APPLICANT DETAILS:
Name
Maiden name (if applicable)
Date of Birth
Nationality (If stamp 4,5 or 6 please state)
Civil Status (if separated state if Legal)
Number of children and ages
PPSN Numbers
Contact phone number
Email address
Smoking status
Applicant 1 Yes No e-cigarettes
Applicant 2 Yes No e-cigarettes
CURRENT LIVING DETAILS: Current Address
Date you moved to this address MM/YYYY
Please state your previous address if less than 3yrs at current address
Date you moved to this address MM/YYYY
Are you a First Time Buyer(s)?
FIRST TIME BUYER - PROPERTY DETAILS: Type of property (i.e. House / Apt 1 or 2 bed)
Address of property (If available)
Property – New build / Self build / Secondhand
Mortgage Loan required (If known)
Property Purchase Price (If known)
Equity release from sale of current property (If applicable)
SWITCHER / SECOND TIME BUYER – EXISTING MORTGAGE DETAILS: Name of current lender
Start date of mortgage
Property Type e.g. House / Apt etc
Number of Bedrooms
Current Property Value (approx.)
Current mortgage amount
Remaining term of years
Current Interest Rate %
Fixed or Variable
Monthly repayment
Interest only – Yes / No
Equity release – please state amount and Purpose
Rent received / achievable per month
Is it a Self Build?
SELF BUILD DETAILS : Address of site
Is the site currently owned by you Y/N
Has planning been approved Y/N
Current value of site
Build cost
Mortgage amount required (If Known)
Finished value of site/property once completed
EMPLOYMENT STATUS Employment status N.B If one applicant is employed and the other is self-employed, please tick the employed & self-employed option and complete the relevant fields for each applicant.
EMPLOYMENT PAYE ONLY: Name of Employer / Company Name
Occupation / Position held
Employment status – permanent / part time etc
Date of starting with this employer
Previous Employment if less than 1 year in current employment:
Employee / Self Employed
Name of Employer / Company Name
Occupation / Position held
Employment status – permanent / part time etc
Date of starting and finishing with this employer
INCOME PAYE ONLY: PAYE Gross Basic Annual Salary
For Bonus, Commission, Overtime, Shift allowance please Specify and State amount received each year for the last 3yrs
Other Income e.g. Rent, Maintenance payment, Children’s Allowance etc please state monthly amount
Please state your average Nett income over the last 3mts
Please state whether per week / bi-weekly / month
EMPLOYMENT Sole Trader / Co Director: Company Name
Occupation
Company Registration number (if applicable)
Date Commenced Trading MM/YYYY
% of business owned
Earned Income (Drawings / Salary) 2020
Earned Income (Drawings / Salary) 2021
Earned Income (Drawings / Salary) 2022
Net Profit 2020
Net Profit 2021
Net Profit 2022
Company loans – total payments per month
INCOME Sole Trader / Co Director: Gross Basic Salary current year
Other Income e.g. Rent, Maintenance payment, Children’s Allowance etc please state monthly amount
Nett Monthly Income
Please state whether per week / bi-week/ month
Please state your average Nett income over last 3mts
PENSION: Do you have a current pension
Did you have a pension with a past employer
EXPENDITURE: Mortgage / Rent payment
(Please state how paid, if through bank etc)
Monthly Childcare Costs
If no Childcare cost, please explain why (If applicable)
Maintenance Payments per month (If applicable)
Loans (If PCP please state):
Please provide name of lender, monthly payment, balance owed and loan end date.
Have you missed any payments with previous Loans, Credit Cards, Mortgages?
Credit / Store cards (Please State): Limit / Balance
Overdraft Limit:
Highest balance in last 6mts
SAVINGS (required for mortgage repayment capacity): Total Savings for deposit
Please include how much and where
e.g. Savings acc, Cr union, investment etc
Monthly Savings – please state how much per month and where?
Please date when monthly savings of this amount started
Are you receiving a cash GIFT
Please state how much, Gifters name & relationship
EXISTING PROTECTION (PLEASE INCLUDE COST PER MONTH): Existing Mortgage Protection Insurance
Existing Life Insurance
Serious Illness Cover
Income protection cover
Do you have an online Gambling Account? Eg. Paddy Power
Do you have additional properties?
Home Property Address
Lender
Start date of mortgage
Number of bedrooms
Property type
Original purchase price
Current value
Rent received / achievable per month
Outstanding mortgage amount
Remaining term of years
Current Interest rate
Interest only Yes / No
Current Mortgage Payment pm €€
Buy to let 1 Property Address
Lender
Start date of mortgage
Number of bedrooms
Property type
Original purchase price
Current value
Rent received / achievable per month
Outstanding mortgage amount
Remaining term of years
Current Interest rate
Interest only Yes / No
Current Mortgage Payment pm €€
Buy to let 2 Property Address
Lender
Start date of mortgage
Number of bedrooms
Property type
Original purchase price
Current value
Rent received / achievable per month
Outstanding mortgage amount
Remaining term of years
Current Interest rate
Interest only Yes / No
Current Mortgage Payment pm €€
Buy to let 3 Property Address
Lender
Start date of mortgage
Number of bedrooms
Property type
Original purchase price
Current value
Rent received / achievable per month
Outstanding mortgage amount
Remaining term of years
Current Interest rate
Interest only Yes / No
Current Mortgage Payment pm €€
Additional Comments
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