Online Bridging Enquiry

Broker Information

Contact

Company

Address

Post Code

Email Address

Confirm Email Address

Telephone Number

FCA Number

CCL Number

Mortgage Club

Network

Loan Details

Is this application for a FCA regulated loan?

Is this application for Buy to Let purposes?

Will the funds be utalised for predominantly business purposes?

Purpose for requiring funds

Mechanism for the repayment of the brdging finance

Time funds required for

months

Net amount required (after deduction of fees)

If applicant is a limited company or limited liability partnership, please supply full name and registration number

Client Details

1st Applicant

2nd Applicant

Title

Forename

Middlename(s)

Surname

DOB

Telephone

Mobile

Occupation

Net Income (after tax)

Net Asset Value (of customer)

Current Address

1st Applicant

2nd Applicant

Same as 1st applicant

Address

Post Code

Security Address

Property Type

Charge Type

Address

Post Code

Description

Purchase Price of Property (if application is for purchase)

Outstanding Mortgage on Security Address

Lender

Estimated Property Value

Outstanding Mortgage

Payments up to Date?

If 'No', Amount of Arrears

Valuation

Have you instructed a valuation?

Do you require us to instruct a valuation?

If 'Yes', please provide contact name & number to arrange the survey

Additional Security Address

Property Type

Charge Type

Address

Post Code

Description

Outstanding Mortgage on Additional Security Address

Lender

Estimated Property Value

Outstanding Mortgage

Payments up to Date?

If 'No', Amount of Arrears

Payment Options

Method

Length of Retention (if applicable)

months

Please note that the total loan including retained interest must fit within the LTV

Additional Notes

Notes

Solicitor Details

Name

Company

Address

Post Code

Telephone

Credit Search

I, the intermediary, confirm that I hold the customer(s) authority for Complete FS and/or any of it's subsidiaries to conduct a search with a credit agency and understand that such a search maybe conducted upon receipt of this enquiry form.

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Online Bridging Enquiry

Broker Information

Loan Details

Client Details

Current Address

Security Address

Outstanding Mortgage on Security Address

Valuation

Additional Security Address

Outstanding Mortgage on Additional Security Address

Payment Options

Additional Notes

Solicitor Details

Credit Search

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