White Rose Mortgages

To secure your low cost mortgage illustration with absolutely no obligation please complete the form below. This will take only 5 minutes and our systems will then find the best value mortgage from over 120 lenders. A member of our mortgage team will be in touch within 24 hours. Illustrations are entirely confidential and White Rose Mortgages comply fully with the Data Protection Act 1998.

Self Employed Self-certification No accounts needed Self -build mortgages

Re-mortgage Commercial Mortgage Overseas mortgages All credit status

Personal Details
	First Applicant	Joint Applicant
Title
First Name
Middle Name
Surname
Date of Birth (dd/mm/yyyy)
Sex	Male Female	Male Female
Marital Status
Employment Status

Current Address
House name/number and street
Town
County
Postcode

Mortgage Requirements
Mortgage type - select from either residential or commercial pull down boxes.	or
Amount of £ loan required
Amount of Euro loan required
Amount of US$ loan required

Mortgage term required	years

What type of mortgage is of most interest ?	Fixed rate ( guaranteed payments ) Tracker (linked to interest base rate) Discounted (lowest cost to you in early years)

On what repayment basis?	Repayment of interest only Repayment of interest and capital
Current Mortgage outstanding (if applicable)
Property Details
Address of property to be mortgaged
House name/number and street
Town
County
Country
Postcode

Value in £ of property to be mortgaged
Value in Euro of property to be mortgaged
Value in US$ of property to be mortgaged
Has an offer been accepted ?	Yes No
Is the property ...	Freehold Leasehold

Credit Status
	First Applicant	Joint Applicant
Have you had any previous mortgage arrears ?	Yes No	Yes No
Do you have any county court judgements ?	Yes No	Yes No
Have you ever been refused credit ?	Yes No	Yes No

Contact Details
E- mail Address
Home Telephone
Work Telephone
Mobile Phone
What is the best time to call you ?
On what telephone number?
Any other information

Please read the customer declaration below before clicking the submit button.

Customer Declaration

I/we declare that the statements and particulars in this application form are true and accurate to the best of my/our knowledge and belief and shall form part of any subsequent agreement. I/we agree that such information may be relied upon by all third parties to whom White Rose Finance Ltd is authorised to disclose the same as if such third parties had received the information directly. As part of the loan process it is necessary for us to retain your personal details on our computer files.

Any information you provide will be treated in the strictest confidence. Please now click the'submit' button to proceed. If you do not click 'submit' we will be unable to provide a mortgage illustration.

THINK CAREFULLY BEFORE SECURING OTHER DEBTS AGAINST YOUR HOME. YOUR HOME MAY BE REPOSSESSED IF YOU DO NOT KEEP UP PAYMENTS ON A MORTGAGE OR ANY OTHER DEBT SECURED ON IT.

Personal Loans | Business Finance | Terms & Conditions | Data Protection

White Rose Mortgages is a division of White Rose Finance Group Ltd. Park View Business Centre, Broad Lane, Cawood, York, YO8 3UE. Tel 0845 838 1954. Fax 01757 268899. Consumer Credit License 570063. Mortgages are offered in partnership with The Mortgage Brokers Ltd. Regulated by the FSA - registration number 436510. YOUR HOME MAY BE AT RISK IF YOU CANNOT MAKE REPAYMENTS ON A LOAN OR MORTGAGE SECURED AGAINST IT.