HOME SERVICES APPLY ONLINE ADVICE NEWS COMPLIANCE CONTACT US APPLY ONLINE - MORTGAGES Personal Details First Applicant Second Applicant * Name * Name * Address Address         * Date of Birth * Date of Birth * Telephone (h) * Telephone (h) Telephone (w) Telephone (w) Financial Details * Basic Salary (€) * Basic Salary (€) Overtime (€) Overtime (€) Overtime Guaranteed Overtime Guaranteed Bonus (€) Bonus (€) Shift Allowance (€) Shift Allowance (€) Total Pay on P60 (€)  (last year) Total Pay on P60 (€)  (last year) Other Income (€) (eg. rent / part-time work) Other Income (€) (eg. rent / part-time work) Employment Details * Occupation * Occupation * Employer * Employer * Employers Address * Employers Address         * No. of years with Employer * No. of years with Employer Property Details Property for Mortgage  Building  Buying  Seeking Loan Approval Only * Address                 * Purchase Price (€) Mortgage Required (€) * Stamp Duty (€) Savings (€) Other Costs (€) Equity (€)     Grants (€) * Total (€) Total (€) * Term (yrs)  Endowment / Annuity Life Company Bank History Details Details of Current Mortgage / Loans Credit History on Above * Bank / Building Society * Bank / Building Society * Address * Address         * Required Field This form is intended to assist with the application for a mortgage with various lending institutions only and shall not be used for any other purpose.

Frank Lenny Financial Services limited is regulated by the financial regulator. Remember your home is at risk if you do not keep up the payments on a mortgage or any other loans secured on it. We are a member of the Independent Mortgage Advisers Federation (IMAF) and the Professional Independent Brokers Association (PIBA). Copyright 2003 Frank Lenny Financial Services Ltd. (Ireland)