CRM Mortgage Claim Have you ever had a mortgage? Yes NoPreviousNextWhen was your mortgage Taken Out?. (after January 2000 and before January 2015.)Day - Select -01020304050607080910111213141516171819202122232425262728293031Month - Select -010203040506070809101112Year - Select -2000200120022003200420052006200720082009201020112012201320142015Lender Name Email Mobile Number (Please enter without 0) PreviousNextHave you had a mortgage between £70,000 to £90,000 Yes NoWas it on standard variable rate for more than five years? Yes NoPreviousNextWas your mortgage over £90,000 Yes NoWas it on a standard variable rate for minimum of 3 years Yes NoWhat was the value of your mortgage? PreviousNextWas your mortgage a single or joint application? Signal JointTitle - Select -Mr.Mrs.MsMissFirst Name Last Name Previous Names Date of BirthDay - Select -01020304050607080910111213141516171819202122232425262728293031Month - Select -010203040506070809101112Year - Select -2020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930Marital Status. Single Married Widowed DivorcedPreviousNext2nd Client Details2nd Client Title - Select -Mr.Mrs.MsMissFirst Name Last Name 2nd Client Date of Birth Day - Select -01020304050607080910111213141516171819202122232425262728293031Month - Select -010203040506070809101112Year - Select -20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119302nd Borrow Marital Status. Single Married Widowed DivorcedPreviousNextHouse Number Current Address Previous Address PreviousNextDid you use a Mortgage Broker to arrange the mortgage? Yes NoIf so do you know the name of the Broker? Mortgage Account Number Address of Mortgaged Property PreviousNextDo you struggle to keep up on your mortgage payments? Yes NoWas your mortgage full Repayment or Interest Only? Full Repayment InterestHave you ever taken a mortgage holiday? Yes NoDid you take out a mortgage with Northern Rock? Yes NoDid you take out a mortgage with a Santander or a s Santander Sub-prime lenderHave you ever been in arrears with your mortgage? Yes NoWere large fees applied to your mortgage when you took it out, such a Solicitors fees? Yes NoDid your mortgage include an un-secured debt element? Yes NoWas your mortgage still active in the last 5 years OR 11 depending on the Solicitor Yes NoIn total was your mortgage been active for more than 5 years? Yes NoWhen did you redeem it (pay it off) PreviousNext1st Borrower Sign Sign Here 2nd Borrower Sign Sign Here PreviousNext1st Borrower ID Choose File 1st Borrower Proof of Address Choose File 2nd Borrower ID Choose File 2nd Borrower Proof of Address Choose File PreviousNextSorry! You're not eligible PreviousNextDo you have Plevin Claim Yes NoPlease select Maximum 6 Lenders you may have had PPI with. PPI could have been applied to your Credit/Store Card, Loan or Mortgage. Argos CardBarclaycardBeneficial Bank (Card)Beneficial Bank (Loan)Capital OneCitibankClydesdale BankCo-operative BankEggExpress Gifts LtdFirst Direct (Card)First Direct (Loan)First PlusFreemansGE MoneyGrattanHalifaxHFC BankHSBC (Card)HSBC (Loan)JD Williams/N BrownLloyds TSBMarks & SpencerMBNAMonument CardNationwideOPUSParagon MortgagesSantanderShop Direct FinanceWelcomeYorkshire BankWhat was the finance type: - Select -Credit CardLoanStore CardMortgageOtherWhat was the limit? Was your PPI taken out before 2011? Yes NoWas your PPI running in your account in 2008? Yes NoIs that account still active or closed? Yes NoHave you had a tipping offer previously? Yes NoHow much was that offer? Yes NoDid you accept? Yes No Previous Submit Form
