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Rocks Mortgages
Mortgage & Protection Specialists
Rock Finance Application
Full Name (as appears on passport)
Date of birth
Gender
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Male
Female
Nonbinary
Marital Status
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Single
Married
Divorced
Nationality (Visa?)
Citizenship
Country of Birth
National Insurance Number
Residence
Select
Owner
Renting
Living
With Parents
3 Year Address History
Current Address
Post Code
Time at Address (Dates) From
Time at Address (Dates) To
Previous Address
Post Code
Time at Address (Dates) From
Time at Address (Dates) To
Rental Monthly Payments
Preferred Contact Details
Home Telephone Number
Work Telephone Number
Mobile Number
Email
Next
Dependants
1st Person Information
Name
Date of birth
Relationship
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Father
Mother
Husband
Wife
Other
Dependent upon
Monthly Childcare/maintenance costs
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Mortgage Requirements
Completed For
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Joint
Single
For Someone Else
Mortgage & Protection
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Mortgage
Protection
Both
Reason for your Application
Home Mover
Remortgager
First Time Buyer
Investment Purchase
Property Address (Relation to)
Borrower
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Joint
Single
For Someone Else
Purchase Price
Deposit Total
Source of Deposit
Gift (Who?)
Savings
Investment
Sale of Property
Inheritance
Borrowed
Other
How Much from Source?
Do you have an emergency fund
Select
Yes
No
How Much?
Are there any additional features that are important to you?
1. Free legals
2. Free valuation
3. Portability
4. Option to Overpay
5. Cashback
Income Information \ Employment Details
Employment status
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Employed
Self Employed
Contract Type
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Permanent
Temporary
Agency
Company Name
Company address
Postcode
Occupation
Start date
Expected Retirement Age
Frequency of Monthly Income
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1. Weekly
2. Monthly
Annual Gross Basic Income 3 Month
Net Monthly Income
Additional income
Bonus
Commission
Overtime
Monthly Pay Deductions?
Car Allowance
Private Healthcare
Childcare Cost
How many weeks is sick pay paid?
Additional Company Benefits
Life Cover
Death in Service
None
How Much Times Salary
Are you expecting your income to change in the next 12 months?
Select
Yes
No
Not Sure
Finances shared with partners
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Yes
No
Benefit Details
Are you in receipt of any Benefits
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Yes
No
Please Specify Amount Below
Child Benefit
Universal Credit
Any additional Benefit income Info.
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Properties & Mortgages
Do you own any properties Now?
Select
Yes
No
Address
Postcode
Owner
Property use
Date of Purchase
Purchase Amount
Estimated Value
Do you have any mortgages?
Select
Yes
No
Provider
Total outstanding amount
Monthly payment
Term Remaining
Fixed Rate End date
Current Interest Rate
Early repayment charge
Replaced As Part of Advice
Notes
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Liabilities – Credit Cards, Loans, Hire Purchase
Do you have any liabilities?
Select
Yes
No
Select Type
Select
Balance Outstanding
Monthly Payment
Company it's with
Credit Limit
Specify The Loan Reason
Protection Policies
Do you have any existing protection?
Select
YES
NO
Amount Of Life Cover Work
Amount Of Critical Illness
Amount Of Income Protection
Amount Of Others
Current Monthly Payment decreasing Term
Current Monthly Payment Level Term
Do you Currently Smoke?
Select
Yes
No
Do you have Home insurance?
Select
Yes
No
Please give details on provider
Select
Premium
Frequency
Renewal Date
Do you have a will in place?
Select
Yes
No
Do you have any vulnerabilities?
Select
Yes
No
Have you had any life or Health
Select
Yes
No
Do you require any assistance?
Select
Yes
No
Please specify below
Credit History
Do you have any adverse credit?
Select
Yes
No
Arrears
Select
Yes
No
Defaults
Select
Yes
No
Current IVAs
Select
Yes
No
County Court Judgement
Select
Yes
No
Repossessions
Select
Yes
No
Ever declared bankrupt
Select
Yes
No
Individual voluntary arrangement for trust deeds
Select
Yes
No
Details
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Next
Review And Submit
Applicant Details
Full Name (as appears on passport)
—
Date of birth
—
Gender
—
Marital Status
—
Nationality (Visa?)
—
Citizenship
—
Country of Birth
—
National Insurance Number
—
Residence
—
3 Year Address History
Current Address
—
Post Code
—
Time at Address (Dates) Form
—
Time at Address (Dates) To
—
Previous Address
—
Post Code
—
Time at Address (Dates) Form
—
Time at Address (Dates) To
—
Rental Monthly Payments
—
Preferred Contact Details
Home Telephone Number
—
Work Telephone Number
—
Mobile Number
—
Email
—
Dependants
Mortgage Requirements
Completed For
—
Mortgage & Protection
—
Reason for your Application
—
Property Address (Relation to)
—
Borrower
—
Purchase Price
—
Deposit Total
—
Source of Deposit
—
How Much from Source?
—
Do you have an emergency fund?
—
Emergency fund amount
—
Additional features important to you
—
Income Information \ Employment Details
Employment status
—
Contract Type
—
Company Name
—
Company address
—
Postcode
—
Occupation
—
Start date
—
Expected Retirement Age
—
Frequency of Monthly Income
—
Annual Gross Basic Income 3 Month
—
Net Monthly Income
—
Additional income
—
Monthly Pay Deductions?
—
How many weeks is sick pay paid for?
—
Additional Company Benefits
—
How Much Times Salary
—
Are you expecting your income to change in the next 12 months?
—
Finances shared with partners
—
Benefit Details
Are you in receipt of any Benefits
—
Please Specify Amount
—
Child Benefit
—
Universal Credit
—
Any additional Benefit income Info.
—
Properties & Mortgages
Do you own any properties currently?
—
Address
—
Postcode
—
Owner
—
Property use
—
Date of Purchase
—
Purchase Amount
—
Estimated Value
—
Do you have any mortgages?
—
Provider
—
Total outstanding amount
—
Monthly payment
—
Term Remaining
—
Fixed Rate End date
—
Current Interest Rate
—
Early repayment charge
—
Replaced As Part of Advice
—
Notes
—
Liabilities – Credit Cards, Loans, Hire Purchase
Do you have any liabilities?
—
Select Type
—
Specify The Loan Reason
—
Protection Policies
Do you have any existing protection?
—
Amount Of Life Cover
—
Amount Of Critical Illness
—
Amount Of Income Protection
—
Amount Of Others
—
Current Monthly Payment (Decreasing Term)
—
Current Monthly Payment (Level Term)
—
Do you Currently Smoke?
—
Do you have Home insurance?
—
Provider details
—
Do you have a will in place?
—
Any vulnerabilities?
—
Life/Health event in last 12 months?
—
Any additional assistance required?
—
Please specify below
—
Credit History
Do you have any adverse credit?
—
Arrears
—
Defaults
—
Current IVAs
—
County Court Judgement
—
Repossessions
—
Ever declared bankrupt
—
Individual voluntary arrangement for trust deeds
—
Details
—
Edit
Submit