Active Investments

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Complete the enquiry form below and we will get back to you as quickly as possible.

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Contact (Company)
Contact (Person)
Contact Number
Contact E Mail Address	*
FSA Number
SRB Registered	*
Network Name
Directly Authorised
Applicant 1 First Name	*
Applicant 1 Surname	*
Applicant 1 DoB	*	(dd/mm/yyyy)
Applicant 1Job Description
Applicant 1 Job Type
Applicant 1 Annual Income (before tax)	*
Applicant 2 First Name	*
Applicant 2 Surname	*
Applicant 2 DoB	*	(dd/mm/yyyy)
Applicant 2 Job Description
Applicant 2 Job Type
Applicant 2 Annual Income (before tax)	*
Property Address 1	*
Property Address 2
Property Address 3
Property Town	*
Property Post Code	*
Type of Property	*
Age of Property (years)	*
For Flats - number of storeys
Construction of Property
Years remaining on Lease (if applicable)
Number of Bedrooms	*
Ex Council	*
Above commercial	*
Estimated Value	*
Existing Mortgage Lender
Mortgage Outstanding (inc arrears)	*
Other Secured Loans	*
Unsecured Loans / Credit Cards	*
Applicant would like to	*
Which of the following Options has been considered apart from sale & rent back? (Ctrl + click for more than one item)	*
Notes

DISCLOSURE AND USE OF INFORMATION

We may as part of the provision of our services to the Applicant(s), transfer their personal data between ourselves,
and any sale and rent back providers or intermediaries necessary to process the application. We may also transfer
the personal data to credit reference agencies in order to carry out the credit checks that are necessary in
conjunction with the application. Any transfer of the personal data will be done in accordance with our Data Protection Policy.

Submission of this enquiry means that the Applicant(s) have given permission that their personal data will
be used in accordance with our data protection policy and you have obtained the permission of the Applicant(s)

Please confirm the Applicant(s) have given their permission that their personal data can be used in this way by ticking this box *


	All loans subject to status For use by authorised intermediaries only Active Investments is a trading name of Active Investments (Reading) Limited and is authorised and regulated by the Financial Services Authority Your home may be repossessed if you do not keep up repayments on your mortgage

a Active Investments

26 Felton Way, Tilehurst, Reading, Berkshire, RG31 5DX - 0118 945 2288x