Mansfield Begbie Associates Ltd 

Mortgage Brokers  

Mortgage Enquiry

Complete this form and we will contact you with a personal response based on our assessment of your needs.

* denotes required field

Is this a:	single application  joint application
Name: *
Telephone Number: *
Email: *
Address:
No. of years at current address: *
If less than 3, previous address:
Employment:
Job Title:
Employer:
Length of Service (Years / Months): *
Income
Gross Basic: *
Regular / guaranteed overtime: *
Any other income: *
Approximate Outstanding Credit
Total outstanding: *
Monthly payments: *
Any adverse credit details:	Yes  No
If yes, details:
Mortgage Requirements
Mortgage type: *	Fixed  Discounted  Tracker
Reason: *	Remortgage  Purchase  Buy to Let  First Time Buyer
Deposit Available:
Mortgage Amount Required: *
Estimated property valuation / purchase price: *
If you have a current mortgage, please state name of current lender:
Please enter above security code:
Click submit to send this information to us. We will then contact you to discuss you personal situation and requirements

We confirm that we are using this information solely to contact any respondents to discuss the areas that they have expressed an interest in. We do not intend to retain these details on file for any future marketing campaigns.

YOUR HOME MAY BE REPOSSESSED IF YOU DO NOT KEEP UP REPAYMENTS ON YOUR MORTGAGE

There may be a fee payable at completion for placing your mortgage. The precise amount will depend upon your circumstances but we estimate it will be £300.

Mansfield Begbie Associates Limited is an appointed representative of the following companies for advising on and arranging the products shown: Legal & General (Portfolio Management Services) Limited (life assurance, pensions and investments) and Legal & General Partnership Services Limited (mortgages and insurance). Both Legal & General companies are authorised and regulated by the Financial Services Authority.

M J Rees: Cert PFS, Cemap, Cert CII(MP). I J Winchester: CertPFS, Cemap.

FSA Registration Number 408335. Incorporated in England & Wales. Company Number 3217240. Registered Office Address: 1, Beauchamp Court, Victors Way, Barnet, Herts EN5 5TZ