Mortgage Application

Please complete, save and email back to jbe@internationalmortgageassociates.com

Tel: 407 953 9034 or 07768 650 659

Borrower Information:

Borrower Name:
Date of Birth: Country of Citizenship:
Marital Status: Married / Un-Married
Email address: Cell:	Home:
Number of Children:	Ages of children:

Co-Borrower Name:
Date of Birth: Country of Citizenship:
Marital Status: Married / Un-Married
Email address: Cell:	Home:
Present Home Address: City:
County/State:	Country:	Post Code:
Years at address: Rent/Own Present Market Value: £ Mortgage Balance: £ Mortgage/Rent Payment: £ Council Taxes/property Taxes: £ pm House Insurance: £ pm

If residing at present address for less than two years, complete the following:

Former Address: City:
County/state:	Country:	Post Code:
Years at Address: Rent/Own

Employment Information

Borrower	Co-Borrower
Present Employer
Position:
Self-Employed	Yes / No	Yes / No
Dates: (From/To)
Monthly Income	£ (Gross)	£ (Gross)
Business Phone & Address:
# Years in this line of work

If Less than two years please complete the following:

Borrower	Co-Borrower
Previous Employer
Position:
Self-Employed	Yes / No	Yes / No
Dates: (From/To)
Monthly Income	£ (Gross)	£ (Gross)
Business Phone & Address:
# Years in this line of work

Asset Information (Including the Source of where your down payment is coming from)

Bank Name	Est. Balance
1.	Currrent Savings Other
2.	Current Savings Other
3.	Current Savings Other
4.	Current Savings Other

Automobiles:

Year	Make	Model	Balance if applies	Repayments	Estimated Value
1.
2.
3.

Other Assets (other Property, stocks and shares, pensions, investments):

Type of Assets	Estimated Value

Liabilities (Include maintenance/alimony payments, other mortgages)

Date taken out Lender	Credit limit/amt borrowed Current Balance	Repayments

Where are you looking to buy?	:

When are you looking to buy?	:

Have you signed a property purchase contract?	:

Purchase Price of Property:	:

Proposed deposit	:

Mortgage Required	: