Solution Mortgages
21 March 2018
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Please complete the short form below. Please ensure that you fill in all fields marked with an asterisk ( * )

First Name   *
Surname   *
Date of Birth   *
Address 1   *
Address 2    
Postcode   *
Telephone   *
Telephone 1    
Telephone 2    
Best time to contact    
How much would you like to borrow
Estimated value of property
Do you want to buy a property? *
    remortgage a property?  
    buy a property to let?  
Have you   had a CCJ or default against you?  
    Missed loan/mortgage payment in last year?
    Been declared bannkrupt or had an iva?  
How soon do you want the mortgage?   *
What term would you like your mortgage over?   *
Do you require payment protection?   *
Additional information
Please enter the number you see in red 1   *
Yes I am actively seeking a mortgage and would like to discuss my requirements with a Mortgage Underwriter who will contact me by telephone:*  
There is no obligation and no credit search will take place. By completing these details you give us your permission to use this information to contact you to discuss your mortgage requirements. We treat your information with the utmost care and security.  


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Think carefully before securing other debts against your home.

Your home may be repossessed if you do not keep up repayments on your mortgage or any other debt secured on it.