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Client 1 Client 2
Name :
Address :
Telephone :
Email :
Previous Address Φ Φ If less than 3 years at present address
Full Time Full Time Part Time Part Time
Employed Employed Self Employed Self Employed
Salary : £ £
Purchase price : £
Deposit : £
Mortgage Term :
Amount on Existing Mortgage : £
Term on Exisiting Mortgage :
Current Lender :
Current Interest Rate :
County Court Judgements County Court Judgements Arrears or Late Payments Arrears or Late Payments Other Financial Commitments Other Financial CommitmentsΦ Φ Such as car loan or store card