In Principle Decision Request

For an "In Principle" decision, please fill in the details on this form and we will e-mail an In Principle certificate to you. If you prefer, mail the details to us at Assured Direct, FREEPOST-NWW1105A, FLINT CH6 5ZZ or call us FREE on 0800 074 8357.
Your name 
Your partner's name 
Your daytime phone number 
Your e-mail address 
Your address & post code

If you have lived here less than 3 years, give details of your previous addresses
and dates you lived there.
What do you want the mortgage for? Please tick the boxes that apply
Buying a home
First Time Buyer
Home Improvement
Re-mortgage
Right to Buy
Non Status
I T Professionals
Your current arrangements are
I already have a mortgage
I am living with friends/relations
I am living in rented accomodation
Have you ever been bankrupt, had a County Court Judgement, or made arrangements with your creditors?
Purchase price/value of the home
Mortgage required
Number of years you want the loan over
If you are an employee, your annual basic salary before tax
If you are an employee, your annual overtime/bonus before tax
If they are an employee, your partner's annual basic salary before tax
If they are an employee, your partner's annual basic salary before tax
If you are self employed, your last net profit
If they are self employed, your partner's last net profit

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