Customer Fact Find questionnaire

Number of applicants

One

Two

Post Code

Please confirm your full name (Applicant 1)

Please confirm your full name (Applicant 2)

Loan Purpose

Does the potential of interest rates changing concern you?

Yes

No

Do you want your monthly outgoings to be fixed?

Yes

No

Is it currently more important to minimise your monthly outgoings or to repay the debts in the shortest time possible (for example to have the longest term possible or an interest only option)?

If you are considering interest only, how would you repay the final balance at the end of the term?

Is it important for you to have an option to repay the balance early?

Yes

No

If you are planning to settle the loan early, do you have plans already in place and if so what are they?

Is it important for you to be able to make over payments?

Yes

No

Is there a particular reason you wish to make over payments?

Are you planning on moving in the next 5 years?

Yes

No

What plans do you have to move in the next 5 years?

Are you expecting your income to significantly change now or in the future?

Yes

No

How are you expecting your income to change?

Are you expecting your outgoings to change now or in the future?

Yes

No

How are you expecting your outgoings to change?

What age do you plan to retire?

Retirement age of Applicant 1

Retirement age of Applicant 2

Please confirm time in your current job (Years + Months)

Time in job of Applicant 1

Time in job of Applicant 2

Do you have any children under the age of 18?

Yes

No

Please confirm how many children you have and their ages

Child's Age

Add child Remove

Please give us an indication of your current outgoings. Where this is a joint application the figures should reflect both your outgoings

Mortgage payment

Council tax

Utilities

Food, drink and groceries

Grocery shopping, toiletries, medicines, alcohol

Clothing, footwear and personal effects

Personal effects are items like hairdressing, cosmetics, contact lenses

Furnishings, household equipment and maintenance

E.g. Plates, glasses, appliances, tools for house / garden

Travel and transport

E.g. Fuel, car tax, maintenance, parking, regular public transport costs

Communication

E.g. Internet, phone, mobile phone, TV license, subscription services

Recreation, restaurants and hotels

E.g. Eating / drinking away from home, gym fees, holidays, hobbies, pets

Insurances

Home, car, life, medical, other policies

Childcare cost and school fees

(If applicable)

Adult care costs

Cost for caring for any adults dependant on you (if applicable)

Maintenance & CSA costs

(If applicable)

Ground rent and service charge

(If applicable)

Mortgage endowment or other mortgage repayment vehicle

(If applicable)

Cigarettes / tobacco

(If applicable)

Other

(If applicable)

What is your ideal monthly budget for this loan?

What is the reason for the above figure?

How would you like to pay any fees?

Added to the loan

Paid up front

Please confirm the name of your mortgage company. (If you have a mortgage)

Are you consolidating any debt?

Yes

No

If Yes above - where you are consolidating it helps if we know what debts are to be included. We have given you the option to list these below.

Type

Remaining Balance

Monthly Payment

Rate (% if known)

Add item of credit Remove

If there is any additional information you think would it would be useful for us to know please detail that below?

Fact find questionnaire

What age do you plan to retire?

Please confirm time in your current job (Years + Months)

Please confirm how many children you have and their ages

Please give us an indication of your current outgoings. Where this is a joint application the figures should reflect both your outgoings

If Yes above - where you are consolidating it helps if we know what debts are to be included. We have given you the option to list these below.