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The Financial Services Authority does not regulate most Let to Buy Mortgages

The information collected within this form will be used solely for the purpose of providing background information when contacting you.

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Send Information by: Post      Fax.      Telephone    Tel. No.

Name                Fax. No.

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Mortgage Amount ? £              Number of Years 

1st Applicant Date of Birth   Smoker Yes No

2nd Applicant Date of Birth    Smoker Yes No

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Your home may be repossessed if you do not keep up repayments on your mortgage

We do not charge a fee for mortgage advice however a fee paying option is available. Our typical fee is 1% of the mortgage.