpose of the mortgage?	Purchase a main residence Purchase a second home Purchase buy-to-let property Purchase leaseback property Fund improvements Refinance on better terms Equity Release Post Finance Euro re-finance
Purchase Price*	€
Renovation works	€
Personal contribution*	€
Mortgage required*	€
Mortgage duration
Comments

Your Home and Contact Details
Questions with an * are obligatory.
Surname*
First name
House name (if any)
House number (if any)
Address 1*
Address 2
Address 3
Town/City*
County
Postcode
Country
Home Phone (please include country code)*
Mobile Phone (please include country code)
E-Mail*
Comments

Proposed Property Details If you have already found your house
Description	House Flat Other If you have checked OTHER
Construction of property	Old property Modern Off-plan
Address of property - line 1
Address of property - line 2
Postcode
Town

Estate Agent Details or Notary acting as estate agent (If you are already negotiating your purchase)
Name
Address 1
Address 2
Town
Postcode
telephone
e-mail

Your Financial Status
Do you own your main home?	Yes No
Do you have a mortgage on your main home?	Yes No
If yes, what is the value of the outstanding mortgage?	£ €
If yes, who is the existing lender?
What is the approximate open market value of your main home?
Is your main home registered in joint names?	Yes No
Marital Status	Single Married Separated Divorced Widowed
What is your date of birth?	(DD/MM/YY)
Age(s) of dependent children
Are you employed?	Full-time Part-time Self-employed Retired Other If you have checked OTHER
Profession
Total annual gross income or net profit	£ €
Total annual rental income from current property	£ €
Total annual rental income from future property	£ €
Total monthly payments for all existing loans, maintenance payments and any rent payable	£ €
Have you ever been declared bankrupt?	Yes No
Have you ever had court proceedings brought against you for an outstanding debt?	Yes No
Have you ever entered into an arrangement with creditors?	Yes No
Please give any additional information below. You should declare if you have ever been declared bankrupt, had court proceedings or a court judgment brought against you for an outstanding debt or ever entered into an arrangement with creditors. This information will NOT necessarily result in our being unable to offer you a mortgage BUT it will ensure that we can negotiate the BEST mortgage terms for your individual circumstances.