Applicant One
Name *
Date of Birth *
Address 1 *
Address 2 *
Town *
County *
Postcode *
Marital Status *
Please choose
Single
Married
Phone *
Email *
Fax
Property
Type of Property
Please choose
House
Bungalow
Flat
If a Flat how many storeys?
Is the Property in joint names?
Please choose
Yes
No
If No state ownership
Is the Property
Please choose
Freehold
Leasehold
If Leasehold how many years left on lease?
How many bedrooms?
Is the Property Sheltered Accommodation?
Please choose
Yes
No
What are the walls made of?
Please choose
Brick
Stone
Concrete
Timber
Estimated value of Property
Must be at least
£40,000 or £50,000 if sheltered accommodation
Is there a Mortgage and/or Loan secured on the Property?
Please choose
Yes
No
If Yes How Much / How Long? £
/
Years
If the amount of
equity released is insufficient to repay the loan are you prepared to
pay the balance?
Please choose
Yes
No
Loan Details
Please state the reason you are interested in equity release
Do you require a minimum amount for a specific purpose?
Please choose
Yes
No
If Yes How Much?
Do You prefer the idea of
Please choose
Rollup / Lifetime
Interest Only Mortgage
Reversion
Home Income Plan
If a Reversion scheme what % of your house do you want to sell?
%
Do You want a Lump Sum or Income
Please choose
Lump Sum
Income
Other Considerations
Have You already discussed this with your family?
Please choose
Yes
No
If No please state why
Please choose
Not considered necessary
No family
I have read the IFS
Terms
of Business and Privacy Statement
Applicant
Two
Name *
Date of Birth *
Address 1 *
Address 2 *
Town *
County *
Postcode *
Marital Status *
Please choose
Single
Married
Phone *
Email *
Fax