Online Mortgage Quote Form

Copley Finance will assist you in finding the right financial solution. Whether you want a mortgage, to re-mortgage your property, consolidate your debts or take out a personal loan, Copley Finance are here to help

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If you would like to receive a quote please fill in this form.

If you would like a faster response please supply your telephone and/or e-mail address:
Telephone or E-mail:

IMPORTANT: You do not have to complete all sections - but the more you tell us the more suitable offers we can make. We do not share your details with others unless you tell us that we may. For more information see our Privacy Policy.

Firstly, tell us about yourself. If there is a second applicant please also include their details:

First Applicant

Title
Forenames
Initials
Surname
Maiden or previous name(s)
Sex	M F
Date of Birth

Current Address
House Name / No.
Street
Town
County
Postcode:
How long have you been resident at this address?	years months
If less than 3 years please provide address(es) for this period
House Name / No.
Street
Town
County
Postcode:
Home Telephone Number
Marital Status	Married Divorced Single
Number of dependents

EMPLOYMENT DETAILS
Occupation
Employer
Employer's Telephone Number
Length of Employment
Is the position?	Permanent Temporary Contract
Gross Basic Income
Guaranteed Allowances
Guaranteed Overtime/Bonuses
Guaranteed Overtime/Commission
Total
SELF EMPLOYED DETAILS
Type of Business
Are there 3 Years Accounts?	Yes No
Net Profit for year
Net Profit for year
Net Profit for year

Second Applicant

Title
Forenames
Initials
Surname
Maiden or previous name(s)
Sex	M F
Date of Birth

Current Address
House Name / No.
Street
Town
County
Postcode:
How long have you been resident at this address?	years months
If less than 3 years please provide address(es) for this period
House Name / No.
Street
Town
County
Postcode:
Home Telephone Number
Marital Status	Married Divorced Single
Number of dependents

EMPLOYMENT DETAILS
Occupation
Employer
Employer's Telephone Number
Length of Employment
Is the position?	Permanent Temporary Contract
Gross Basic Income
Guaranteed Allowances
Guaranteed Overtime/Bonuses
Guaranteed Overtime/Commission
Total
SELF EMPLOYED DETAILS
Type of Business
Are there 3 Years Accounts?	Yes No
Net Profit for year
Net Profit for year
Net Profit for year

If you have an existing mortgage, please complete the following section. If there is a second applicant and they also have a property please include details if possible.

First Applicant

Current Lender
Loan outstanding
Estimated Value of Property

Do you have any penalties to pay if you change your mortgage? Yes No
If you have to pay penalties please detail them:

Second Applicant

Current Lender
Loan outstanding
Estimated Value of Property

Do you have any penalties to pay if you change your mortgage? Yes No
If you have to pay penalties please detail them:

Now tell us about the mortgage you require:

What kind of mortgage do you require? Purchase Remortgage Right to Buy

Details of purpose of loan if Re-mortgaging:

If Purchase, is the deposit coming from your own resources without additional borrowing?
Yes No
If No, provide full details

Is the property Leasehold? Yes No

If Yes, how many years remaining?

Other borrowing :
Please provide details of all Personal Loans /Credit Card Payments /Hire Purchase /Maintenance Payments, etc.

	Loan 1	Loan 2	Loan 3
Balance Outstanding
Monthly Payment
Expiry Date
To continue during Mortgage?	Yes No	Yes No	Yes No
Whose Loan?	APPLICANT 1 2 Joint	APPLICANT 1 2 Joint	APPLICANT 1 2 Joint

Adverse Lending :
Please provide details of any credit problems you have encountered. These will not prevent you from obtaining a mortgage but this information will help us find a suitable Lender for you.

First Applicant

Have you ever been bankrupt?	Y	N
Have you ever had any arrears?	Y	N
Have you ever had any County Court Judgments?	Y	N
Have you ever had a default?	Y	N
If you have answered Yes to any of the above, please provide full details:

Second Applicant

Have you ever been bankrupt?	Y	N
Have you ever had any arrears?	Y	N
Have you ever had any County Court Judgment?	Y	N
Have you ever had a default?	Y	N
If you have answered Yes to any of the above, please provide full details:

We would like to contact you with latest news/offers on our services.
Please un-tick this box if you do not want us to send you such information.

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