HOMEOWNER LOAN ENQUIRY

Approx Loan £5,000 £6,000 £7,000 £8,000 £9,000 10,000 £12,000 £15,000 £17,000 £20,000 £22,000 £25,000 £30,000 £35,000 £40,000 £45,000 £50,000 £60,000 £70,000 £80,000 £90,000 £100,000 Loan Type? Secured Loan Remortgage   Approx House Value? £50,000 £75,000 £100,000 £125,000 £150,000 £175,000 £200,000 £250,000 £300,000 £350,000 £400,000 £450,000 >£500,000 Approx O/S Mortgage NIL £25,000 £50,000 £75,000 £100,000 £125,000 £150,000 £175,000 £200,000 £250,000 £300,000 £350,000 £400,000 £450,000 >£500,000 Current Mortgage Lender? --Please Select-- Abbey National Building Society Abbey National Mortgage Finance Albion Home Loans Alliance and Leicester Allied Irish Mortgage Centre Bank of Ireland Bank of Scotland Barclays Bank Bath Building Society Birmingham Midshires Building Society Black Horse Finance Blemain Finance Bradford & Bingley Plc Bristol & West Plc Britannia Building Society Brittanic Money Broadland District Council C L F Municipal Bank Cambridge Building Society Capital Home Loans Ltd Century Building Society Chelsea Building Society Cheltenham and Gloucester Cheshire Building Society CIS Claycross Building Society Clydesdale Bank Plc Coventry Building Society Cumberland Building Society Derbyshire Building Society Direct Line Financial Services Dunfermline Building Society Eagle Star Mortgages Ltd Egg First Advice First Direct First National Bank First Trust Bank Furness Building Society Furness Building Society Future Mortgages Gainsborough Building Society GMAC Halifax Hanley Economic Building Society HMSL Holmesdale Benefit Building Society Household Mortgage Corporation HSBC Igroup Intelligent Finance Ipswich Building Society Kensington Mortgage Company Kent Reliance Bld Soc Kleinwort Benson Leeds & Holbeck Building Society Leek United Building Society Legal & General Bank Ltd Lloyds Bank Plc London Borough of Barking & Dagenham London Mortgage Company Loughborough Building Society Manchester Building Society Market Harborough Building Society Marsden Building Society Monmouthshire Building Society Mortgage Agency Mortgage Corporation Mortgage Express Mortgages 1& 2 Mortgages 4 Ltd Mortgages No: 1/2/3 Plc Nat West Bank Nat West Home Loans National Counties Building Society Nationwide Building Society Nationwide Home Loans Newcastle Building Society Northern Bank Northern Rock Plc Norwich & Peterborough Building Society Nottingham Building Society Paragon Mortgages Platform Home Loans Portman Building Society Preferred Mortgages Principality Building Society Progressive Building Society Prudential Bank Plc RFC Mortgage Services (GMAC) Royal Bank of Scotland Scarborough Building Society Skipton Building Society Skipton mortgages ltd Southern Pacific Staffordshire Building Society Standard Life Stroud & Swindon Building Society Sun Bank Swift Advances Teachers Building Society The Associates The Mansfield Building Society The Mortgage Business Plc The Mortgage Corporation The Yorkshire Bank Home Loans Limited The Yorkshire Building Society Tipton & Coseley Bld Society TSB Homeloans Ltd U C B Home Loans Ulster Bank House Mortgages Verso(Part of Mort Agency Services) Virgin 1 Waveney District Council Wesleyan Home Loans Ltd West Bromwich Building Society Woolwich Building Society Woolwich DIRECT Yorkshire Bank Yorkshire Building Society

Personal Information

Title Mr Mrs Miss Ms First name Surname Date of birth

House no / name Street Name Town County Post code E-mail address

Daytime phone number (required) Evening phone number (required) Mobile phone number (optional)

Marital status Married Co-habiting Single Divorced Separated Widowed Other Employment status Employed Self-employed Professional self-employed Unemployed Housewife/househusband Student Retired Yearly income (before tax)

If you are making a joint application you must fill in your partner's details below. Otherwise skip to FINAL DETAILS.

Joint Applicant

Their title Mr Mrs Miss Ms First name Surname Date of birth

Marital status Married Co-habiting Single Divorced Separated Widowed Other Employment status Employed Self-employed Professional self-employed Unemployed Housewife/househusband Student Retired Yearly income (before tax)

Final Details

Any mortgage arrears? No Yes Where did you find us? Select Google AOL Yahoo MSN Ask Jeeves Friend Other Best time to contact you Morning Afternoon Evening Data protection statement I/we confirm that I/we have the consent of any third party whose details I/we may disclose to Home Loans Direct ("You") to disclose such details and to authorise You and the third parties referred to in the paragraph below to process such details for the purposes of assessing my/our application and administering and enforcing any subsequent loan which may be granted to me/us. I/we agree that You and any lender resulting from this application (the "Lender") shall be entitled to use and process, by any medium, the information given by me/us in this application form and any other information about me/us which may be acquired during the lifetime of any loan ("the Data") for the following purposes:- i. to provide the Data to and search the files of one or more credit reference or fraud prevention agencies whether before, or during the lifetime of any loan granted to me/us by the Lender, who will keep a record of such search, to confirm the Data, and for the purposes of credit assessment or account administration. I/we understand that You and /or the Lender will record false or inaccurate information if this is given by me/us and fraud is suspected. ii. To disclose the Data to credit reference agencies when requested by them for consideration of any future applications for finance made by me or members of my household/family, or for fraud prevention and/or tracing debtors (the agencies may also disclose the Data to other lenders for these purposes) iii. to disclose the Data to any other company within the Lender's group of companies and/or to any third parties (for example, debt counsellors and insurers) at any time for the purposes of assessing my/our application and administering and enforcing any subsequent loan whether during the course of my/our application or during the lifetime of any loan granted pursuant to such application; iv. to disclose the Data to any third party who replaces or who may replace my/our Lender. It is your responsibility to ensure that your Personal Data is accurate and up to date and to inform us of any changes that need to be made. Home Loans Direct may use the Personal Data for the purposes they have notified to the Office of Information. By submitting your Personal Data you CONSENT to it being processed by Home Loans Direct.

Tick to opt-out of future marketing from home loans direct

THINK CAREFULLY BEFORE SECURING OTHER DEBTS AGAINST YOUR HOME. YOUR HOME MAY BE REPOSSESSED IF YOU DO NOT KEEP UP REPAYMENTS ON A MORTGAGE OR OTHER DEBT SECURED ON IT.

POST CODE SEARCH