Applicant 1                                                                                           

Title:	Mr Mrs Miss Ms Dr
First Name:
Last Name:
Address:
City:
Country:	England Wales Scotland
Post Code:
Contact  Phone:
Mobile Phone:
E-mail:

Applicant 2

Title:	Mr Mrs Miss Ms Dr
First Name:
Last Name:
Address:
City:
Country:	England Wales Scotland
Post Code:
Contact  Phone:
Mobile Phone:
E-mail:

Please provide the following  information about the property you wish to purchase:

Loan Required:
Market Value of the Property:
Purchase Price:
Completion Date:
Property Address:
Post Code:

Type of Property:
Tenure:
If the tenure is leasehold, how many years are left on lease?:
Is the property tenanted?	Yes No
Number of Bedrooms:
Does it have a garage?:	Yes No
Is it an ex local authority property?:	Yes No
Is it under construction?:	Yes No
What year was it built?:

Any other  relevant information?:
Your  Name:
The Name of Your Firm:
Your email address: