DUE TO FINANCIAL SERVICES AUTHORITY (FSA) REGULATION WARWICK TIDY CANNOT GIVE ANY ADVICE OR RECOMMENDATIONS BEFORE THIS FORM IS FULLY COMPLETED AND SIGNED BY ALL APPLICANTS AND RETURNED TO WARWICK TIDY

 

CLIENT QUESTIONNAIRE

 

DATE:     07 February 2012                  Referred from: 

 

DO YOU GIVE YOUR CONSENT TO RECORD, RETAIN AND DISCLOSE
INFORMATION TO PROPOSED LENDERS?           YES  c         NO  c 

FIRST APPLICANT

SECOND APPLICANT

NAME

 

 

NAME

 

 

ADDRESS

 

 

ADDRESS

 

 

TEL.NO.(DAY)

TEL.NO.(DAY)

TEL.NO(EVEN)

TEL.NO(EVEN)

MOBILE NO.

MOBILE NO.

D.O.B.

D.O.B.

SMOKER         YES  c         NO  c 
 

SMOKER         YES  c         NO  c 
 

OCCUPATION

 

ANTICIPATED RETIREMENT AGE

OCCUPATION

 

ANTICIPATED RETIREMENT AGE

NUMBER OF DEPENDENTS

 

NUMBER OF DEPENDENTS

 

EMPLOYED

SELF-EMPLOYED

EMPLOYED

SELF-EMPLOYED

BASIC INCOME
£             per annum (Before deductions of Tax & Nat Ins)

BONUS/O.TIME
£             per annum (Before deductions of Tax & Nat Ins)

NET PROFIT OVER
LAST 2 YEARS
 

1)LATEST YEAR
£

2)PREVIOUS YEAR
£

BASIC INCOME
£             per annum (Before deductions of Tax & Nat Ins)

BONUS/O.TIME
£             per annum (Before deductions of Tax & Nat Ins)

NET PROFIT OVER
LAST 2 YEARS
 

1)LATEST YEAR
£

2)PREVIOUS YEAR
£

 

How long with present employer?............

 

How long Self Employed?............

 

How long with present employer?............

 

How long Self Employed?............

 

FOR SELF CERTIFICATION OF INCOME ONLY
 

FIRST APPLICANT

 

Total Personal Income £                 PA

SECOND APPLICANT

 

Total Personal Income £                 PA

 

PURCHASERS

PURCHASE PRICE?  £               HOW MUCH DO YOU WISH TO BORROW?  £

DEPOSIT AVAILABLE?  £                         TERM?               YEARS

PROPERTY ADDRESS

 

 

PRIVATE PURCHASE OR THROUGH AGENTS? (name)

 

 

REMORTGAGES

WHAT IS THE CURRENT VALUE OF YOUR PROPERTY?  £

HOW MUCH DO YOU WISH TO BORROW?  £                         TERM?               YEARS

WHAT ARE YOU TRYING TO ACHIEVE WITH A REMORTGAGE?

CUT COSTS   c

EXTEND PROPERTY/HOME IMPROVEMENTS   c

RAISE CAPITAL   c      Purpose ......................................................

DEBT CONSOLIDATION   c

OTHER   c      Please state ......................................................
 

EXISTING BORROWERS (ie, hold a current mortgage)

WHO IS YOUR CURRENT MORTGAGE LENDER?

 

AMOUNT OUTSTANDING  £

WHAT TYPE OF MORTGAGE DO YOU HAVE NOW:

NORMAL REPAYMENT (Capital & Interest)   c

INTEREST ONLY   c (If interest only, how are you intending to repay the mortgage?)

...................................................................................................................

...................................................................................................................

COMBINATION OF NORMAL REPAYMENT AND INTEREST ONLY   c
 

ARE YOU SUBJECT TO REDEMPTION PENALTIES? (IE: EARLY REPAYMENT CHARGE)

YES  c         NO  c                    

IS YOUR CURRENT MORTGAGE PORTABLE

YES  c         NO  c                    
 

HAVE YOUR MORTGAGE PAYMENTS ALWAYS BEEN KEPT UP TO DATE?

YES  c         NO  c                    

IF NO, MAXIMUM AMOUNT OF ARREARS  £

WHAT LIFE POLICIES DO YOU HAVE WITH YOUR EXISTING MORTGAGE? If applicable

     1)  Type
     2)  Company
     3)  Monthly premium  £
     4)  Term
 

 

PURCHASE OR REMORTGAGE

ANTICIPATED TIME TO STAY AT PROPERTY                                 YEARS

TYPE OF MORTGAGE PREFERRED IE:

1) Fixed

2) Capped

3) Variable

4) Cash Back
 

 c 

 c 

 c 

 c 
 

5) Flexible

6) Discount off variable

7) Bank base rate Tracker

8) Not Known - please advise
 

 c 

 c 

 c 

 c 
 

ATTITUDE TO RISK - YOUR OPINION OF FUTURE INTEREST RATE MOVEMENT?

TO INCREASE  c 
 

TO DECREASE  c 
 

TO REMAIN THE SAME  c 
 

CURRENT/ANTICIPATED INCOME & EXPENDITURE

TOTAL MONTHLY HOUSEHOLD INCOME FROM ALL SOURCES

TOTAL

CURRENT

ANTICIPATED

Monthly household income (from all sources) after Tax and National Insurance (IE: Net Income)

£

N/A

Mortgage/rent (including insurance)
Per month
 

£

£

Loans/credit card payments/H.P.
Per month (total amount)
 

£

£

Household expenditure (ie, gas, phone, electric, CVouncil tax, food, etc)
Per month

£

£

Other regular expenditure (eg, car, travel, leisure, clothing, etc)
Per month

£

£

TOTAL BALANCES OF ANY FINANCIAL COMMITMENTS
(Please do not include main mortgage)

 

BALANCE

Is it your intention to pay off
on or before new mortgage?

 

Secured (on property) Loans/s

£

YES  c         NO  c 

 

Unsecured (not on property) Loan/s

£

YES  c         NO  c 

 

Mail Order/Catalogue Account

£

YES  c         NO  c 

 

Bank Loans
 

£

YES  c         NO  c 

 

Hire Purchase
 

£

YES  c         NO  c 

 

Bank Overdraft
 

£

YES  c         NO  c 

 

 

 

 

Do you have any County Court Judgements (CCJ’s),
defaults or missed payments                                     YES  c         NO  c 
 

If YES, please give details. ...............................................................................

 

....................................................................................................................

 

....................................................................................................................

 

....................................................................................................................

 

 

1)       

Do you wish Warwick Tidy to recommend an Independent Financial Adviser to discuss life cover and accident sickness and unemployment cover to protect your proposed mortgage?

 

YES  c         NO  c 

 

2)

Do you wish Warwick Tidy to recommend a “General” Insurance Adviser to discuss building and contents cover protection for your property?

 

YES  c         NO  c 

 

3)

Do you wish Warwick Tidy to periodically review your mortgage following completion by contacting you?

 

YES  c         NO  c 

 

 

Please give any other details you feel may assist with your mortgage enquiry:

 

 

 

 

 

 

 

 

 

 

 

 

SIGNED First Applicant ...........................................................
 

SIGNED Second Applicant .......................................................
 

DATE: