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What is the purpose of your mortgage?	Purchase Mortgage Buy To Let Self Build Right To Buy Equity Release for the Elderly Other
What is the value of the property?	£0 - £49,999 £50,000 - £99,999 £100,000 - £149,999 £150,000 - £199,999 £200,000 - £249,999 £250,000 - £299,999 £300,000 - £349,999 £350,000 - £399,999 £400,000 - £449,999 £450,000 - £499,999 £500,000 - £599,999 £600,000 - £699,999 £700,000 - £799,999 £800,000 - £899,999 £900,000 - £999,999 £1,000,000 - £1,499,999 £1,500,000 - £1,999,999 £2,000,000 +
Approximate value of your mortgage requirement?	£0 - £49,999 £50,000 - £99,999 £100,000 - £149,999 £150,000 - £199,999 £200,000 - £249,999 £250,000 - £299,999 £300,000 - £349,999 £350,000 - £399,999 £400,000 - £449,999 £450,000 - £499,999 £500,000 - £599,999 £600,000 - £699,999 £700,000 - £799,999 £800,000 - £899,999 £900,000 - £999,999 £1,000,000 - £1,499,999 £1,500,000 - £1,999,999 £2,000,000 +
Have you, or your partner (if applicable), any arrears on a mortgage or missed payments on credit / loan agreements?	No Yes
In what timescale are your considering applying for a mortgage?	1 to 2 weeks 3 to 6 weeks 7 to 12 weeks Just Considering
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Think carefully before securing other debts against your home. Your home may be repossessed if you do not keep up repayments on your mortgage.

(If requesting details of equity release for the elderly) This is a  lifetime mortgage, to understand the features and risks, ask for a personalised illustration.

With effect from 31st October 2004 the mortgage industry became subject to 'regulation', the primary aim of which is to protect consumers by ensuring that those individuals that provide mortgage advice are suitably skilled and qualified. You are under no obligation to buy but we ask that you only use this service if you are genuinely considering applying for a mortgage in the next few months either for purchasing a new home, seeking a remortgage or seeking finance for a specialist need e.g. buy to let, debt consolidation. Anyone aged 18 or over is welcome to use this service. As part of this service and our commitment to comply with the Financial Services Authority mortgage regulations we can advise you that you will be contacted by Bob Riach of Riach Independent Financial Advisers.

YOUR HOME MAY BE REPOSSESSED IF YOU DO NOT KEEP UP REPAYMENTS ON YOUR MORTGAGE

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