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Mortgage Application

Please tell us about yourself and your employment :

Title: Mr.
Mrs.
Miss.
Ms.
Dr.

Your last name:

First name and initial:
Email:

ID/Passport No.:

Father's Name:

Date of Birth:

Your Current Address:

How long have you lived there?

Your Home Telephone :

Your Business Telephone :

Ext.:

If less than 3 years, previous address:

How long there?

Are you:
Married
Single
Widowed
Common-Law
Divorced
Seperated

Co-Applicant Details :

Co-Applicant last name:

First name and initial:

ID/Passport No.:

Father's Name:

Date of Birth:



Please tell us about your employment:

Are you Self Employed?

Yes
No

Your Employer Name (if not self employed):

Address:

Occupation:

How Long?

Annual Net Income (after tax):

Other Income Source :

Part-time
Rental
Alimony/Child Support
Pension
Business
Investment

Details:

How Long?

Amount:

Previous Employer (required only if above employment is for less than five years):

Address:

Occupation:

How Long?

Annual Income:

Salary:


Co-Applicant employment:

Is the Co-Applicant Self Employed?

Yes
No

Co-Applicant's Employer Name (if not self employed):

Address:

Occupation:

How Long?

Annual Net Income (after tax):

Other Income Source :

Part-time
Rental
Alimony/Child Support
Pension
Business
Investment

Details:

How Long?

Amount:

Co-Applicant's Previous Employer (required only if above employment is for less than five years):

Address:

Occupation:

How Long?

Annual Income:

Salary:


Name of Solicitor (N/A for Transfers):

Solicitor's Firm:

Address:

Phone:

Fax:

Have you ever declared bankruptcy?
Yes
No

If yes explain:

Discharge Date:


     


 


 

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Corfu Property Agency - 15, Kapodistriou str  49100  Corfu
Tel.:+30-26610-28141 , Fax:+30-26610-46663  - email: office@cpacorfu.com