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Full name
Address
Postcode
Telephone number
Mobile number
E-mail address
Message
Best time to call	Anytime Morning Afternoon Evening
Are you looking to	Buy a property Remortgage a property Buy to let a property
How much would you like to borrow	£
Term of the mortgage	1 year 2 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years 10 years 11 years 12 years 13 years 14 years 15 years 16 years 17 years 18 years 19 years 20 years 21 years 22 years 23 years 24 years 25 years 30 years 40 years 50 years
Estimate value of purchase property	£
Are you a first time buyer	Yes No
Do you need to self certify your income	Yes No
Had a CCJ or default registered against you	Yes No
Missed one or more secured loan or mortgage repayments in the last 12 months	Yes No
Been declared bankrupt or had an IVA	Yes No
I/we expressly consent to be being contacted without prior notice or arrangement by using the contact details I/we have provided on the form and further consent that such contact may be in relation to (a) my/our mortgage arrangements and/or (b) other products and services
YOUR HOME MAY BE REPOSSESSED IF YOU DO NOT KEEP UP REPAYMENTS ON YOUR MORTGAGE

Mortgages Assist is an Appointed Representative of Personal Touch Financial Services Limited which is authorised and regulated by the Financial Services Authority.
The information on this website is subject to the UK regulatory regime and is therefore targeted at consumers based in the UK.