Number of applicants
Number of child dependants
Number of adult dependants
Complete either the postcode or Region field
Post Code
Region
Employment Status
Complete at least one of the below income fields
Salary
Bonus / Commission / Overtime
Maintenance / Allowed Benefits
Dividends
Net Pension / Untaxed Income
Credit Card / Overdraft / Mail Order Balance
Loan / Hire Purchase (Monthly Payments)
Court Order (Monthly Payments)
School Fees (Annual Amount)
Value of outstanding CCJ/Defaults
Other Deductions (Monthly Payments)
Mandated Maintenance (Monthly Payments)
First charge mortgage current balance (only applicable for 2nd charge)
Current monthly mortgage payment (only applicable for 2nd charge)
Lending Product
Loan Purpose
Value of Property
Gross Loan Amount
Term (Months)
Repayment Type
Interest Rate %
Reversion Rate % (if applicable)
Does the loan have a fixed rate for 5 years or longer?
Affordability Pass Fail
Maximum Loan Amount
LTV (Loan to Value)