Please note:  We can only arrange mortgages for Republic of Ireland residents

This form will take less than 5 minutes to fill in.  If you decide to proceed with the loan, there would be no further application forms to fill in (we can send you your completed form for you to review & sign).

Alternatively,  you can fill in this shorter form (you will need to fill in further details at a later stage, if proceeding with the loan).

A loan consultant will contact you with a quote (by phone or email - whichever you prefer) within 24 hours (Monday - Friday).

Purpose of Mortgage:

Personal Details:

Name
Date of Birth

Partners Name
Partners Date of Birth
Number of children (& their ages)

Contact Details:

E-mail address
Please confirm email address
Telephone Number (home)
Telephone Number (work / mobile)
Address

Employment Details:

Occupation / Job title

Basic Pay (before tax)
Overtime (before tax)
Bonus (before tax)
Your Employer
How long have you worked in this job?

Your Partners Employment Details:

Your Partners Occupation

Your partners pre tax basic pay
Your partners pre tax overtime
Your partners pre tax bonus
Your Partners Employer
How long has your partner worked in this job?

Mortgage Details (if applicable):

Mortgage Balance 
What bank is your mortgage with?
In what year did you buy the house?

Current Loan Details:

Loan Balances
Monthly loan repayments
Credit card balances
How much would you like to borrow?
What term would you like the mortgage over?
e.g. 15, 20, 25 years etc
What is the purchase price / value of the property?
Are your loans paid up to date / if not, please give details?

To complete the quote we need to know:

Have you smoked in the last 12 months?
Has your partner smoked (in the last 12 months)

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Information regarding products and services on this website is intended for residents of Ireland only.
Registered Office: 11 The Mall, Beacon Court, Sandyford, Dublin 18. Tel: 1890 448844
Registered in Ireland No 331320.
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