Mortgage Enquiry Form

Complete and submit the form below and we'll contact you back with a mortgage quotation.

	Applicant One	Applicant Two
Contact Details
Title:
First name:
Surname:
Daytime contact no.:
Evening contact no.:
Employment Details
Gross annual income (£):
Is income provable?
Loan Details
Property value (£):
Loan amount required (£):
Mortgage term required (years):
Repayment method:
I am a:
Interest rate type:

The internet is not a secure medium and the privacy of your data cannot be guaranteed. If you prefer not to send your information via the internet, please call us on 01843 599773 to discuss your mortgage.

Tick this box if you do not want your details to be stored on our database, which may then be used for marketing purposes.

By submitting this form I confirm that I/we am/are actively seeking a mortgage and would like to discuss my/our needs with a mortgage advisor. I understand that a mortgage advisor will contact me/us by telephone.

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 ANY OTHER DEBT SECURED ON IT

A fee of a maximum of £250 or 0.5% of the loan amount, if greater, is payable on completion. Typically this will be £500.
Universal Independent Mortgage Services, a trading name of USD Limited,
is an Appointed Representative of Openwork Limited, which is authorised and regulated by the Financial Services Authority.
Openwork Limited offers insurance and investment advice on products from a limited number of product providers
and advice on mortgages representative of the whole market.
The information on this website is subject to the UK regulatory regime and is therefore targeted at consumers based in the UK.
Other products and services detailed on this website including Conveyancing are not regulated by the Financial Services Authoriy and fall outside the scope of activities supported by Openwork Limited.
USD Limited, Registered in England number: 05957673. Registered Office: 50 Queen Street, Ramsgate, Kent CT11 9EE
USD Limited is not responsible for the content of external websites and the products and services offered are not part of the Openwork proposition.