Confidential remortgage enquiry form

Please complete all details in full and we will respond within 24 hours with details of the best mortgage for you. If any information is not available at this stage, just leave the section blank. If any additional details are required, we will contact you later.


Remember there is no obligation, no credit checks will be performed without your consent and there are no brokers fees to pay. Your advisor will reply within 24 hours with illustrations of the best mortgages available from the whole marketplace.


Use the ‘Tab’ key to move between fields. Please check that you have entered all of your details correctly and then use the ‘Enter’ key or press the ‘Submit Form’ button to send us your details.



 Your Personal Details

Your title
Your surname / family name
Your first names
Your date of birth

 Your Partner’s Personal Details (for joint enquiries)

Your partner’s title
Their surname / family name
Their first names
Their date of birth

 Your Address and Contact Details

House name / number and street
Area or suburb
Town or city
How long have you lived at this address?   years   months
Your daytime telephone (including area code)
Your evening telephone (including area code)
Your mobile telephone (if any)
Your email address
If you have lived at your current address less than 3 years, please give previous address details:
Previous house name / number and street
Area or suburb
Town or city
How long did you live at your previous address?   years   months

 Your Employment and Income Details

What is the nature of your employment?
What is your gross annual income £
What is your occupation or job title?

 Your Partner’s Employment and Income Details (for joint enquiries)

What is the nature of your partner’s employment?
What is your partner’s gross annual income £
What is your partner’s occupation or job title?

 Your Residential Details

What is the estimated value of your property £
What is your current mortgage balance £
Who is your current mortgage lender?
What rate are your currently paying (if known)?   %

 About Your Monthly Expenditure

What is your monthly mortgage or rent payment
What is your total monthly payment for other bills
How much do you owe on credit or store cards
What is the total monthly payment for your cards
How much do you owe on other loans or credit
What is the total monthly payment for other credit

 About Your Credit History

Have either of you received a CCJ or default in the last 6 years?
Have either of you ever been declared bankrupt?
Have either of you missed a mortgage payment in the last 12 months?
Do either of you have any outstanding arrears on any other credit?

 Your New Mortgage Requirements

How much would you like to borrow in total £
How long would you like to repay the mortgage?   years
What kind of repayment method do you require?

 Any Other Details

Please use the following space to add any further details you think relevant to this enquiry:


By submitting this enquiry form I/we understand that I/we am/are under no obligation, no credit check will be performed and agree that the information provided is true and accurate. I/we give our express consent for my/ our advisor to contact me/us within 24 hours with details of the best mortgages available for my/our circumstances and that we may cancel this enquiry at any time with no penalties or costs due.






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Your home may be repossessed if you do not keep up repayments on a mortgage or any other debt secured on it. Please make sure you can afford the repayments before entering into an agreement.

This website is operated by Loans Company, an Introducer Appointed Representative to Orchid Financial (Sheffield) who are authorised and regulated by the Financial Services Authority. Data Protection Registrar Number Z7786809 Consumer Credit License Number 527802


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