ONLINE ENQUIRY FORM

 


Remortgage Fact Find

If you have an enquiry which you would like us to deal with, you can do so by filling out the enquiry form below and submitting it to us.

Alternatively, if you would like to send us your query or comment please click here.

Name:
  
Partner:
Address:
  
Telephone:
(H)   
Mobile:
(W)   
Email:
Date of Birth
  
Date of Birth
Occupation
  
Occupation
PAYE Self Employed PAYE Self Employed
Name of Employer
  
Name of Employer
Annual Salary
€    
Annual Salary
€ 
Tax Rate: 41% 20% 0% Tax Rate: 41% 20% 0%
PPS (RSI) No.
  
PPS (RSI) No.
              
Details of existing mortgage
       
Mortgage Balance owed:  
 € 
Term remaining:  
 years
Name of Mortgage Lender:  
Current mortgage monthly repayments:  
 € 
Interest Rate:  
 Fixed   Variable
   
Any Existing Loans:  
 Yes   No
                   
  
If yes:                                   
Amount of Loan:  
 € 
Name of Lender:  
Current Loan Repayments:  
 €  per month
   
Present value of house:  
 € 
             
Do you wish to borrow more money?:  
 Yes   No
                 
If yes:                                   
  
How much:  
 € 
Do you wish to clear outstanding loans?:  
 Yes   No
   
ReMortgage  
Mortgage amount required:  
 € 
Mortgage term:  
 years

 
 
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Gary Ellison t/a Ellison Financial Consultants is regulated by the Financial Regulator. Registered as an Authorised Advisor and Mortgage Intermediary.
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