SINGLE Mortgage Questionnaire

REPUBLIC OF IRELAND RESIDENTS ONLY

If you would like Integrated Financial Services investigate a mortgage facility from one of our providers please complete the SINGLE Mortgage Questionnaire below and we will respond with an indication of lenders interest in your business. If you wish to make a JOINT application please click here

ALL FIELDS MARKED * REQUIRE INPUT

SINGLE APPLICANT DETAILS

Name:*

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Surname:*

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Mobile:*

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Email:*

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Marital Status:*

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Age:*

year of birth

Employment Category:*

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Occupation:*

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Gross Salary €:

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PROPOSAL DETAILS

Do you have a property in mind:

Yes No Invalid Input

Deposit / Equity €:

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Mortgage Required €:

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Property Price / Value €:

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Term of mortgage:

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Do you or have you had arrears / missed payments on loans or mortgages? If YES please give details below:

Yes No Invalid Input

Additional Information:

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Spamcheck: enter the digits

ChangePlease enter the 8 digits displayed