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Introducer details

Introducer name:*

Introducer company:

Introducer phone number:

Client's details

First Name:*

Last Name:*

Email:*

Phone:*

Sex:*

Date of Birth

New Property Value:*

Loan amount:*

Will the client's current mortgage be paid off?

Annual Income before tax:*

Employment Status

Property location

Property type

Tenure

Is the client a UK resident

Yes

No

Can the client prove income?

Yes

No

Does the client have any credit problems?

Yes

No

Would you like a call back or email response?

Yes

No

Call back time

Submit

You can refer a client to us in one of the following ways:

Call us on
0845 466 1026

Fax us on
0845 466 1036

You can download our AIP form by clicking here

THINK CAREFULLY BEFORE SECURING OTHER DEBTS AGAINST YOUR HOME. YOUR HOME MAY BE REPOSSESSED IF YOU DO NOT KEEP UP REPAYMENTS ON YOUR MORTGAGE. ADDING EXISTING DEBTS TO YOUR MORTGAGE MAY BOTH EXTEND THE REPAYMENT TERM AND INCREASE THE OVERALL AMOUNT OF DEBT.

Y3S Mortgages is a trading name of The SJ Group Limited. Registered in England and Wales no. 6639711. Registered office address: 9 - 10 Neptune Court, Vanguard Way, Cardiff CF24 5PJ. The SJ Group Limited is authorised and regulated by the Financial Services Authority for Regulated Mortgages and General Insurance mediation. Y3S and the Y3S logo are trademarks belonging to Y3S Group Limited and are licensed to The SJ Group Limited.