Mortgages enquiry form

Reason for aplying for a mortgage

Personal

1st applicant

2nd applicant

Gender

Male Female

Male Female

Initials & Surname

Street & Number

Postal code & City

Telephone Number & Mobile Number

E-mail adress

Date of Birth & Nationality

Country of residence

Civil status

Employment

Employement status

Employer

Permanent contract

Yes No

Yes No

Gross salary (eg 39000) per year €

Bonus in Euros (eg 4400) per year €

Since when do you live here?

Residence status

Until what year are you planning to stay?

Mortgage

Mortgage amount required €

Price of property being mortgaged €

Loan type

Deposit amount €

First time buyer?

Yes No

Debts

Company

Type

Monthly payment €

Rest value €

Start date

Notes