Intermediary Details
Intermediary Contact:
*
Intermediary Firm:
*
Address:
*
Postcode:
*
Work Telephone:
*
Mobile Telephone:
Fax Number:
*
Email:
FSA Number:
*
Preferred Method of Contact:
Work
Mobile
email
Client Details
First Client
Title:
Mr.
Mrs.
Miss.
Ms.
Dr.
*
Full Name:
Email:
Home Telephone:
Mobile Telephone:
Work Telephone:
Residental Address:
Time at Address:
years
months
Postcode:
Second Client
(if applicable)
Title:
Mr.
Mrs.
Miss.
Ms.
Dr.
Full name:
Email:
Home Telephone:
Mobile Telephone:
Work Telephone:
Residental Address:
Time at Address:
years
months
Postcode:
Other Details (please indicate)
*
Will the client reside in the new property?
Yes
No
*
Will we secure our lending by way of a first charge on the new property?
Yes
No
*
Is the loan to an individual?
Yes
No
*
Is the security a residental property?
Yes
No
*
Is there any adverse credit?
Yes
No
*
Are any works required to the property?
Yes
No
*
Is the property New Build?
Yes
No
If you answer "Yes" to all of these then please contact us to discuss the case in more details.
Loan
*
Purpose of Loan
Property Purchase
Refinance
Property Improvements
Other
How will loan be redeemed?
Sale of Property
Refinance
Other
*
Details of exit:
Financial Details
Amount Required:
£
Estimated value of Security:
£
Purchase Price(if applicable):
£
Outstanding Mortgage
£
Loan Term Required:
months
Details of Additional Security offered as Security
Security Description:
Security Address/es:
Estimated Security Value:
Source of Estimate:
Date:
Valuation -
Please note we use the Open Market Valuation in calculating our loan to value
Has a valuation been instructed and carried out in the last 90 days?
Yes
No
If yes, please provide the details below and arrange to have the report addressed and sent to Pure Bridging.
Open Market Valuation
Date of Open Market Valuation
Valuer
If no, do you wish for us to instruct a valuer at this stage or after application? (The fee for this will need to be paid directly by the client)
Yes
After Application
Contact Details for valuation:
Name:
Telephone Number:
Additional Information / Notes:
